Journal
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
Volume 22, Issue 9, Pages 1014-1027Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.arthro.2006.07.020
Keywords
arthroscopic subscapularis repair; coracoplasty; comma sign
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Arthroscopic subscapularis repair can be technically challenging. This article summarizes a number of technical tips that can greatly simplify and expedite what otherwise might be a daunting surgical procedure. Specific tips and pearls include the following: 1. A description of a new clinical test-the bear-hug test-for detecting subscapularis tears on physical examination. 2. How to accurately place portals for precise subscapularis repair. 3. How to safely and accurately perform a coracoplasty. 4. How to identify and mobilize a retracted subscapularis tear. 5. How the comma sign can be used to simplify arthroscopic subscapularis repair. 6. How to securely repair all sizes of subscapularis tear. 7. A description of postoperative immobilization and rehabilitation to optimize results of arthroscopic subscapularis repair.
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