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Acta Ortop Bras. 2019 Mar-Apr;27(2):116-119. doi: 10.1590/1413-785220192702214524.

EFFECT OF SUBSCAPULARIS TEARS ON FUNCTIONAL SCORES OF PATIENTS UNDERGOING ROTATOR CUFF REPAIR.

Acta ortopedica brasileira

Eduardo Angeli Malavolta, Verônica Yulin Prieto Chang, Marcello Traballi Bozzi Pinto de Castro, Fernando Brandao Andrade-Silva, Jorge Henrique Assunção, Mauro Emilio Conforto Gracitelli, Arnaldo Amado Ferreira

Affiliations

  1. Universidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia, Grupo de Ombro e Cotovelo, São Paulo, SP, Brazil.

PMID: 30988659 PMCID: PMC6442718 DOI: 10.1590/1413-785220192702214524

Abstract

OBJECTIVE: To evaluate the influence of partial- and full-thickness upper third subscapularis tendon tears on the functional scores of patients undergoing arthroscopic rotator cuff repair.

METHODS: Patients who underwent arthroscopic rotator cuff repair were divided into three groups according to the subscapularis tendon condition: intact, partial-thickness tear, or full-thickness upper third tear. Functional scores were compared among groups. Second, the influence of biceps and infraspinatus tears on the scores was tested using multivariate regression analysis.

RESULTS: We evaluated 307 shoulders in 297 patients. Full-thickness upper third subscapularis tears presented significantly worse scores than intact tendons. Partial-thickness tears had scores that did not differ significantly from those of the other groups. Patients with full-thickness upper third tears presented a greater rate of injured and unstable biceps tendons. The multivariate analysis showed that biceps and infraspinatus tendon tears did not influence the scores or the intergroup comparison.

CONCLUSION: Full-thickness upper third subscapularis tendon tears presented worse functional scores than intact subscapularis tendons among patients undergoing posterosuperior rotator cuff repair. Patients with full-thickness subscapularis tears were more likely to suffer biceps tears, but this fact did not influence functional scores.

Keywords: Arthroscopy; Injury; Rotator cuff

Conflict of interest statement

All authors declare no potential conflict of interest related to this article.

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