Document Detail

Loss of subscapularis function after total shoulder replacement: A seldom recognized problem.
MedLine Citation:
PMID:  12610483     Owner:  NLM     Status:  MEDLINE    
Little attention has focused on subscapularis integrity after total shoulder replacement (TSR). We have noted that several patients have loss of internal rotation and subscapularis function on follow-up, leading to our review of success in restoring subscapularis function after TSR. A retrospective review was done of the records of 41 patients after TSR performed between 1995 and 2000. Mean follow-up was 1.9 years. Terminal internal rotation was evaluated by the lift-off and belly-press examinations. Subscapularis function was assessed by the patients' ability to tuck in a shirt. The subscapularis was repaired anatomically in 9 cases and through bone tunnels in 32 patients. Abnormal results were found for 25 of 37 lift-off examinations (67.5%) and 24 of 36 belly-press examinations (66.6%). Of 25 patients with an abnormal lift-off finding, 92% reported reduced subscapularis function (Fisher exact test, P <.01). Despite meticulous attention to subscapularis repair, suboptimal return of function was found on clinical examination and assessment of activities of daily living.
Suzanne L Miller; Yassamin Hazrati; Steven Klepps; Alexis Chiang; Evan L Flatow
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  12     ISSN:  1058-2746     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2003 Jan-Feb
Date Detail:
Created Date:  2003-02-28     Completed Date:  2003-06-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  29-34     Citation Subset:  IM    
Leni and Peter May Department of Orthopaedics, Mount Sinai Hospital, New York, NY, USA.
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MeSH Terms
Aged, 80 and over
Arthroplasty, Replacement*
Follow-Up Studies
Middle Aged
Muscle, Skeletal / physiopathology
Postoperative Complications
Retrospective Studies

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