Caption: Figure 7: Re-Routing of the Tip of the Coracoid Process behind the
Subscapularis MuscleThere were 24 patients with obstetrical brachial plexus sequelae who had operations performed by the same surgeon (EVA), between 1997 and 2006, to transfer the latissimus dorsi, which, in the cases of 11 children, was associated with elevation of the
subscapularis muscle. There was a minimum follow up of 2 years.
During mobilisation of the conjoined tendon, approximately 150 mL of blood-stained pus exuded from the
subscapularis muscle. The
subscapularis muscle was left with a defect but subscapularis tendon integrity was maintained.
MRI with special sequencing to show the
subscapularis muscle and tendon while minimizing implant "scatter" was performed in 19 of the 43 shoulders at 2 to 5 years postoperatively and showed an intact subscapularis tendon and absence of neuromuscular atrophy or fatty infiltration in all 19 patients.
A well-developed
subscapularis muscle is a pre-requisite for good results, as recurrent dislocation may occur with a weak or wasted muscle.
After that, the pectoralis minor tendon and coracoacromial ligament were detached and the bone was used as a bony block in the anterior inferior glenoid region between superior one-third two-third of the
subscapularis muscle (8).
(41) The
subscapularis muscle should be a focus in any rehabilitation program as it has been shown to be a main muscular stabilizer in the abducted and externally rotated position (the position in which most dislocations occur).
* At the distal border of the
subscapularis muscle, this common subscapular trunk ends by trifurcating into three branches.
The anterior CHL holds the
subscapularis muscle and anchors the muscle to the coracoid process in a similar manner to that of the posterior CHL enveloping the supraspinatus and infraspinatus [9,10].
Of particular interest is the effect of different rTSA prosthesis designs on the performance of the
subscapularis muscle. Controversy exists surrounding concomitant repair of the subscapularis with rTSA.
1.6) close to the superior border of
subscapularis muscle and coursed on the costal surface of this muscle.
Train the
subscapularis muscle because of its role in positioning the humeral head in the glenoid fossa, (9) and its elevated activity during the golf swing.