Dunn Robin, Joyce Christopher D, Bravman Jonathan T
Department of Orthopaedics, University of Colorado School of Medicine, Aurora, Colorado.
J Shoulder Elb Arthroplast. 2019 May 22;3:2471549219848152. doi: 10.1177/2471549219848152. eCollection 2019.
Management of the subscapularis tendon is a crucial step during the approach for total shoulder arthroplasty. The method of mobilizing the tendon and the technique used to repair it determine the initial integrity of the subscapularis and impact its capacity to heal. Currently, there exist 3 well-described and well-studied approaches to managing and repairing the subscapularis: subscapularis tenotomy, subscapularis peel, and lesser tuberosity osteotomy. More recently, a subscapularis-sparing approach has been proposed as an option. There is debate in the literature regarding which technique provides optimal strength and stability for subscapularis repair following shoulder arthroplasty. In this symposium, we provide an overview of each of the techniques and review the biomechanical studies comparing them.
肩胛下肌腱的处理是全肩关节置换手术入路中的关键步骤。肌腱的 mobilizing 方法以及用于修复它的技术决定了肩胛下肌的初始完整性，并影响其愈合能力。目前，存在三种描述详尽且研究充分的肩胛下肌处理和修复方法：肩胛下肌腱切断术、肩胛下肌剥离术和小结节截骨术。最近，一种保留肩胛下肌的方法被提议作为一种选择。文献中对于哪种技术能为肩关节置换术后肩胛下肌修复提供最佳强度和稳定性存在争议。在本次研讨会上，我们对每种技术进行概述，并回顾比较它们的生物力学研究。
