Scope Essentials 2024-Arthroscopic Subscapularis Repair Technique

Arthroscopic Subscapularis Repair Technique

Video Transcription

Video Summary

This talk details arthroscopic subscapularis (subscap) tendon repair techniques, highlighting its anatomy, epidemiology, and evaluation. Subscap tears, often associated with large rotator cuff injuries, are common but frequently missed. Diagnosis involves physical exams like belly press and bear hug tests, with MRI being the gold standard imaging. Management varies: older patients with degenerative tears may start conservatively, while younger or traumatic cases require early surgery. The speaker prefers beach chair positioning for arthroscopic repair, using metal anchors and a lasso loop suture technique for secure fixation. Post-op rehab includes sling immobilization, gradual range-of-motion, and strengthening over 9-12 months.

Asset Caption

Xinning (Tiger) Li, M.D.

Keywords

arthroscopic subscapularis tendon repair

subscapularis anatomy

rotator cuff tears

MRI diagnosis

postoperative rehabilitation