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Updated: Nov 13, 2025
The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
Published on: August 8, 2025
Subscapularis-sparing approaches in shoulder arthroplasty: A systematic review
Sandra Lee1, Huda Sardar1, Nolan S Horner1
1Division of Orthopaedic Surgery, Department of Surgery, McMaster University; Hamilton, Ontario, Canada.
Background:
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.
Methods:
Medline, Embase, PubMed, and CENTRAL were searched.
Results:
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.
Conclusion:
The SSC-sparing approach may provide a safe alternative for up to two years post-surgery. Evidence for long-term use remains inconclusive.
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