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University Hospital Antwerp, Department of Orthopedic Surgery, Edegem, Belgium
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higher when the surgical repair is performed at later stages. 37 Early surgical repair is therefore preferred. Approach Surgical repair of the DBT can be performed through a single or double-incision approach. Both approaches have been extensively
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of DBT tears has been studied extensively. The techniques available for repair involve a three-level distinction: anatomic versus non-anatomic repair, single-incision versus double-incision exposure and fixation method (most commonly the use of
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium
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performed with the patient in a supine position and the arm on an armtable. Both loco-regional anaesthesia and general anaesthesia can be used, depending on the patient’s preference. A small (3 cm to 4 cm) lateral incision is made. The extensor tendon
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reduction and fracture of coracoid and clavicle. 32 These variable arthroscopic techniques usually rely on bony tunnels and suture-graft fixation that bring some concerns into question. Use of single tunnel versus double, suture versus graft
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-operation secondary to non-union, deep infection and mal-union occurred in 2.6%, 2.6% and 1.1% of the patients after a median of six, five and 14 months, respectively. Concerning the type of incision, patients are reported to be cosmetically more satisfied when a
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demonstrated a doubling (from 1% to 2.2% of all patients entered onto the data bank having a scapular fracture) over a single decade. 10 However, the increased use of computerized tomography (CT) to assess trauma patients means that more scapula fractures
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tuberosity. Anchors which are double- or triple-loaded with #2 high tensile suture are available; however, the authors often use double-loaded anchors in repair of the subscapularis to simplify suture management, passing and tying where space can be a
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Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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. 66 Open debridement requires a larger incision, with more soft tissue injury with a possible risk of soft tissue contraction and a higher risk of infection and haematoma. 51 This could be the reason why in the current review there are double
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( Fig. 3 ), a double-loaded bone anchor insertion into the medial edge of the defect ( Fig. 4 ), and finally retrieval of the suture threads of the anchor through the infraspinatus and posterior capsule using an arthroscopic penetrating grasper ( Fig. 5
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beach-chair position. A deltopectoral approach is used with a 7–8 cm incision extending from coracoid process to axilla. Deltoid, pectoralis major muscles and cephalic vein are exposed and dissection is deepened between these two muscles. Then conjoint
