Clinical Outcomes of Patients Undergoing Isolated and Combined Subscapularis Repair
Kilic, Ali Ihsan (Izmir Bakircay University (Izmir, Turquía))
González-Morgado, Diego (Hospital Universitari Vall d'Hebron)
Ardebol, Javier (Oregon Shoulder Institute, Medford, Oregon, USA)
Galasso, Lisa (Oregon Shoulder Institute, Medford, Oregon, USA)
Noble, Matthew (Oregon Shoulder Institute, Medford, Oregon, USA)
Menendez, Mariano E. (Oregon Shoulder Institute, Medford, Oregon, USA)
Denard, Patrick J. (Oregon Shoulder Institute, Medford, Oregon, USA)

Fecha:	2025
Resumen:	Subscapularis (SSC) tears can present as isolated or combined with additional rotator cuff tendon tears. The repair of SSC tear improves postoperative outcomes. However, the effect that SSC repair and healing have on functional outcomes after arthroscopic repair of isolated or combined SSC tears requires further investigation. To (1) compare the clinical outcomes of arthroscopic rotator cuff repair (ARCR) of isolated SSC tears with those having SSC tears combined with supraspinatus and/or infraspinatus tears and (2) evaluate the effect of SSC healing on postoperative clinical outcomes. Cohort study; Level of evidence 3. A retrospective study was carried out in patients who underwent ARCR of isolated or combined SSC tears with a minimum 2-year follow-up. Three groups were compared: isolated SSC tear, anterosuperior rotator cuff tear with SSC tear (AS-RCT) and posterosuperior rotator cuff tear with SSC tear (PS-RCT). Patient-reported outcomes (PROs) and range of motion (ROM) were assessed pre- and postoperatively. SSC healing was evaluated via ultrasound at the final follow-up in a subset of patients. The study included 588 patients with a minimum 2-year follow-up, of whom 279 underwent ultrasound assessments. PROs and ROM improved after ARCR in all groups (P <. 01). The postoperative American Shoulder and Elbow Surgeons (ASES) score improvement was significantly higher for the AS-RCT group compared with the PS-RCT group (P =. 01), with no statistically significant difference between isolated SSC and AS-RCT (P.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Subscapularis tear ; Rotator cuff tear ; Anterosuperior cuff tear ; Posterosuperior cuff tear ; Arthroscopic repair ; Healing ; Retear ; Outcomes
Publicado en:	Orthopaedic Journal of Sports Medicine, Vol. 13 (may 2025) , ISSN 2325-9671

DOI: 10.1177/23259671251332638
PMID: 40342352

11 p, 299.0 KB

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