December 27, 2012
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Study: No significant difference between shoulder tendon mobilization techniques

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Canadian researchers found no significant difference between subscapularis peel and lesser tuberosity osteotomy techniques for subscapular tendon mobilization in shoulder arthroplasty, according to this study.

“No significant differences in the primary or secondary outcomes of function were identified between the lesser tuberosity osteotomy group and the subscapularis peel group,” Peter L.C. Lapner, MD, FRCSC, and colleagues stated in the study abstract. “For the parameters investigated, this trial does not demonstrate any clear advantage of one subscapularis treatment technique over the other.”

In the randomized controlled trial, 43 patients were in the subscapularis osteotomy group and 44 patients were included in the subscapularis peel group. At 24-month follow-up, both groups showed no difference at any point in time between Western Ontario Osteoarthritis of the Shoulder Index and American Shoulder and Elbow Surgeons scores, according to the abstract.

However, Lapner and colleagues noted that although there was no difference in the scores, both groups showed the same level of improvement through these scoring systems at follow-up.

Disclosure: Lapner’s institution received a grant from Physicians’ Services Incorporated in return for his work on this study.