Arthroscopic repair of isolated subscapularis tears: Clinical outcome and structural integrity with a minimum follow-up of 4.6 years
Journal of Shoulder and Elbow Surgery Jul 12, 2019
Hasler A, et al. - Via a data all individuals who were treated with the arthroscopic repair of an isolated subscapularis tear between August 2003 and December 2012 and with a minimum follow-up period of 4.6 years, the experts intended to ascertain if arthroscopic subscapularis repair gave long-lasting improvement in objective and subjective shoulder function with a low structural retear rate. Thirty-six shoulders with a mean patient age of 57.7 years were recruited in the study. In comparison with the preoperative situation, internal rotation to the thoracic vertebrae was obtained in 94% of cases and was markedly enhanced. The mean relative Constant score was seen improving from 68% preoperatively to 93% at the final follow-up. A retear rate of 2.7% was exhibited by the magnetic resonance imaging assessment. A total of 20 subjects underwent a previous complete midterm assessment, with comparisons among midterm and long-term follow-up presenting comparable results with no statistically meaningful deterioration. Hence, functional and subjective improvements in shoulder function were sustained at a mean follow-up of more than 8 years following isolated subscapularis repair and were correlated with a low structural failure rate of the repair.
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