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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 3, 348-351.
doi: 10.1302/0301-620X.87B3.15515  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Comparison of total and partial traumatic tears of the subscapularis tendon

P. C. Kreuz, MD, Orthopaedic Surgeon1; A. Remiger, MD, Orthopaedic Surgeon2; A. Lahm, MD, PhD, Orthopaedic Surgeon1; G. Herget, MD, Orthopaedic Surgeon1; and A. Gächter, MD, PhD, Orthopaedic Surgeon3

1 Department of Orthopaedic Surgery, University Hospital Freiburg, Hugstetterstr. 55, 79106 Freiburg, Germany.
2 Department of Orthopaedic Surgery, Kantonsspital, Nidwalden, Ennetmooserstr. 19, 6370 Stans, Switzerland.
3 Department of Orthopaedic Surgery, Kantonsspital St. Gallen, Rorschacherstr. 95, 9007 St. Gallen, Switzerland.

Correspondence should be sent to Dr P. C. Kreuz; e-mail: kreuz{at}ch11.ukl.uni-freiburg.de

We treated surgically 16 shoulders with an isolated traumatic rupture of the subscapularis tendon over a six-year period. Nine patients had a total and seven a partial tear of the subscapularis tendon. Repair was undertaken through a small deltopectoral groove approach. The mean Constant score improved in total tears from 38.7 to 89.3 points (p = 0.003) and in partial tears from 50.7 to 87.9 points (p = 0.008). The total tears were significantly more improved by surgery than the partial tears (p = 0.001). The delay between trauma and surgery was inversely proportional to the improvement in the Constant score suggesting that early diagnosis and surgical repair improves outcome.






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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General