Work

Arthroscopic Management of an Isolated Intrasubstance Subscapularis Tear in a Competitive Swimmer: A Rare Case Report

Year: 2025

Type: article

Abstract: Isolated intrasubstance subscapularis tendon tears are rare and often pose diagnostic challenges, particularly in competitive athletes. We report the case of a 21-year-old elite swimmer with progressive anterior shoulder pain and internal rotation weakness. Magnetic Resonance Imaging (MRI) demonstrated a Lafosse IIA intrasubstance tear of the subscapularis tendon, which was confirmed arthroscopically. The patient underwent arthroscopic transtendinous repair using a knotless all-suture anchor system. Postoperative rehabilitation emphasized phased mobilization and sport-specific strengthening, allowing to return to competitive swimming at 6 months. At 12-month follow-up, the patient remained pain-free with full functional recovery. This case highlights the importance of advanced imaging, arthroscopic repair, and structured rehabilitation in the successful management of rare subscapularis tendon injuries among overhead athletes.

Source: Academic Medicine & Surgery

DOI: 10.62186/001c.145853