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KMID : 0858320090120020221
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Journal of the Korean Shoulder Elbow Society
2009 Volume.12 No. 2 p.221 ~ p.225
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Subclavian Portal Approach for Isolated Subscapularis Tendon Tear -Technical Note-
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Choi Chang-Hyuk
Kim Shin-Kun
Chang Il-Woong
Kim Se-Sik
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Abstract
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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.
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KEYWORD
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Subscapularis tendon, Subclavian portal, suture snchor
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