Arthroscopic Management of an Isolated Intrasubstance Subscapularis Tear in a Competitive Swimmer
Basil Ghazi Daradkeh(1) • Own Abu Rumman(1) • Monerr Ibrahim l.(2) • Majd Kharabsheh(2) • Osama M.Aldeeb(1) • Ramz Kawaleet2) • Lana Flefil(2)
Published in Academic Medicine & Surgery: doi.org/10.62186/001c.145853
Google Scholar Index: article/145853
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.