Document Detail


Isolated rupture of the subscapularis tendon.
MedLine Citation:
PMID:  8698718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sixteen consecutive patients were managed operatively for repair of an isolated traumatic rupture of the subscapularis tendon in the absence of avulsion of the lesser tuberosity. All of the patients were men. The diagnosis was made for each patient on the basis of the clinical examination and was confirmed by imaging studies and operative exploration. The operative treatment consisted of mobilization of the subscapularis after exploration and protection of the axillary nerve, transosseous reinsertion of the tendon to a trough created at the lesser tuberosity, closure of the rotator interval, and protection of the shoulder for six weeks postoperatively. The average duration of follow-up was forty-three months (range, twenty-four to eighty-four months). Thirteen patients subjectively rated the result as excellent or good. The average functional score of the shoulder, as assessed according to the system of Constant, was 82 per cent of the average age and gender-matched normal value. Active flexion was normal in twelve patients, was decreased by 15 degrees or less in three, and was severely limited in one patient. The capacity of the patients to work in their original occupations had increased from an average of 59 per cent of full capacity preoperatively to an average of 95 per cent postoperatively (p = 0.006). Operative treatment proved to be economically sound within the Swiss National Accident Insurance system. The quality of the result did not depend on the capacity for work at the time of the operation, on the type of work in which the patient was engaged, on the state of the biceps, or on the duration of follow-up. Conversely, the results were less successful when there was an increased delay from the time of the injury to the time of the operative repair.
Authors:
C Gerber; O Hersche; A Farron
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  78     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1996-09-03     Completed Date:  1996-09-03     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1015-23     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedics, Hôpital Cantonal, Fribourg, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Elbow Joint / physiology
Evaluation Studies as Topic
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Rupture
Shoulder Joint / physiology
Tendon Injuries* / rehabilitation,  surgery
Time Factors
Work Capacity Evaluation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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