Arthroscopic-Assisted Anterior Latissimus Dorsi Transfer for Irreparable Anterior Rotator Cuff Tear: A Technical Note

Several reconstruction techniques for irreparable tears of the subscapularis tendon have been described with variable results regarding pain relief, functional recovery, and dynamic stabilization of the glenohumeral joint. Because of a more advantageous direction of movement compared with previously...

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Main Authors: Karl Wieser, M.D., Julian Hasler, M.D.
Format: Article
Language:English
Published: Elsevier 2021-02-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628720302838
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author Karl Wieser, M.D.
Julian Hasler, M.D.
author_facet Karl Wieser, M.D.
Julian Hasler, M.D.
author_sort Karl Wieser, M.D.
collection DOAJ
description Several reconstruction techniques for irreparable tears of the subscapularis tendon have been described with variable results regarding pain relief, functional recovery, and dynamic stabilization of the glenohumeral joint. Because of a more advantageous direction of movement compared with previously described transfer techniques such as transfer of the pectoralis major and pectoralis minor tendons, the anterior latissimus dorsi (LD) transfer has been proposed as a potentially beneficial treatment method. This Technical Note aims to introduce an alternative technique for the anterior LD transfer that combines the advantages of a proper muscle release and tendon reinforcement through an axillary incision with the arthroscopic intra-articular and periarticular work, including detachment of the LD tendon from its humeral insertion and reattachment at the lesser tuberosity.
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spelling doaj.art-27fd6e8115294a3aaea7ae940271561d2022-12-21T22:32:45ZengElsevierArthroscopy Techniques2212-62872021-02-01102e263e267Arthroscopic-Assisted Anterior Latissimus Dorsi Transfer for Irreparable Anterior Rotator Cuff Tear: A Technical NoteKarl Wieser, M.D.0Julian Hasler, M.D.1Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, SwitzerlandAddress correspondence to Julian Hasler, M.D., Department of Orthopaedics, Balgrist University Hospital, Forchstrasse 340, CH-8008, Zurich, Switzerland.; Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, SwitzerlandSeveral reconstruction techniques for irreparable tears of the subscapularis tendon have been described with variable results regarding pain relief, functional recovery, and dynamic stabilization of the glenohumeral joint. Because of a more advantageous direction of movement compared with previously described transfer techniques such as transfer of the pectoralis major and pectoralis minor tendons, the anterior latissimus dorsi (LD) transfer has been proposed as a potentially beneficial treatment method. This Technical Note aims to introduce an alternative technique for the anterior LD transfer that combines the advantages of a proper muscle release and tendon reinforcement through an axillary incision with the arthroscopic intra-articular and periarticular work, including detachment of the LD tendon from its humeral insertion and reattachment at the lesser tuberosity.http://www.sciencedirect.com/science/article/pii/S2212628720302838
spellingShingle Karl Wieser, M.D.
Julian Hasler, M.D.
Arthroscopic-Assisted Anterior Latissimus Dorsi Transfer for Irreparable Anterior Rotator Cuff Tear: A Technical Note
Arthroscopy Techniques
title Arthroscopic-Assisted Anterior Latissimus Dorsi Transfer for Irreparable Anterior Rotator Cuff Tear: A Technical Note
title_full Arthroscopic-Assisted Anterior Latissimus Dorsi Transfer for Irreparable Anterior Rotator Cuff Tear: A Technical Note
title_fullStr Arthroscopic-Assisted Anterior Latissimus Dorsi Transfer for Irreparable Anterior Rotator Cuff Tear: A Technical Note
title_full_unstemmed Arthroscopic-Assisted Anterior Latissimus Dorsi Transfer for Irreparable Anterior Rotator Cuff Tear: A Technical Note
title_short Arthroscopic-Assisted Anterior Latissimus Dorsi Transfer for Irreparable Anterior Rotator Cuff Tear: A Technical Note
title_sort arthroscopic assisted anterior latissimus dorsi transfer for irreparable anterior rotator cuff tear a technical note
url http://www.sciencedirect.com/science/article/pii/S2212628720302838
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