Arthroscopic Subscapularis Repair With Preserved Biceps Anatomy

Jeffrey D Hassebrock; Stephen M Sylvia; Timothy P McCarthy; Jonathan T Bravman

doi:10.1016/j.eats.2023.02.047

Arthroscopic Subscapularis Repair With Preserved Biceps Anatomy

Arthrosc Tech. 2023 Jun 12;12(7):e1091-e1095. doi: 10.1016/j.eats.2023.02.047. eCollection 2023 Jul.

Authors

Jeffrey D Hassebrock¹, Stephen M Sylvia¹, Timothy P McCarthy¹, Jonathan T Bravman¹

Affiliation

¹ Department of Orthopedic Surgery, University of Colorado, Boulder, Colorado, USA.

Abstract

Arthroscopic subscapularis repair continues to improve with the advancement of surgical technique and critical focus on careful intraoperative evaluation. As identification of these tears increases, there is an expected increase in repair rates as well. Anatomically, the upper border of the subscapularis and the long head of the biceps (LHB) tendon are in close relation. Many surgeons have advocated concomitant LHB tenotomy versus tenodesis in conjunction with operative subscapularis tears. We hypothesized that in the setting of a preserved anatomic biceps pulley and no LHB pathology, isolated subscapularis repair would result in excellent clinical outcomes when compared with subscapularis repair and biceps tenotomy or tenodesis.