Seminars in Arthroplasty
Volume 20, Issue 2 , Pages 96-97, June 2009

Lesser Tuberosity Osteotomy: The Door to Shoulder Replacement

  • David M. Lutton, MD
    • ,
  • Evan L. Flatow, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Evan L. Flatow, MD, Mount Sinai Hospital, Department of Orthopaedic Surgery, 5 East 98th Street, Box 1188, New York, NY 10029

Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY

As total shoulder replacement has evolved, the subtle nuances of soft tissue balancing and subscapularis function have emerged as key issues for improving patient outcomes. Subscapularis dysfunction is an under-recognized problem within the orthopedic community. Causes of dysfunction are rupture of the subscapularis tendon, nerve injury, or nonanatomic restoration of the muscle tendon unit moment arm. Lesser tuberosity osteotomy provides excellent surgical exposure, optimizes healing potential, and improves postoperative subscapularis function.

Keywords: lesser tuberosity, osteoarthritis, shoulder arthroplasty, subscapularis

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 Work conducted at the Mount Sinai School of Medicine, New York, NY.

PII: S1045-4527(09)00020-0

doi:10.1053/j.sart.2009.02.002

Seminars in Arthroplasty
Volume 20, Issue 2 , Pages 96-97, June 2009

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