Anterior Approach to Retracted Anterosuperior Cuff Tear With Biceps Superior Capsular Reconstruction and Subscapularis Release and Repair With Transosseous Equivalent Double-Row Repair

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques Pub Date : 2024-09-01 DOI:10.1016/j.eats.2024.103047

Ayyappan V. Nair D.Ortho, D.N.B. , Sreejith Thampy J M.S. Ortho , Maythilisharan Rambhojun M.S. Ortho , Bharath Bharadwaj M.S., M.S. Ortho , Prince Shanavas Khan M.S. Ortho

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引用次数: 0

Abstract

The incidence of a subscapularis tear combined with any other rotator cuff tear is around 19% to 49% among all rotator cuff lesions. On the contrary, less attention has been given to the treatment of anterosuperior rotator cuff tears, particularly by arthroscopic methods. Subscapularis lesions are hard to access and require advanced surgical technique along with optimum visualization to achieve an anatomic repair. Use of an anterior portal helps in obtaining a good visualization with a 30° arthroscope in viewing the tendon along its axis as well as the posterior, superior, and anterior sides. Incorporation of the biceps tendon along with supraspinatus repair helps strengthen the supraspinatus repair as well as preserve the acromiohumeral index. Double-row repair of both subscapularis and supraspinatus ensures an adequate bone bed for tendon healing.

查看原文本刊更多论文

通过肱二头肌上囊重建和肩胛下肌松解以及跨骨等效双行修复术从前方入路治疗后缩前袖撕裂症

在所有肩袖病变中，肩胛下肌撕裂合并其他肩袖撕裂的发生率约为 19% 至 49%。相反，人们对肩袖前上撕裂的治疗关注较少，尤其是关节镜方法。肩胛下损伤很难进入，需要先进的手术技术和最佳的可视化来实现解剖修复。使用前方入口有助于获得良好的视野，30° 关节镜可沿肌腱轴线观察肌腱以及后侧、上侧和前侧。将肱二头肌肌腱与冈上肌修复结合在一起有助于加强冈上肌修复并保留肩峰指数。肩胛下肌和冈上肌的双排修复可确保肌腱愈合时有足够的骨床。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthroscopy Techniques ORTHOPEDICS-

CiteScore

2.10

自引率

33.30%

发文量

291

审稿时长

29 weeks