Document Detail


Subscapularis lengthening in shoulder arthroplasty.
MedLine Citation:
PMID:  19733486     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Gregory P Nicholson; Stacy Twigg; Brice Blatz; Barbara Sturonas-Brown; Joseph Wilson
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Publication Detail:
Type:  Journal Article     Date:  2009-09-04
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  19     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-22     Completed Date:  2010-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  427-33     Citation Subset:  IM    
Copyright Information:
2010 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.
Affiliation:
Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement / methods*
Contracture / surgery*
Female
Humans
Joint Diseases / surgery*
Male
Middle Aged
Muscle, Skeletal / surgery*
Range of Motion, Articular
Shoulder / surgery
Shoulder Joint / surgery*
Treatment Outcome
Young Adult

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


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