The Hidden Lesion of the Subscapularis: Arthroscopically Revisited

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2016 Oct 7

PMID 27709052

Citations 11

Authors

Lionel Neyton

Matthew Daggett

Kevin Kruse

Gilles Walch

Affiliations

Soon will be listed here.

Abstract

The "hidden lesion" refers to a tear of the subscapularis in the presence of an intact biceps pulley or rotator interval. Visualization of these tears during open surgery is difficult, yet even with the advancement of arthroscopy, visualization can still be challenging. Incomplete visualization of the subscapularis could lead to failure to diagnose a tear of the tendon and subsequently hinder results after shoulder surgery. With the advancement of arthroscopy, a technique to identify these hidden lesions is needed to avoid inferior results. We describe an arthroscopic technique to visualize, diagnosis, and repair these tears when clinically indicated. Implementing this technique in the setting of suspected subscapularis tendon injury can provide complete visualization of the tendon insertion.

Citing Articles

Arthroscopic Modified Subacromial Viewing Portal Repair of Upper Third of Subscapularis Tendon Partial-Thickness Tears.

Huang P, Wang X, He C, Tang X Arthrosc Tech. 2024; 13(4):102924.

PMID: 38690343 PMC: 11056780. DOI: 10.1016/j.eats.2024.102924.

[Short-term effectiveness of arthroscopic repair via modified subacromial viewing portal in treatment of Lafosse subscapularis tendon tears].

Huang P, Wang B, Tan G, Wang X, Hong L, Zeng Z Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024; 38(1):22-27.

PMID: 38225836 PMC: 10796221. DOI: 10.7507/1002-1892.202310081.

Deep-Learning-Based Automated Rotator Cuff Tear Screening in Three Planes of Shoulder MRI.

Lee K, Cho Y, Ahn K, Park H, Kang Y, Lee S Diagnostics (Basel). 2023; 13(20).

PMID: 37892075 PMC: 10606560. DOI: 10.3390/diagnostics13203254.

The prevalence, classification, radiological and arthroscopic findings of intratendinous subscapularis tears.

Lin L, Zhang L, Cui G, Yan H Knee Surg Sports Traumatol Arthrosc. 2022; 31(5):1970-1977.

PMID: 36454292 DOI: 10.1007/s00167-022-07262-2.

Subscapularis tendon tears hidden by the medial biceps sling can be missed on arthroscopic examination.

Kim J, Do W, Lim J, Yoon T, Chun Y Arch Orthop Trauma Surg. 2022; 143(6):3251-3258.

PMID: 36369526 DOI: 10.1007/s00402-022-04681-1.

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