AANA Shoulder Arthroscopy - August 2024-Subscapularis tears

Subscapularis tears_ From Small to Big!

Video Transcription

Video Summary

This talk covers subscapularis tears, emphasizing repair techniques from small to large lesions. Key points include identifying tears via MRI signs like the medial coracoid sign and ossicles, and the importance of addressing associated biceps pathology. Repair involves translating the subscapularis laterally using comet tissue and visualizing the middle glenohumeral ligament to guide repair. The speaker prefers a single-row, retrograde suture passage technique with traction sutures and careful releases. Outcomes are generally good, with rare complications such as re-tears or nerve injury. Proper diagnosis, meticulous technique, and controlled rehabilitation are critical for successful recovery.

Asset Caption

Jonathan Ticker, MD

Keywords

subscapularis tears

MRI medial coracoid sign

biceps pathology

single-row retrograde suture

controlled rehabilitation