Previous Page  4 / 12 Next Page
Show Menu
Previous Page 4 / 12 Next Page
Page Background

Page 18

Arthroplasty 2019

June 24-25, 2019

Volume 14

Journal of Orthopaedics Trauma Surgery and Related Research


June 24-25, 2019 | Rome, Italy



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.


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

Gabriel Cárdenas, J.Orthop.Trauma Surg.Relat.Res. | Volume 14