Arthroscopic repair of the torn Subscapularis tendon

April 25th, 2007

Though subscapularis tendon tears occur infrequently--repair is indeed possible with arthroscopic techniques. The biceps tendon may be subluxated out of its groove, and typically requires either tenotomy or tenodesis at the time of repair.

Postoperatively, a sling is required for 6 weeks. If only the subscapularis is torn, active internal rotation is restricted for 6 weeks, but sipervised therapy will enable some shoulder motion.

Arthroscopic repair obviates the need for a much larger incision in the front of the shoulder.

Related Photos:

Preoperative axial MRI image shows complete, retracted subscapularis tendon tear(see red line)

Related Videos:

1. Rotator interval is opened

2. Coracoid tip is exposed

3.Coracoplasty is performed to facilitate and protect the repair

4. Subscapularis mobilization is performed

5. A traction suture shows reparability

6. Footprint of the lesser tuberosity is prepared

7. Repair visualized from the posterior portal

8. Repair visualized from the anterior portal