Though subscapularis tendon tears occur infrequently, a full thickness tear should be fixed to prevent instability and loss of forward elevation. Repair is indeed possible with arthroscopic techniques. Arthroscopic repair obviates the need for a much larger incision in the front of the shoulder.
The biceps tendon may be subluxated out of its groove, and typically requires either tenotomy or tenodesis at the time of repair.
Postoperatively, a sling is required for 6 weeks. If only the subscapularis is torn, active internal rotation is restricted for 6 weeks, but sipervised therapy will enable some shoulder motion.
The biceps tendon may be subluxated out of its groove, and typically requires either tenotomy or tenodesis at the time of repair.
Postoperatively, a sling is required for 6 weeks. If only the subscapularis is torn, active internal rotation is restricted for 6 weeks, but sipervised therapy will enable some shoulder motion.
If only a partial tear is present and subscapularis function is normal based on physical exam, debridement and decompression-- by shaving a portion of the coracoid-- may be an option, aimed at protecting the in tact tendon and decreasing this atypical source of impingement pain.
