Subscapularis partial tear nodule causing shoulder rotational triggering

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• 作者：Zubair Wani (1)
  Rajesh Mangattil (2)
  Tim Butterfield (3)
  Kevin Hildebrand (4) (5) (6)
  Srinath Kamineni (7)
  
  1. Department of Trauma and Orthopaedics ; Heart of England Hospital ; Bordesley Green East ; Birmingham ; B9 5SS ; UK
  2. Apollo Hospitals ; Ayanambakkam ; Chennai ; India
  3. University of Kentucky ; Room 210D Wethington Building ; 900 South Limestone Street ; Lexington ; KY ; 40536-0200 ; USA
  4. Department of Surgery ; University of Calgary ; Calgary ; Canada
  5. Department of Orthopaedics ; University of Calgary ; Calgary ; Canada
  6. Alberta Health Services ; Edmonton ; Canada
  7. Department of Orthopaedic Surgery ; University of Kentucky ; 740 South Limestone ; Lexington ; KY ; 40536 ; USA
  
• 刊名：Knee Surgery, Sports Traumatology, Arthroscopy
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：23
• 期：2
• 页码：573-576
• 全文大小：619 KB
• 参考文献：1. Bae SJ, Shin MJ, Kim SM, Cho KJ (2002) Intra-articular elastofibroma of the shoulder joint. Skelet Radiol 31(3):171鈥?74 CrossRef
  2. Barth J, Audebert B, Toussaint C, Charousset A, Godeneche N, Graveleau T et al (2012) Diagnosis of subscapularis tendon tears: are available diagnostic tests pertinent for a positive diagnosis? Orthop Traumatol Surg Res 98(8):S178鈥揝185 CrossRef
  3. Burkart AC, Debski RE (2002) Anatomy and function of the glenohumeral ligaments in anterior shoulder instability. Clin Orthop Relat Res 400:32鈥?9 CrossRef
  4. Debski RE, Wong EK, Woo SL, Sakane M, Fu FH, Warner JJ (1999) In situ force distribution in the glenohumeral joint capsule during anterior鈥損osterior loading. J Orthop Res 17(5):769鈥?76 CrossRef
  5. Kim SH, Oh I, Park JS, Shin SK, Jeong WK (2005) Intra-articular repair of an isolated partial articular-surface tear of the subscapularis tendon. Am J Sports Med 33(12):1825鈥?830 CrossRef
  6. Kreuz PC, Reminger A, Lahm A, Herget G, G盲chter A (2005) Comparison of total and partial traumatic tears of the subscapularis tendon. J Bone Joint Surg Br 87(3):348鈥?51 CrossRef
  7. O鈥機onnell PW, Nuber GW, Mileski RA, Lautenschlager E (1990) The contribution of the glenohumeral ligaments to anterior stability of the shoulder joint. Am J Sports Med 18(6):579鈥?84 CrossRef
  8. Sikka RS, Vora M, Edwards TB, Szabo I, Walch G (2004) Desmoid tumor of the subscapularis presenting as isolated loss of external rotation of the shoulder. A report of two cases. J Bone Joint Surg Am 86(1):159鈥?64
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Orthopedics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-7347

文摘

Subscapularis nodules are rare causes of shoulder pain. There have been no reports of nodular swellings arising from the articular surface of the subscapularis tendon. We report two original cases of intra-articular subscapular nodules with reciprocal middle glenohumeral ligament thickening. In both cases, the patients had long standing deep-seated anterior shoulder pain with failed conservative treatments. Arthroscopy, magnetic resonance imaging and histology reports revealed nodules with underlying partial subscapularis tears. Arthroscopy may be needed to identify and successfully treat rare symptomatic nodules as causes of pain and clicking in the shoulder joint. Level of evidence V.