- 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.