Altintas Burak, Bradley Helen, Logan Catherine, Delvecchio Brooke, Anderson Nicole, Millett Peter J
Howard Head Sports Medicine, Vail, CO, USA.
Steadman Philippon Research Institute, Vail, CO, USA.
Int J Sports Phys Ther. 2019 Apr;14(2):318-332.
Subscapularis (SSC) tendon tears are less common than tears of the remaining rotator cuff tendons, but one with serious consequences given its function as one of the main internal rotators and anterior stabilizers. Mild fraying involving the upper third of the tendon can be treated non-operatively; however, more substantive tears usually require repair in cases of pain or functional impairment. Given the importance of the subscapularis tendon in maintaining stability of the glenohumeral joint and performing internal rotation of the arm, surgical intervention with emphasis on repair may be recommended to eliminate pain and restore strength. Postoperative rehabilitation through phased progression is utilized to avoid premature stress on the healing tissue while enabling early return to daily activities. The purpose of this clinical commentary is to provide an evidence-based description of postoperative rehabilitation following SSC tendon repair with guidance for safe and effective return to activity and sports.
肩胛下肌(SSC)肌腱撕裂比其余肩袖肌腱撕裂少见,但鉴于其作为主要内旋肌和前稳定肌之一的功能,其撕裂会产生严重后果。涉及肌腱上三分之一的轻度磨损可采用非手术治疗;然而,在出现疼痛或功能障碍的情况下,更严重的撕裂通常需要修复。鉴于肩胛下肌腱在维持盂肱关节稳定性和进行手臂内旋方面的重要性,可能建议进行以修复为重点的手术干预,以消除疼痛并恢复力量。采用分阶段进行的术后康复,以避免对愈合组织造成过早压力,同时使患者能够早日恢复日常活动。本临床评论的目的是提供基于证据的肩胛下肌腱修复术后康复描述,并为安全有效地恢复活动和运动提供指导。
5级。