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J Am Acad Orthop Surg, Vol 13, No 5, September 2005, 353-363.
© 2005 the American Academy of Orthopaedic Surgeons
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Subscapularis Tendon Tears

Robert P. Lyons, MD and Andrew Green, MD

Dr. Lyons is Shoulder and Elbow Specialist, OrthoCarolina Orthopaedics and Sports Medicine, Presbyterian Orthopaedic Hospital, Charlotte, NC. Dr. Green is Associate Professor of Orthopaedic Surgery, Rhode Island Hospital, Brown University School of Medicine, Providence, RI.

Dr. Lyons or the department with which he is affiliated has received nonincome support (such as equipment or services), commercially derived honoraria, or other non-research–related funding (such as paid travel) from Stryker. Neither Dr. Green nor the department with which he is affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article.

Reprint requests: Dr. Lyons, OrthoCarolina, 1915 Randolph Road, Charlotte NC 28207-1101.

Pathology of the subscapularis tendon is both infrequently identified and not commonly considered as a major source of shoulder pain and dysfunction. Subscapularis tendon pathology can present as isolated tears; partial-thickness tears; anterosuperior tears, also involving the supraspinatus tendon; complete rotator cuff avulsion; and rotator interval lesions, in which instability of the long head of the biceps tendon may dominate the clinical presentation. Although an accurate physical examination is paramount, modalities such as arthroscopy, magnetic resonance imaging, and ultrasound have advanced knowledge of the spectrum of abnormalities involving the subscapularis tendon. Nonsurgical management may be effective for most partial tears. Surgically, open repair is more frequent than use of arthroscopic techniques. Tears of the subscapularis tendon portend a different prognosis than do supraspinatus tendon tears, especially when the injury is acute and diagnosis is delayed.




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S. Namdari, R. F. Henn III, and A. Green
Traumatic Anterosuperior Rotator Cuff Tears: The Outcome of Open Surgical Repair
J. Bone Joint Surg. Am., September 1, 2008; 90(9): 1906 - 1913.
[Abstract] [Full Text] [PDF]


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Copyright © 2005 by the American Academy of Orthopaedic Surgeons.