The Putti-Platt surgical procedure is primarily associated with which muscle group?

• A. Supraspinatus shortening
• B. Subscapularis muscle overlapping
• C. Infraspinatus lengthening
• D. Deltoid reconstruction

Answer: (B)

The Putti-Platt procedure is primarily associated with the subscapularis muscle. This surgical technique is designed to stabilize the shoulder joint, particularly in cases of recurrent shoulder dislocations or instability. In this procedure, the subscapularis muscle, which is one of the four rotator cuff muscles, is effectively repositioned over the anterior aspect of the glenoid.

This overlapping technique helps to provide additional support and stability to the shoulder joint, mitigating the risk of dislocation by using the muscular coverage as a dynamic stabilizer. In doing so, the procedure recognizes the importance of the subscapularis in maintaining shoulder stability, especially in patients prone to anterior instability. By enhancing the functional role of the subscapularis through overlapping, the Putti-Platt procedure aims to restore optimal kinematics of the shoulder, reducing the likelihood of future dislocations.