Subclavian Portal Approach for Isolated Subscapularis Tendon Tear: Technical Note.
- Author:
Chang Hyuk CHOI
1
;
Shin Kun KIM
;
Il Woong CHANG
;
Se Sik KIM
Author Information
1. Department of Orthopaedic Surgery, College of Medicine, Catholic University of Daegu, Korea. chchoi@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Subscapularis tendon;
Subclavian portal;
Suture anchor
- MeSH:
Catheters;
Extremities;
Suture Anchors;
Sutures;
Tendons;
Traction
- From:Journal of the Korean Shoulder and Elbow Society
2009;12(2):221-225
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: For an isolated tear of the subscapularis tendon, the presented technique using a subclavian portal provides both a good angle for anchor placement and sufficient space for managing the upper portion of a subscapularis tendon tear. MATERIALS AND METHODS: The conventional method needs 2 additional portals for traction, debriding the footprint and anchor fixation for repair. The presented technique requires only an anterior portal for suture management and a subclavian portal without cannula for suture anchoring and placement of suture hooks. RESULTS: The two suture limbs of the anchor can be placed on the subscapularis tendon by the switching technique and these limbs are repaired sequentially. CONCLUSION: This technique is simple and reproducible and it can be applied to partial tears and minimally retracted subscapularis tears.
