Subscapularis-sparing approaches in shoulder arthroplasty: A systematic review.
systematic_review · Level I
Where this comes from
- Record sourced from PubMed, PMID 33716422.
- Also identified by DOI 10.1016/j.jor.2021.02.034 and PMC identifier 7933598.
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Abstract
Novel approaches for anatomic and reverse total shoulder arthroplasty (aTSA and rTSA) that spare the subscapularis (SSC) have recently been described. Outcomes for the SSC-sparing approach were evaluated through this systematic review. Medline, Embase, PubMed, and CENTRAL were searched. From 2051 citations, 8 studies were included (aTSA group, n = 241; rTSA group, n = 68). SSC-sparing aTSA and rTSA were associated with significant postoperative improvements in shoulder function and range of motion at 12- to 24-month follow-up. The SSC-sparing approach may provide a safe alternative for up to two years post-surgery. Evidence for long-term use remains inconclusive.
Anatomy
- shoulder
- scapula