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. 2019 Mar 7:3:2471549219834192.
doi: 10.1177/2471549219834192. eCollection 2019.

Subscapularis in Reverse Total Shoulder Arthroplasty

Sebastian F Bigdon  1 , Lilianna Bolliger  1 , Christoph E Albers  1 , Philippe Collin  2 , Matthias A Zumstein  1
Affiliations

Subscapularis in Reverse Total Shoulder Arthroplasty

Sebastian F Bigdon et al. J Shoulder Elb Arthroplast. .

Abstract

The use of reverse total shoulder arthroplasty (RSA) is becoming increasingly popular, but many biomechanical aspects are poorly understood. Particularly, the role and function of the subscapularis following RSA are unclear. Several clinical and biomechanical studies have analyzed its role in range of motion and stability. There is some evidence that the subscapularis is beneficial for stability but may reduce range of motion. This review provides an overview of the current literature, which suggests that the subscapularis may have a more important role in RSA than originally thought.

Keywords: impaired range of motion; reverse total shoulder arthroplasty; review; stability; subscapularis.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Altered biomechanics of the subscapularis following RSA implantation.
See this image and copyright information in PMC

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References

    1. Gerber C, Yian EH, Pfirrmann CA, Zumstein MA, Werner CM. Subscapularis muscle function and structure after total shoulder replacement with lesser tuberosity osteotomy and repair. J Bone Joint Surg Am. 2005; 87(8):1739–1745. - PubMed
    1. Armstrong AD, Southam JD, Horne AH, Hollenbeak CS, Flemming DJ, Kothari MJ. Subscapularis function after total shoulder arthroplasty: electromyography, ultrasound, and clinical correlation. J Shoulder Elbow Surg. 2016; 25(10):1674–1680. - PubMed
    1. Gobezie R, Denard PJ, Shishani Y, Romeo AA, Lederman E. Healing and functional outcome of a subscapularis peel repair with a stem-based repair after total shoulder arthroplasty. J Shoulder Elbow Surg. 2017; 26(9):1603–1608. - PubMed
    1. Jackson JD, Cil A, Smith J, Steinmann SP. Integrity and function of the subscapularis after total shoulder arthroplasty. J Shoulder Elbow Surg. 2010; 19(7):1085–1090. - PubMed
    1. Louie PK, Levy DM, Bach BR Jr, Nicholson GP, Romeo AA. Subscapularis tenotomy versus lesser tuberosity osteotomy for total shoulder arthroplasty: a systematic review. Am J Orthop (Belle Mead NJ). 2017; 46(2):E131–E138. - PubMed

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