Shoulderdoc - Patient information and professional educational material on shoulder and elbow problems
For Treatment or More Information:
info@shoulderdoc.co.uk
01625 545071/2/3
Back Home Up Search

Subscapularis Tendon Tears

Shoulderdoc
Patient Information
Shoulder
Rotator Cuff Tears
Subscapularis Tendon Tears
Subscapularis Tendon TearsSubscapularis Tendon Tears
Subscapularis RepairSubscapularis Repair



Google Shoulderdoc
[ Advanced Search ]

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.

ShoulderDoc.co.uk satisfies the INTUTE criteria for quality and has been awarded 'editor's choice'.



   >>Website last updated: 31 October 2014


Sitemap Sitemap   Print page Print   advanced searchSearch   email articleEmail

Subscapularis Tendon Tears

What is it?

The subscapularis muscle is one of the four rotator cuff muscles. It is the large one at the front of the shoulder. click here for more info

It is the largest & strongest cuff muscle, providing 53% of total cuff strength. The upper 60% of the insertion is tendinous and the lower 40% muscle. It is a passive restraint in neutral, but not abduction.

It's role is to turn the arm inwards and is a key muscle in doing any lifting movements across your chest or twisting inwards. It is essential for overhead sports, such as swimming, racquet sports and throwing. 

subscapularis Tears

Tears of the subscapularis tendon are less common than supraspinatus and infraspinatus tendon tears (commonly simply known as ' rotator cuff tears '). However, they can be much more painful, since the restraints to the long head of biceps tendon are often also torn and the biceps tendon dislocates from it's groove. The biceps tendon then also becomes painful and weak.




How is it diagnosed?

A person with a subscapularis tear will have pain at the front of the shoulder and weakness with activities that involve forward lifting, twising the arm inwards and sports. The clinician can detect the following on examination: increased pasive external rotation, weak internal rotation, positive tests for subscapularis tears ( Bear-hug test , belly-press test , Gerber's lift-off test ).

Ultrasound scan and MRI scans can detect the subscapularis tear and the biceps involvement.

MRI Scans showing the subscapularis tear and dislocated Long Head of Biceps tendon:
 

How is it treated?

Low demand and elderly patients can be well managed with physiotherapy rehabilitation.

In an active person, surgical repair is recommended. The surgery can be performed by arthroscopy or open surgery depending on the surgeon's expertise, tear pattern and patient. If the biceps is affected a biceps tenodesis is generally required also.

Some tears may be too old (chronic) and large for a direct repair. In these cases a Pec Major transfer operation can be performed.




  Also See:

To fix a tendon to a bone
a structure (tissue) that attaches a muscle to a bone. When a tendon becomes inflamed, the condition is referred to as tendinitis or tendonitis.
Top muscle and tendon of the rotator cuff. Abducts the arm. It is the tendon that is most often torn.
The most anterior muscle and tendon of the rotator cuff. Internally rotates the shoulder.
muscle and tendon of the rotator cuff. Externally rotates the arm. Lies between supraspinatus and teres minor.
'key-hole' surgery. Surgery performed via small incisions, using special instruments and a viewing scope..
at the front; in front
moving of a body part away from the central axis of the body


Print page Print page    email article Email article

Bookmark this page:

  • del.icio.us
  • digg.com
  • furl.net
  • google
  • ma.gnolia.com
  • netvouz.com
  • newsvine.com
  • netscape
  • reddit.com
  • simpy.com
  • spurl.net
  • stumbleupon
  • technorati.com
  • yahoo


Tags: [Rotator Cuff] [View tag cloud]

Related Articles

Arthroscopic Lat Dorsi Tendon Transfer
Chris Peach and Len Funk (based on the techniques of Gervasi 1 and Kany 2 ) Lati...
30/09/2013 08:10:11
Read more...

Suprascapular Nerve Palsy
Where is it?  The brachial plexus is a large bundle of nerves which innervates th...
20/08/2013 05:30:08
Read more...

PASTA Lesions
What is it? PASTA stands for partial articular supraspinatus tendon avulsion . ...
07/05/2013 06:24:27
Read more...

Pattern and time phase of shoulder function and power recovery after arthroscopic rotator cuff repair.
BACKGROUND: It has been our observation that early during rehabilitation after rotato...
11/11/2012 19:17:18
Read more...

Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physical therapy protocol
Background This study evaluated patient outcomes and rotator cuff healing after arthro...
11/11/2012 13:09:07
Read more...

Massive Cuff Tears
Massive rotator cuff tears are tears greater than 5cm in size and involve at least ...
06/11/2012 18:27:28
Read more...

Creative Commons Licence The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. Full Disclaimer
Manchester Arm Clinic Shoulder fellowships Shoulder Scan Wrightington Upper Limb Unit
  Shoulderdoc.co.uk Website by Blackbox E-Marketing