Journal article
Level of the Subscapularis Split During Arthroscopic Latarjet.
- Lädermann A Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland; Faculty of Medicine, University of Geneva, Geneva, Switzerland; Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland. Electronic address: alexandre.laedermann@gmail.com.
- Denard PJ Southern Oregon Orthopedics, Medford, Oregon, U.S.A.; Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, U.S.A.
- Arrigoni P Policlinico San Donato, Università degli studi di Milano, San Donato Milanese, Italy.
- Narbona P Department of Shoulder Surgery, Sanatorio Allende, Córdoba, Argentina.
- Burkhart SS The San Antonio Orthopaedic Group, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, U.S.A.
- Barth J Centre Ostéo-Articulaire des Cèdres, Parc Sud Galaxie, Echirolles, France.
- 2017-08-21
Published in:
- Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. - 2017
Adult
Aged
Arthroscopy
Cadaver
Female
Humans
Male
Middle Aged
Rotator Cuff
Shoulder Dislocation
Shoulder Joint
English
PURPOSE
To determine the location of the subscapularis split during arthroscopic Latarjet created by an inside-out technique passing a switching stick from the posterior portal across the glenohumeral joint.
METHODS
An inside-out technique was used to arthroscopically create a subscapularis split in 20 fresh-frozen human cadaveric shoulders. The distance between the exit point of the switching stick and the upper border of the subscapularis and the anterior circumflex vessels was measured arthroscopically and after open dissection.
RESULTS
Twelve splits were in the upper third of the subscapularis, 3 were at the junction of the upper third and the middle third, and 5 were in the middle third. None were at the junction between the middle and lower third as desired.
CONCLUSIONS
Using the inside-out method during arthroscopic Latarjet may produce a high subscapularis split if it is performed from with a switching stick that is inserted through the posterior approach, and passed across the glenohumeral joint at the level of the inferior glenoid.
CLINICAL RELEVANCE
This study analyzed the relative risk of high subscapularis split during the arthroscopic Latarjet procedure.
To determine the location of the subscapularis split during arthroscopic Latarjet created by an inside-out technique passing a switching stick from the posterior portal across the glenohumeral joint.
METHODS
An inside-out technique was used to arthroscopically create a subscapularis split in 20 fresh-frozen human cadaveric shoulders. The distance between the exit point of the switching stick and the upper border of the subscapularis and the anterior circumflex vessels was measured arthroscopically and after open dissection.
RESULTS
Twelve splits were in the upper third of the subscapularis, 3 were at the junction of the upper third and the middle third, and 5 were in the middle third. None were at the junction between the middle and lower third as desired.
CONCLUSIONS
Using the inside-out method during arthroscopic Latarjet may produce a high subscapularis split if it is performed from with a switching stick that is inserted through the posterior approach, and passed across the glenohumeral joint at the level of the inferior glenoid.
CLINICAL RELEVANCE
This study analyzed the relative risk of high subscapularis split during the arthroscopic Latarjet procedure.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.arthro.2017.06.013
- PMID 28822639
- Persistent URL
- https://sonar.ch/global/documents/213570
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