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Clin Shoulder Elbow > Volume 12(2); 2009 > Article
Journal of the Korean Shoulder and Elbow Society 2009;12(2):221-225.
DOI: https://doi.org/10.5397/CiSE.2009.12.2.221    Published online December 31, 2009.
Subclavian Portal Approach for Isolated Subscapularis Tendon Tear: Technical Note
Chang Hyuk Choi, Shin Kun Kim, Il Woong Chang, Se Sik Kim
Department of Orthopaedic Surgery, College of Medicine, Catholic University of Daegu, Korea. chchoi@cu.ac.kr
견갑하 건 단독 파열에 대한 쇄골하 삽입구를 이용한 봉합술 - 술기보고 -
최창혁·김신근·장일웅·김세식
대구가톨릭대학교 의과대학 정형외과학교실
Abstract
PURPOSE
For an isolated tear of the subscapularis tendon, the presented technique using a subclavian portal provides both a good angle for anchor placement and sufficient space for managing the upper portion of a subscapularis tendon tear. MATERIALS AND METHODS: The conventional method needs 2 additional portals for traction, debriding the footprint and anchor fixation for repair. The presented technique requires only an anterior portal for suture management and a subclavian portal without cannula for suture anchoring and placement of suture hooks.
RESULTS
The two suture limbs of the anchor can be placed on the subscapularis tendon by the switching technique and these limbs are repaired sequentially.
CONCLUSION
This technique is simple and reproducible and it can be applied to partial tears and minimally retracted subscapularis tears.
Key Words: Subscapularis tendon; Subclavian portal; Suture anchor


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