Subscapularis lengthening in shoulder arthroplasty

被引：6
|
作者：
Nicholson, Gregory P. [1 ]
Twigg, Stacy [1 ]
Blatz, Brice [1 ]
Sturonas-Brown, Barbara [1 ]
Wilson, Joseph [1 ]
机构：
[1] Rush Univ, Med Ctr, Chicago, IL 60612 USA
来源：
JOURNAL OF SHOULDER AND ELBOW SURGERY | 2010年 / 19卷 / 03期
关键词：
Subscapularis; Lengthening; Arthroplasty; Shoulder; LESSER TUBEROSITY OSTEOTOMY; BIOMECHANICAL EVALUATION; ISOLATED RUPTURE; REPAIR; TENDON; MUSCLE; REPLACEMENT; INSTABILITY;
D O I：
10.1016/j.jse.2009.05.017
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Purpose: To report the technique and outcome of subscapularis (SSC) lengthening in shoulder arthroplasty. Procedure: When external rotation measures less than 20 degrees, a coronal subscapularis lengthening is performed. This utilizes the interval between the anterior shoulder capsule and subscapularis to titrate the correct amount of anatomic length. Results: Average preoperative passive ER was -2 degrees. Average postoperative ER was 48 degrees. Belly press was graded as normal in 13 pts, mild in 12 pts, and poor in 2 pts. Conclusion: Subscapularis tendon lengthening provides a large surface area for tendon healing and allows anatomic length to be restored. Subscapularis lengthening may preserve a better length-tension relationship of the SSC muscle in shoulders with significant IR contracture undergoing shoulder arthroplasty. Level of evidence: III; Case-control study; Treatment study (C) 2010 Journal of Shoulder and Elbow Surgery Board of Trustees.
引用
收藏
页码：427 / 433
页数：7
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