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Related Concept Videos

Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Muscles that Move the Arm01:31

Muscles that Move the Arm

Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...

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Related Experiment Video

Updated: Jun 8, 2026

Reverse Total Shoulder Arthroplasty
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Open Bankart Repair with Subscapularis Split.

Alex M Meyer1, Benjamin W Hoyt2, Temitope Adebayo1

  • 1Duke University Medical Center, Durham, North Carolina.

JBJS Essential Surgical Techniques
|September 16, 2024
PubMed
Summary
This summary is machine-generated.

Open Bankart repair using a subscapularis split offers a robust surgical option for shoulder instability, potentially reducing recurrence rates. This technique avoids subscapularis tendon tenotomy, minimizing injury risk and simplifying the procedure.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Instability

Background:

  • Anterior shoulder dislocations are common, particularly in young, active males.
  • Open Bankart repair historically shows lower recurrence and reoperation rates than arthroscopic repair.
  • Open repair may be preferred for recurrent instability and high-risk sports due to enhanced capsular shift.

Purpose of the Study:

  • To describe an open Bankart repair technique utilizing a subscapularis split.
  • To highlight the advantages of this approach over traditional tenotomy and arthroscopic methods.

Main Methods:

  • The procedure involves a deltopectoral approach with a longitudinal split of the subscapularis tendon.
  • A T-shaped capsulotomy is created for glenohumeral joint access.
  • The labrum is repaired using knotted suture anchors, with capsular imbrication for closure.

Main Results:

  • This technique provides adequate capsular shift and visualization of the Bankart lesion.
  • It avoids the need for subscapularis tendon repair, reducing avulsion risk.
  • The subscapularis split is associated with a lower risk of iatrogenic injury to surrounding nerves.

Conclusions:

  • Open Bankart repair with a subscapularis split is a safe and effective treatment for shoulder instability.
  • It offers a robust repair with potentially lower recurrence rates and reduced risk of tendon injury compared to other methods.