RT Journal Article
SR Electronic
T1 Isolated traumatic rupture of the subscapularis tendon.
JF The Journal of the American Board of Family Practice
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 304
OP 308
VO 15
IS 4
A1 Clark, Russell J
A1 Marchessault, Jeffrey
A1 Sizer, Phillip S
A1 Slauterbeck, James
YR 2002
UL http://www.jabfm.org/content/15/4/304.abstract
AB BACKGROUND Although rotator cuff tears are well documented in the literature, there have been relatively few reported cases of isolated subscapularis tears. To our knowledge, no case has been reported that describes an isolated subscapularis tear in a woman without anterior shoulder dislocation or bony avulsion.METHODS This report outlines the case of a healthy 46-year-old woman with no history of shoulder problems who sustained injury to her right shoulder while hanging a light fixture. We highlight several key points to early diagnosis and underscore operative management for a successful outcome.RESULTS AND CONCLUSIONS Isolated subscapularis tendon ruptures are uncommon in women. Increased vigilance during the history and physical examination is necessary to detect these injuries. Subscapularis tendon ruptures are commonly mistaken for degenerative rotator cuff tears or subacromial impingement syndrome. The lift-off test can isolate a subscapularis injury. Pertinent radiographic and magnetic resonance imaging findings are described.