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Updated: Jan 22, 2026
04:27
Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
Published on: May 9, 2025
441
Is routine coracoplasty necessary in isolated subscapularis tears?
Tacettin Ayanoğlu1, Baybars Ataoğlu, Mustafa Özer
1Department of Orthopaedics and Traumatology, Yozgat City Hospital, 66100 Yozgat, Turkey. drtacettin@gmail.com.
Summary
Simultaneous coracoplasty during arthroscopic repair for isolated subscapularis tears did not significantly improve patient outcomes. Both groups showed improved shoulder function, but the addition of coracoplasty offered no added benefit in UCLA or SST scores.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- Isolated subscapularis tears often present with anterior shoulder pain.
- Coracoplasty is a procedure to address subacromial impingement.
- The necessity of concomitant coracoplasty in subscapularis tear repair is debated.
Purpose of the Study:
- To evaluate the clinical outcomes of arthroscopic repair for isolated subscapularis tears.
- To determine if simultaneous coracoplasty improves postoperative results.
- To compare functional scores between patients with and without coracoplasty.
Main Methods:
- 53 patients with isolated subscapularis tears and anterior shoulder pain underwent arthroscopic repair.
- Patients were divided into two groups: those who had coracoplasty and those who did not.
- Outcomes were assessed using the University of California Los Angeles (UCLA) shoulder score and Simple Shoulder Test (SST) score pre- and postoperatively (minimum 2-year follow-up).
Main Results:
- Both groups demonstrated significant postoperative improvement in UCLA and SST scores (p<0.01).
- No statistically significant difference was found in the improvement of UCLA or SST scores between the coracoplasty and non-coracoplasty groups (p>0.05).
- Patient demographics and follow-up duration were similar between the groups.
Conclusions:
- Concomitant coracoplasty may not be a routine necessity for isolated subscapularis tear arthroscopic repair.
- The addition of coracoplasty did not yield superior functional outcomes compared to isolated subscapularis repair.
- Further research may explore specific patient subgroups who might benefit from combined procedures.
Keywords:
Arthroscopy coraco.
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