Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/27532
ชื่อเรื่อง: Subscapularis Failure after Anatomic Total Shoulder Arthroplasty: A Review of Diagnosis and Management
ผู้แต่ง: Saengpetch N.
Kongmalai P.
Keywords: biomechanics
bone remodeling
echography
human
lack of drug effect
nuclear magnetic resonance imaging
osteotomy
pain
physical activity
physical examination
quality control
วันที่เผยแพร่: 2022
บทคัดย่อ: Background: The volume of anatomic total shoulder arthroplasty has been increasing in recent years. The deltopectoral approach necessitates detaching and subsequent repairing of the subscapularis tendon. Failure of the tendon to heal can lead to pain, compromised function, and patient dissatisfaction. Our aim is to present a review article regarding current thinking on the problem of a diagnostic algorithm and therapeutic guidelines for subscapularis failure following anatomic TSA. Materials and Methods: Searches were completed in July 2018 using a series of NOT phrases to match certain exclusion criteria in PubMed. Results: A total of 23 relevant studies were included in the analysis. Only three of the seven studies linked physical examination results to evidence of post-operative subscapularis rupture. Eleven of the eighteen patients with subscapularis tears obtained ultrasonography confirmation, whereas the remaining patients had revision surgery confirmation. The decrease in internal rotation strength and the lift-off test were the most regularly performed tests. The former was shown to be positive in all fourteen patients from two trials, whereas the latter was found to be positive in eight of fourteen. Five studies on therapy in different situations were proposed, but there was no head-to-head comparison of treatment outcomes. Conclusion: The most common cause of anterior instability in prosthetic shoulder is subscapularis insufficiency. Physical examination and radiological studies may not provide a conclusive diagnosis. Patients who present with pain, weakness, or instability require surgical treatment, which varies based on their age, tendon reparability, and component position. © JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85123439309&doi=10.35755%2fjmedassocthai.2022.S01.00032&partnerID=40&md5=48fd7af790440753c8acc5bd0c10404e
https://ir.swu.ac.th/jspui/handle/123456789/27532
ISSN: 1252208
Appears in Collections:Scopus 2022

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