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Outcomes After Rotator Cuff Repair With Transverse Scapular Ligament Release in Patients With Severe Fatty Degeneration of the Infraspinatus by Se Yeon Lee; Dong Mo Kang; Sae Hoon Kim is a Medicine article available to read on EtoBox.

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## Background: In some large to massive rotator cuff tears (RCTs), fatty degeneration (FD) is more severe in the infraspinatus than the supraspinatus muscle, and in such cases, suprascapular neuropathy is highly suspected. Nerve release at the suprascapular notch might alleviate this problem. ## Purpose: To evaluate the effects of the transverse scapular ligament (TSL) release in patients with large to massive RCTs with more severe FD of the infraspinatus than the supraspinatus. ## Study Design: Cohort study; Level of evidence, 3. ## Methods: Between September 2017 and January 2022, arthroscopic TSL release with rotator cuff repair was performed in patients with large to massive RCTs and more severe FD of the infraspinatus muscle than the supraspinatus muscle (TSL group). Cuff integrity, FD, and atrophy of cuff muscles were evaluated using preoperative and 1-year postoperative magnetic resonance imaging. In addition, results were compared with those of patients who did not undergo TSL release during arthroscopic large to massive rotator cuff repair (NTSL group). ## Results: A total of 103 patients—20 in the TSL group and 83 in the NTSL group—were included. Group preoperative charac

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Author

Se Yeon Lee; Dong Mo Kang; Sae Hoon Kim

Publisher

SAGE Publications

Published

2023

Field

Medicine (Health Sciences)