Arthroscopic subscapularis repair: Surgical tips and pearls A to Z

被引：112

作者：

Burkhart, Stephen S.

Brady, Paul C.

机构：

[1] Univ Texas, Hlth Sci Ctr, Dept Orthopaed Surg, San Antonio, TX 78284 USA

[2] San Antonio Orthopaed Grp, San Antonio, TX USA

[3] Tennessee Orthopaed Clin, Knoxville, TN USA

来源：

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | 2006年 / 22卷 / 09期

关键词：

arthroscopic subscapularis repair; coracoplasty; comma sign;

D O I：

10.1016/j.arthro.2006.07.020

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Arthroscopic subscapularis repair can be technically challenging. This article summarizes a number of technical tips that can greatly simplify and expedite what otherwise might be a daunting surgical procedure. Specific tips and pearls include the following: 1. A description of a new clinical test-the bear-hug test-for detecting subscapularis tears on physical examination. 2. How to accurately place portals for precise subscapularis repair. 3. How to safely and accurately perform a coracoplasty. 4. How to identify and mobilize a retracted subscapularis tear. 5. How the comma sign can be used to simplify arthroscopic subscapularis repair. 6. How to securely repair all sizes of subscapularis tear. 7. A description of postoperative immobilization and rehabilitation to optimize results of arthroscopic subscapularis repair.

引用

页码：1014 / 1027

页数：14

共 13 条

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[2]

Subscapularis, medial, and lateral head coracohumeral ligament insertion anatomy: Arthroscopic appearance and incidence of "hidden" rotator interval lesions [J].