2021 Annual Meeting Shoulder Access Pass-Where’s the Subscap?

Video Transcription

Video Summary

The speaker discusses subscapularis tears, noting they are more common than often reported. In their practice, 34% of cases involved subscapularis repair, usually with associated biceps pathology. They emphasize pre-surgical identification using physical exams and MRI, highlighting key signs like increased external rotation, weak belly press, and fluid medial to the coracoid. The "comma tissue" and middle glenohumeral ligament are crucial in locating and repairing tears arthroscopically. Small hidden lesions and biceps subluxation are also important to detect. Overall, careful imaging and anatomical awareness improve repair outcomes for subscapularis tears.

Asset Caption

Dr. Jonathan Ticker

Keywords

subscapularis tears

biceps pathology

physical exam

MRI diagnosis

arthroscopic repair