Subscapularis Tear Repair Arthroscopic vs Open Surgery | ||
| Benha Journal of Applied Sciences | ||
| Article 26, Volume 8, Issue 3, March 2023, Pages 183-186 PDF (550.93 K) | ||
| Document Type: Original Research Papers | ||
| DOI: 10.21608/bjas.2023.201679.1129 | ||
| Authors | ||
| Aly A.Attia* ; Hassan H.Ahmed; HOSSAMELDIN E.ELBEGAWY | ||
| Orthopedic Surgery Dept, Fac., of Medicine, Benha Univ., Egypt | ||
| Abstract | ||
| Background: The largest rotator cuff tendon, the subscapularis, rotates the glenohumeral joint internally. This study's objective was to compare the arthroscopic versus the open technique outcomes in subscapularis tear repair. Methods: This prospective study comprised 30 patients who had a subscapularis tear and needed either arthroscopic or open surgery for repair. The study was done in Benha university hospitals and Ahrar teaching hospital from November 2020 to February 2023. Patients were split into 2 groups: Arthroscopic group: 15 were treated by arthroscopic surgery. Open surgery group: 15 were treated with open surgery. Results: The arthroscopic group had a higher percentage of combined tears and affected the right side more often, while the open surgery group had a higher percentage of isolated tears and affected the left side more often. The arthroscopic group had more postoperative pain, but fewer complications than the open surgery group. Preoperative and postoperative clinical assessments showed substantial changes among groups of the study concerning the constant score, UCLA score, and results of belly press test. The arthroscopic group had more positive results in belly press tests and lift off after operation. The two groups had similar outcomes in terms of post-surgical complications and duration of follow up. Conclusions: In terms of motion range and functional results, arthroscopic treatment may be preferable to open repair. While there are still rare cases when open repair surgery makes sense, particularly when arthroscopic options are restricted. | ||
| Keywords | ||
| Subscapularis Tear Repair; Arthroscopic and Open Surgery | ||
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