دورية أكاديمية
Knotless Arthroscopic Repair of Subscapularis Tendon Tears Using Looped Suture.
العنوان: | Knotless Arthroscopic Repair of Subscapularis Tendon Tears Using Looped Suture. |
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المؤلفون: | Gilmer BB; Mammoth Orthopedic Institute, Mammoth Lakes, California, U.S.A., Crall TS; Mammoth Orthopedic Institute, Mammoth Lakes, California, U.S.A., Guttmann D; Taos Orthopaedic Institute, Taos, New Mexico, U.S.A. |
المصدر: | Arthroscopy techniques [Arthrosc Tech] 2015 Jun 15; Vol. 4 (3), pp. e267-71. Date of Electronic Publication: 2015 Jun 15 (Print Publication: 2015). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101597442 Publication Model: eCollection Cited Medium: Print ISSN: 2212-6287 (Print) Linking ISSN: 22126287 NLM ISO Abbreviation: Arthrosc Tech Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Amsterdam : Elsevier |
مستخلص: | Subscapularis tendon tears present a technical challenge because both diagnosis and arthroscopic treatment can be difficult. One difficulty is the limited visualization and working space of the anterior shoulder. Although most tears of the subscapularis are partial- or full-thickness tears of the upper third of the tendon, occasionally, larger or more retracted tears are encountered. Various techniques have been developed to treat a wide variety of tear patterns. We present a simple technique using a looped suture that remains easy to use in the limited working space of the anterior shoulder; can be easily modified to accommodate a broad spectrum of subscapularis pathology, from partial to full and retracted tears; and uses familiar viewing and working portals. This technique creates a single-row, knotless repair. Traction on the superior suture improves visualization and ease of passing more inferior sutures. Risks include unintentional over-tensioning of the repair and medialization of the femoral footprint, which can be avoided with appropriate exposure and arm positioning during repair. Postoperative care includes restriction of external rotation for 3 to 6 weeks and strengthening at 3 months. |
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تواريخ الأحداث: | Date Created: 20150811 Date Completed: 20150810 Latest Revision: 20200929 |
رمز التحديث: | 20240628 |
مُعرف محوري في PubMed: | PMC4523867 |
DOI: | 10.1016/j.eats.2015.02.009 |
PMID: | 26258042 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2212-6287 |
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DOI: | 10.1016/j.eats.2015.02.009 |