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Arthroscopic Subscapularis Repair: Surgical Tips and Pearls A to Z

2006; Elsevier BV; Volume: 22; Issue: 9 Linguagem: Inglês

10.1016/j.arthro.2006.07.020

1526-3231

Stephen S. Burkhart, Paul C. Brady,

Orthopedic Surgery and Rehabilitation

Abstract 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: 1A description of a new clinical test—the bear-hug test—for detecting subscapularis tears on physical examination. 2How to accurately place portals for precise subscapularis repair. 3How to safely and accurately perform a coracoplasty. 4How to identify and mobilize a retracted subscapularis tear. 5How the comma sign can be used to simplify arthroscopic subscapularis repair. 6How to securely repair all sizes of subscapularis tear. 7A description of postoperative immobilization and rehabilitation to optimize results of arthroscopic subscapularis repair.