Description
In this comprehensive discussion led by Simon Lambert, the focus is on the management of subscapularis tears within the context of shoulder anatomy and rotator cuff dynamics. Lambert delves into the intricate relationships between the rotator interval and various shoulder ligaments that contribute to its stability and movement. He explains the importance of the subscapularis muscle and tendon, emphasizing how they interact with other structures in the shoulder, including the bicep tendon which acts as a motion sensor and contributes to shoulder stability.
Lambert provides insights into different types of tears, how they can evolve from instability to weakness, and the typical presentations associated with these injuries. He highlights the significance of surgical techniques, discussing both arthroscopic and open approaches to repair, emphasizing the necessity of retaining the function of the bicep tendon and addressing capsular lesions appropriately.
Throughout the presentation, Lambert supports his views with clinical cases, demonstrating various surgical outcomes and their impacts on patient functionality. He stresses the importance of understanding the biomechanical and anatomical nuances to effectively manage subscapularis tears and improve patient recovery, concluding with a persuasive recommendation to not give up on the integrity and repair of the subscapularis tendon.