J Korean Shoulder Elbow Soc.  2009 Dec;12(2):221-225.

Subclavian Portal Approach for Isolated Subscapularis Tendon Tear: Technical Note

• Choi CH
• Kim SK
• Chang IW
• Kim SS

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.

Keyword

Subscapularis tendon; Subclavian portal; Suture anchor

MeSH Terms

Catheters
Extremities
Suture Anchors
Sutures
Tendons
Traction