Document Detail

Latissimus dorsi transfer for treatment of irreparable rotator cuff tears.
MedLine Citation:
PMID:  20155494     Owner:  NLM     Status:  MEDLINE    
Massive rotator cuff tendon ruptures are not uncommon in older patients. We propose the transfer of the latissimus dorsi muscle for treatment of irreparable ruptures associated with functional impairment and chronic pain. Five women and 11 men were so treated and reviewed with an average follow-up of 26 months. The mean age was 60 years. Four patients also had subscapularis deficiency. Results were assessed with the Constant score and the Oxford shoulder score. Humeral head position was analysed. Statistical analysis was performed by the Wilcoxon non-parametrical test. The Constant score increased by 24.2% (p = 0.001) with all parameters showing improvement. Nine patients showed improved humeral head positioning in internal rotation. Three of four patients with a deficient subscapularis had unfavourable results. Latissimus dorsi transfer for the treatment of irreparable massive rotator cuff tears leads to a substantial clinical improvement. An intact subscapularis tendon is mandatory.
Alexander A Weening; W Jaap Willems
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Publication Detail:
Type:  Journal Article     Date:  2010-02-16
Journal Detail:
Title:  International orthopaedics     Volume:  34     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-10     Completed Date:  2011-03-10     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1239-44     Citation Subset:  IM    
Department of Orthopedic Surgery and Traumatology, Onze Lieve Vrouwe Gasthuis Hospital, Amsterdam, The Netherlands.
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MeSH Terms
Activities of Daily Living
Disability Evaluation
Health Status Indicators
Muscle Strength
Range of Motion, Articular / physiology
Rotator Cuff / injuries,  physiopathology,  surgery*
Shoulder Joint / physiopathology,  radiography,  surgery*
Shoulder Pain / physiopathology,  surgery
Tendon Transfer / methods*

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