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The Functional Outcome Of Arthroscopic Subscapularis Tendon Repair Through Anterolateral Viewing Portal Using Lasso-Loop Technique

Prince Shanavas Khan, D' ORTHO, M.S. ORTHO
INDIA

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The Functional Outcome Of Arthroscopic Subscapularis Tendon Repair Through Anterolateral Viewing Portal Using Lasso-Loop Technique

Prince Shanavas Khan, D' ORTHO, M.S. ORTHO, INDIA Arun Mundakkal, M.B.B.S, INDIA

Aster MIMS, CALICUT, KERALA, INDIA

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Shoulder Rotator Cuff

Diagnosis / Condition

Tears

Treatment / Technique

Arthroscopy

Sports Medicine

Outcome Studies

Summary: Arthroscopic subscapularis repair through anterolateral viewing portal using lasso-loop technique results in significant clinical and functional improvement and the technique is reproducible with equal success.

Background

Our technique for arthroscopic subscapularis tendon repair through anterolateral viewing portal using Lasso-loop technique has already published in Journal of Arthroscopy (Arthroscopic techniques). We have undertaken this study to confirm whether excellent clinical results obtained with other techniques in arthroscopic subscapularis repair can be reproduced with equal success with our technique. Methods: The study included 40 patients aged between 48 and 80 years with isolated subscapularis or combined anterosuperior rotator cuff tear who underwent arthroscopic subscapularis repair using lasso-loop technique through anterolateral viewing portal. All the patients were clinically assessed pre-operatively. Clinical assessment included Range of motion of the shoulder and special test for subscapularis muscle which includes Lift off test and Belly press test. The functional outcome was assessed using the modified UCLA shoulder scoring system and the Oxford shoulder scoring systems. Clinical examination and shoulder scoring systems were done post-operatively at 6 weeks, 3 months, 6 months, 1 year and 2 years periods. The forward flexion, internal rotation and external rotation of the affected shoulder at the final follow up were compared with that of the opposite normal shoulder. Results: There was considerable improvement in the active range of motion of the shoulder post-operatively. It was noticed that with further motivation and regular physical therapy the active range of motion increased considerably and majority of the patients were satisfied with a painless range of motion. The belly press test was positive in half of the patients and the lift off test was positive in all the patients pre-operatively. Both the lift off test and belly press test was negative in majority of the patients during the final follow-up. Following arthroscopic repair, patients reported improvement in modified UCLA shoulder score from 10.15 ± 2.52 to 30.71 ± 4.3 at final follow-up and an improvement in the Oxford shoulder score from 15.6 ± 3.64 to 40.64 ± 6.87 at the final follow-up The modified UCLA shoulder score and the Oxford shoulder score improved considerably over subsequent follow up periods with 30 good and fair results and 4 excellent results out of 40 as reported by the patients. Conclusion: Arthroscopic subscapularis repair through anterolateral viewing portal using lasso-loop technique results in significant clinical and functional improvement and the technique is reproducible with equal success. There is a positive correlation of the range of motion of the shoulder with the opposite side indicating a satisfactory outcome following the arthroscopic subscapularis repair using our technique.

