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Lesser Tuberosity Osteotomy Versus Subscapularis Peel: Is There a Preferred Approach for Subscapularis Management in Anatomic Shoulder Arthroplasty?

MacEwan, Matt MBA, MD, FRCSC; Athwal, George S. MD, FRCSC; Lapner, Peter L. C. MD, FRCSC

Techniques in Shoulder & Elbow Surgery: March 2016 - Volume 17 - Issue 1 - p 27–30
doi: 10.1097/BTE.0000000000000069
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Failure of the subscapularis to heal following shoulder arthroplasty can compromise the success of the procedure and may result in pain, instability, and weakness. Options for subscapularis management during exposure include lesser tuberosity osteotomy, subscapularis peel, and subscapularis tenotomy. The optimal approach to subscapularis management remains controversial. The techniques for lesser tuberosity osteotomy and subscapularis peel are described.

*Division of Orthopedics, The Ottawa Hospital, University of Ottawa, Ottawa

Roth|McFarlane Hand and Upper Limb Centre, University of Western Ontario, London

Division of Orthopedics, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada

The authors declare no conflict of interest.

Reprints: Peter L. C. Lapner, MD, FRCSC, Division of Orthopedics, Ottawa Hospital Research Institute, University of Ottawa, 501 Smyth Rd. W1648, Box 502, Ottawa, ON, Canada K1H 8L6 (e-mail: plapner@toh.on.ca).

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