Isolated rupture of the subscapularis tendon in children: a case report and literature review

We report the case of an 11-year-old, male, competitive hockey player with a complete rupture of the subscapularis insertion but no avulsion fracture of the lesser tuberosity. Ultrasound and MRI were performed before surgical repair with suture anchors. The boy regained a normal range of movement af...

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Bibliographic Details
Published inJournal of pediatric orthopaedics. B Vol. 22; no. 2; p. 138
Main Authors Gouron, Richard, Deroussen, François, Juvet-Segarra, Marie, Mancheron, Catherine, Bonnaire, Bruno, Collet, Louis-Michel
Format Journal Article
LanguageEnglish
Published United States 01.03.2013
Subjects
Athletic Injuries - diagnostic imaging
Athletic Injuries - rehabilitation
Athletic Injuries - surgery
Child
Follow-Up Studies
Hockey - injuries
Humans
Injury Severity Score
Male
Orthopedic Procedures - instrumentation
Orthopedic Procedures - methods
Postoperative Care - methods
Range of Motion, Articular - physiology
Recovery of Function
Rupture, Spontaneous - diagnostic imaging
Rupture, Spontaneous - surgery
Shoulder Joint - injuries
Shoulder Joint - surgery
Suture Anchors
Tendon Injuries - diagnostic imaging
Tendon Injuries - rehabilitation
Tendon Injuries - surgery
Treatment Outcome
Ultrasonography
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Summary:We report the case of an 11-year-old, male, competitive hockey player with a complete rupture of the subscapularis insertion but no avulsion fracture of the lesser tuberosity. Ultrasound and MRI were performed before surgical repair with suture anchors. The boy regained a normal range of movement after 4 weeks of immobilization and 2 months of rehabilitation. This unique case (with the absence of lesser tuberosity avulsion) is compared with the 16 other cases of paediatric subscapularis avulsion fracture reported in the literature.
ISSN:1473-5865
DOI:10.1097/BPB.0b013e32835c2a4a