Subscapularis handling in anatomical shoulder arthroplasty; [Behandlung des M. subscapularis bei der Schulterarthroplastik]

被引：0

作者：

Van Tongel A. ^{[1
]}

De Wilde L. ^{[1
]}

机构：

[1] Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, Gent

来源：

Obere Extremität | 2015年 / 10卷 / 1期

关键词：

Lesser tuberosity osteotomy; Shoulder arthroplasty; Subscapularis peel; Subscapularis tenotomy; Surgical technique;

D O I：

10.1007/s11678-014-0296-7

中图分类号：

学科分类号：

摘要：

Anatomical shoulder arthroplasty is a reliable method used to alleviate pain and improve function in patients with glenohumeral arthritis. Recent research has focused on the handling of the subscapularis during anatomical shoulder arthroplasty. Four different approaches have been described: subscapularis tenotomy, subscapularis tendon peel, lesser tuberosity osteotomy, or a subscapularis preserving technique. In the literature, lesser tuberosity osteotomy shows better biomechanical and clinical results compared with subscapularis tenotomy. Two surgical techniques for lesser tuberosity osteotomy have been described: in line with the subscapularis tendon or perpendicular to the tendon. Both techniques show a high union rate and good clinical results but currently no biomechanical, radiological (muscular fatty degeneration), or randomized controlled clinical testing has been performed to evaluate significant differences. Subscapularis preserving techniques show good clinical results but are technically very demanding. © 2014, Springer-Verlag Berlin Heidelberg.

引用

页码：41 / 46

页数：5

共 34 条

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