Editorial Commentary : Subscapularis Tears With Advanced Fatty Infiltration: When Every Option Is Imperfect
Year: 2026
Type: editorial
Abstract: Full-thickness subscapularis tears with advanced fatty infiltration represent one of the most challenging problems in shoulder surgery, in large part because every available treatment option is imperfect. Reverse total shoulder arthroplasty in older patients and tendon transfer in younger individuals without glenohumeral arthritis are effective but often perceived by patients as extreme, while nonoperative management frequently leaves persistent symptoms. New literature suggests that perhaps a modification of a traditional open approach, in the form of open antegrade muscle advancement, is a viable joint-preserving alternative. Despite high structural failure rates, the authors show meaningful improvements in patient-reported outcomes and physical function, reinforcing both the value of necessity-driven surgical innovation and the persistent gaps in our understanding of shoulder pain.
DOI: 10.1002/arj.70184
Author: José F. Vega
Institution: Cleveland Clinic
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,500
OpenAlex ID: W7155029888