Long-term outcomes of latissimus dorsi transfer for irreparable rotator cuff tears
- 28 March 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in International Orthopaedics
- Vol. 44 (5), 905-910
- https://doi.org/10.1007/s00264-020-04540-x
Abstract
Purpose The primary objective of this retrospective study was to validate electrophysiological results of latissimus dorsi tendon transfer (LDTT) to determine if this transfer is active for different daily living tasks, and the secondary objective was to correlate these clinical results. Methods With a mean follow-up of 4.7 years, 14 latissimus dorsi tendon transfers were retrospectively reviewed. Patients were clinically evaluated with the constant score and the SSV. Healing of the tendon on the greater tuberosity and atrophy of the LDTT muscle was determined by ultrasound and compared with the contralateral side. Electrical activity was analyzed by electromyography in active elevation, abduction, and external rotation. Results Twelve patients are satisfied (SSV). At the last follow-up, the EMG found a significant electrical activity in the abduction and external rotation and a lower activity in adduction and internal rotation. The mean constant score increased from 29 to 51, the mean forward elevation increased from 89° to 135°, the mean abduction from 92° to 105°, and the external rotation from 12° to 24°. The ultrasound found 12 healed tendons and two ruptures at the myotendinous junction. Conclusion Electrical activity in abduction and external rotation testifies that the LDT transfer acts as an active muscle transfer and acts not only a muscle tenodesis that covers the humeral head.Keywords
This publication has 26 references indexed in Scilit:
- Latissimus dorsi transfer for treatment of irreparable rotator cuff tearsInternational Orthopaedics, 2010
- Outcome of latissimus dorsi transfer as a salvage procedure for failed rotator cuff repair with loss of elevationJournal of Shoulder and Elbow Surgery, 2008
- Latissimus dorsi transfer for irreparable rotator cuff tears: A longitudinal studyJournal of Shoulder and Elbow Surgery, 2008
- Latissimus dorsi transfer for the treatment of massive tears of the rotator cuffInternational Orthopaedics, 2008
- Reverse Shoulder Arthroplasty Combined with a Modified Latissimus Dorsi and Teres Major Tendon Transfer for Shoulder Pseudoparalysis Associated with Dropping ArmClinical Orthopaedics & Related Research, 2008
- Latissimus dorsi tendon transfer for massive irreparable cuff tears: An anatomic studyJournal of Shoulder and Elbow Surgery, 2008
- Influence of psychomotor skills and innervation patterns on results of latissimus dorsi tendon transfer for irreparable rotator cuff tearsJournal of Shoulder and Elbow Surgery, 2008
- Modified latissimus dorsi and teres major transfer through a single delto-pectoral approach for external rotation deficit of the shoulder: As an isolated procedure or with a reverse arthroplastyJournal of Shoulder and Elbow Surgery, 2007
- The biomechanical role of the subscapularis in latissimus dorsi transfer for the treatment of irreparable rotator cuff tearsJournal of Shoulder and Elbow Surgery, 2006
- Transfer of the tendon of latissimus dorsi for the treatment of massive tears of the rotator cuffThe Journal of Bone and Joint Surgery. British volume, 2006