Pectoralis Transfer for Irreparable Subscapularis Rupture

 


- Discussion: 
- indicated for irreparable injury to the subscapularis which is causing recurrent instability; 
- Anterior Approach to the Shoulder 

- Release of Superior Pectoral Tendon: 
- superior 2.5-3 cm of the pectoralis tendon is released off the humerus; 
- stay sutures are inserted into the tendon edge; 
- tension is placed on the stay sutures, and the tendon is dissected medially for 10 cm, or a sufficient distance to allow it to be mobilized to the insertion site of the subscapularis; 
- the insertion site of the scapularis is freshened down to a bleeding surface; 
- the tendon is placed under tension, and the optimal position for anchor placement is determined; 
- 3 or 4 biologically quiet screws are inserted into this bed;   
- the tendon is then anchored down 


Operative Treatment of Irreparable Rupture of the Subscapularis.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Wednesday, June 20, 2012 1:11 pm