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Cuff Plus Procedure for the Treatment of Large to Massive Rotator Cuff Tears ePoster Presentation Francesco De Filippo, MD, ITALY Marcello Motta, MD, ITALY Marco Adriani, MD, ITALY Emanuele Maggini, MD, ITALY Maristella Francesca Saccomanno, MD, PhD, ITALY Giuseppe Milano, Prof., ITALY
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An Analysis Of Shoulder Surgeon Volume On Competency, Hospital Costs And Adverse Events: A Systematic Review ePoster Presentation Moin Khan, MD, MSc, FRCSC, CANADA Haseeb Ahmed Faisal, BHSc(Cand), CANADA Ajaykumar Shanmugaraj, BSc, CANADA Shahrukh Khan, BHSc, CANADA Loiy Alkhatib , MD, UNITED ARAB EMIRATES Mahdi Alsaffar, KUWAIT Timothy Leroux, MD, MEd, FRCSC, CANADA
Superiore Capsular Reconstruction Using the Long Head Of Biceps Tendon With Good Clinical and Radiographical Outcome ePoster Presentation Andreas Voss, MD, GERMANY Laura Hauer, Student , GERMANY Laura Weber, Student , GERMANY Stefan Greiner, MD, Prof., GERMANY
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Outcome Comparison Between Arthroscopic Repair of Full-Thickness Rotator Cuff Tear and Partial-Thickness Rotator Cuff Tear ePoster Presentation Andres Eduardo Rodriguez Borgonovo, MD, AUSTRALIA Mark David Haber, MBBS, FRACS, AUSTRALIA Noam Rosen, MD, AUSTRALIA Dvir Shalom Ben Shabat, MD, AUSTRALIA
Musculotendinous Junction Rotator Cuff Tear - Early Functional Outcomes And Repair Technique In A Single-Surgeon Case Series Of 6 Patients ePoster Presentation Cheryl Gatot, MD, SINGAPORE Hannah Marian Lie, Medical Student, SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
Histopathology Of Long Head Of Biceps Tendon Removed During Tenodesis Demonstrates Degenerative Histopathology and Not Inflammatory Changes ePoster Presentation Maciej J K Simon, MD, PhD, GERMANY Jane Yeoh, MD, FRCSC, CANADA Michael Nimmo, MD, FRCPC, CANADA William Regan, MD FRCSc, CANADA
The Effect On Healing Rate of the Addition Of A Bioinductive Implant To A Rotator Cuff Repair. The Results Of A Randomized Controlled Trial in 124 Subjects. ePoster Presentation Miguel Angel Ruiz Iban, MD, PhD, SPAIN Jose Luis Avila Lafuente, MD, SPAIN Miguel Garcia Navlet, MD, SPAIN Raquel Ruiz Díaz, MD, SPAIN Santos Moros, MD, SPAIN Calos Vaquero Comino, MD, SPAIN Gabriel Del Monte Bello, MD, SPAIN Maria Luisa Rosas, MD, SPAIN Ignacio Rus De Rus Aznar, MD, PhD, SPAIN Paul Sierra, MD, SPAIN Jorge Diaz Diaz Heredia, MD, PhD, SPAIN
Which Images Are Most Useful For Measuring Acromiohumeral Distance To Predict Rotator Cuff Integrity After Arthroscopic Rotator Cuff Repair? ePoster Presentation Yoshitsugu Takeda, MD, PhD, JAPAN Naoto Suzue, MD, PhD, JAPAN
Usability of the Dynamic Assessment of the Supraspinatus Using Ultrasonography ePoster Presentation Junsuke Miyasaka, MS, JAPAN Ryuzo Arai, MD, JAPAN Yuji Yoshioka, MS, JAPAN Takuma Yuri, PhD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
Primary Cuff Repair Augmented With Balloon Spacer in a Majority Massive Rotator Cuff Tear Series - A Short Term Outcome and Imaging Study ePoster Presentation Seng Juong Wong, MBChB, MRCS, SINGAPORE Hannah Marian Lie, Medical Student, SINGAPORE Muhammad Danish Bin Massuryono, Medical Student, SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
Extended Skin Cleaning On The Shoulder With Chlorhexidine Reduces The Cutaneous Bacterial Load But Fails To Decrease Suture Contamination In Patients Undergoing Arthroscopy Rotator Cuff Repair ePoster Presentation Chih-Kai Hong, MD, TAIWAN Kai-Lan Hsu, MD, UNITED STATES Fachuan Kuan, MD, TAIWAN Ya-Ting Lee, BS, TAIWAN Pei-Fang Tsai, BS, TAIWAN Po-Lin Chen, MD, PhD, TAIWAN Wei-Ren Su, MD, MSc, TAIWAN
A Cohort Study on Influence of Rotator Cuff Muscle Strength in Functional Outcomes of Arthroscopic Rotator Cuff Repair ePoster Presentation Rajkumar S. Amaravathi, MBBS, DNB, MNAMS, FRCS, INDIA henry mathews, ms, INDIA Padmanaban Sekaran, MSc PT, INDIA Anoop Pilar, MS, DNB, INDIA
Clinical and Radiological Outcomes of Arthroscopic Repair for Delaminated Rotator Cuff Tear vs. Non-Delaminated Tear ePoster Presentation Kengo Kirimura, MD, JAPAN
Evaluated The Effective Of Tendon Healing After Rotator Cuff Repair Used Modified Mason-Allen Suture Technique Combined With Microfracture Procedure ePoster Presentation Quyet Tran, MD, VIETNAM Viet Duc Vu, MD, VIETNAM Trần Trung Dũng, Professor, MD, PhD, VIETNAM
Long-term Clinical Outcomes and Imaging Evaluation More than 10 years after Arthroscopic otator cuff repair ePoster Presentation Hironori Kakoi, MD, PhD, JAPAN Hideyasu Kaieda, MD, JAPAN Yasunari Fujii, MD, JAPAN
Thresholds For Preoperative Opioid Use In Arthroscopic Rotator Cuff Repair That Negatively Influence Postoperative Clinical Outcomes ePoster Presentation Michael Andrew Fox, MD, UNITED STATES Justin James Greiner, MD, UNITED STATES Noel Carlos, MS, UNITED STATES Zachary J Herman, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Shaquille Charles, MSc, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Albert Lin, MD, UNITED STATES
Virtual Reality Rehabilitation for Patients with Shoulder Disorders ePoster Presentation Umile Giuseppe Longo, MD, MSc, PhD, Prof., ITALY Arianna Carnevale, Eng, ITALY Vincenzo Candela, ITALY Carlo Casciaro, MD, ITALY Giuseppe Salvatore, MD, PhD, ITALY Alessandra Berton, MD, ITALY Emiliano Schena, Eng, ITALY Marco Carli, Prof., ITALY Vincenzo Denaro, MD, PhD, Prof., ITALY

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The Functional Outcome Of Arthroscopic Subscapularis Tendon Repair Through Anterolateral Viewing Portal Using Lasso-Loop Technique

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The Functional Outcome Of Arthroscopic Subscapularis Tendon Repair Through Anterolateral Viewing Portal Using Lasso-Loop Technique

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