Simultaneous, Bilateral Acute Subscapularis Ruptures and Their Arthroscopic Management

We present the first known case of bilateral, acute ruptures of the subscapularis tendons following a bicycle accident in a 43-year-old male. He underwent right shoulder arthroscopic, anatomic subscapularis tendon repair two weeks postinjury, with the left side staged for surgical treatment six week...

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Main Authors: Andrew M. Schwartz, Jacob M. Wilson, Kyle Hammond
Format: Article
Language:English
Published: Hindawi Limited 2019-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/7964351
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spelling doaj-27e1e8e428294ddc9c9df565536373642020-11-25T00:08:11ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/79643517964351Simultaneous, Bilateral Acute Subscapularis Ruptures and Their Arthroscopic ManagementAndrew M. Schwartz0Jacob M. Wilson1Kyle Hammond2Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USADepartment of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USADepartment of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USAWe present the first known case of bilateral, acute ruptures of the subscapularis tendons following a bicycle accident in a 43-year-old male. He underwent right shoulder arthroscopic, anatomic subscapularis tendon repair two weeks postinjury, with the left side staged for surgical treatment six weeks after the index procedure. Postoperatively, the patient remained in a sling for 6 weeks before advancing with therapy protocols. The interval between arthroscopic treatments allowed for independence with activities of daily living and focused, early therapy for each shoulder. This approach yielded a right-sided constant score of 89 and subjective shoulder value of 90%; the left side was 87 and 90%, respectively, at 33 months postoperatively. The patient’s only postoperative complaint was slightly diminished external rotation, a near-universal limitation after unilateral repair. This represents a successful outcome that balances functional independence, concentrated rehabilitation, and adherence to safe indications for primary repair. While bilateral traumatic shoulder injuries in a young person is a rare clinical entity, early and staged treatment can lead to good patient outcomes.http://dx.doi.org/10.1155/2019/7964351
collection DOAJ
language English
format Article
sources DOAJ
author Andrew M. Schwartz
Jacob M. Wilson
Kyle Hammond
spellingShingle Andrew M. Schwartz
Jacob M. Wilson
Kyle Hammond
Simultaneous, Bilateral Acute Subscapularis Ruptures and Their Arthroscopic Management
Case Reports in Orthopedics
author_facet Andrew M. Schwartz
Jacob M. Wilson
Kyle Hammond
author_sort Andrew M. Schwartz
title Simultaneous, Bilateral Acute Subscapularis Ruptures and Their Arthroscopic Management
title_short Simultaneous, Bilateral Acute Subscapularis Ruptures and Their Arthroscopic Management
title_full Simultaneous, Bilateral Acute Subscapularis Ruptures and Their Arthroscopic Management
title_fullStr Simultaneous, Bilateral Acute Subscapularis Ruptures and Their Arthroscopic Management
title_full_unstemmed Simultaneous, Bilateral Acute Subscapularis Ruptures and Their Arthroscopic Management
title_sort simultaneous, bilateral acute subscapularis ruptures and their arthroscopic management
publisher Hindawi Limited
series Case Reports in Orthopedics
issn 2090-6749
2090-6757
publishDate 2019-01-01
description We present the first known case of bilateral, acute ruptures of the subscapularis tendons following a bicycle accident in a 43-year-old male. He underwent right shoulder arthroscopic, anatomic subscapularis tendon repair two weeks postinjury, with the left side staged for surgical treatment six weeks after the index procedure. Postoperatively, the patient remained in a sling for 6 weeks before advancing with therapy protocols. The interval between arthroscopic treatments allowed for independence with activities of daily living and focused, early therapy for each shoulder. This approach yielded a right-sided constant score of 89 and subjective shoulder value of 90%; the left side was 87 and 90%, respectively, at 33 months postoperatively. The patient’s only postoperative complaint was slightly diminished external rotation, a near-universal limitation after unilateral repair. This represents a successful outcome that balances functional independence, concentrated rehabilitation, and adherence to safe indications for primary repair. While bilateral traumatic shoulder injuries in a young person is a rare clinical entity, early and staged treatment can lead to good patient outcomes.
url http://dx.doi.org/10.1155/2019/7964351
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