Arthroscopic Subscapularis Repair Using 18-Gauge Spinal Needle as a Suture Passer to Eliminate Iatrogenic Tendon Damage from Modern Suturing Devices.

Promsang, Trai; Limskul, Danaithep; Itthipanichpong, Thun; Kongrukgreatiyos, Kitiphong; Kuptniratsaikul, Somsak · Arthrosc Tech · 2022

case_series · Level IV

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Abstract

Suture passing devices are frequently used for subscapularis tendon repair. However, some of these devices can further damage the tendon by creating a larger tear. Use of an 18-gauge spinal needle as a suture passer helps eliminate damage to the tendon. By using its smaller diameter, the needle prevents tendon cut-through and enhances the precision of the repair.

Anatomy