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Arthroplasty 2019
June 24-25, 2019
Volume 14
Journal of Orthopaedics Trauma Surgery and Related Research
Arthroplasty
June 24-25, 2019 | Rome, Italy
12
th
International Conference on
The role of coracohumeral distance in degenerative subscapularis tendon pathology
Gabriel Cárdenas
University of Côte d'Azur, France
Statement of Problem:
Despite significant evolution in our knowledge regarding the diagnosis and management of
degenerative subscapularis (SSC) tendon tears in the last years, its pathogenesis still remains unclear. The purpose of this
study was to try and find the existence of an association, or not, between a narrowed Coracohumeral Distance (CHD)
and degenerative pathology of the SSC tendon. We hypothesize that a diminished CHD is associated with an increased
prevalence of degenerative SSC tendon pathology, as has been proposed by Lo and Burkhart.
Methodology &Theoretical Orientation:
We analysed all available literature that relates the CHD and SSC degenerative
pathology, in order to find any association between these variables. Level of Evidence and potential therapeutic implications
of these findings were also analysed. Findings: Several studies that support a statistically relevant association between
degenerative SSC pathology and a narrowed CHD exist. However, there are no studies demonstrating a linear correlation
between theses variables that allow a major causal relationship to be established. Moreover, the clinical implication of this
association is not clear in the current literature.
Conclusion & Significance:
Despite our hypothesis being proven by clinical studies supporting a statistically significant
association between subcoracoid stenosis (narrowed CHD) and chronic degenerative SSC tears, the level of evidence of
these studies remains limited. Additionally, the therapeutic implications of this association remain unclear. The shoulder
surgeon should be aware of these findings and understand the need for higher level evidence before changing their
surgical behaviour.
Biography
Gabriel Cárdenas has expertise in the evaluation and management of shoulder pathology. He has served as the head of shoulder
arthroscopy, trauma and reconstruction unit of the Chilean Institute of work safety (Instituto de Seguridad del Trabajo, IST). He currently
is completing a year-long fellowship at the University Institute of Locomotion and Sport, Pasteur 2 Hospital in Nice, France, under the
guidance of Professor Pascal Boileau
dr.gcardenaso@gmail.comGabriel Cárdenas, J.Orthop.Trauma Surg.Relat.Res. | Volume 14
ISSN:2449-9145