Irreparable massive rotator cuff tear in a young patient with recurrent anterior shoulder dislocation

Combined latissimus dorsi transfer, subscapularis repair and Latarjet surgery is rare and has never been reported. A 35-year-old man with chronic shoulder pain had a long history of instability of his right shoulder. The first episode occurred during a game of touch rugby followed by multiple episod...

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Main Authors: Yeak, Raymond Dieu Kiat, Campbell, Peter T.
Format: Article
Language:English
Published: Universiti Putra Malaysia Press 2020
Online Access:http://psasir.upm.edu.my/id/eprint/89468/1/CUFF.pdf
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author Yeak, Raymond Dieu Kiat
Campbell, Peter T.
author_facet Yeak, Raymond Dieu Kiat
Campbell, Peter T.
author_sort Yeak, Raymond Dieu Kiat
collection UPM
description Combined latissimus dorsi transfer, subscapularis repair and Latarjet surgery is rare and has never been reported. A 35-year-old man with chronic shoulder pain had a long history of instability of his right shoulder. The first episode occurred during a game of touch rugby followed by multiple episodes of subluxation. MRI was done which showed complete tear of the subscapularis anteriorly which was retracted and atrophied indicating a longstanding tear. There was also significant mid substance supraspinatus tendon tear. Patient then underwent two surgeries. The initial surgery found the rotator cuff to be irreparable with glenoid bone loss and only acromioplasty with acromioclavicular joint resection were performed. He then had a single stage surgery consisting of latissimus dorsi transfer, Latarjet procedure and subscapularis repair. A two-stage surgery can be avoided, and good results can be obtained provided that the patient undergo correct rehabilitation regime after undergoing a single stage surgery.
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spelling upm.eprints-894682021-08-18T09:15:18Z http://psasir.upm.edu.my/id/eprint/89468/ Irreparable massive rotator cuff tear in a young patient with recurrent anterior shoulder dislocation Yeak, Raymond Dieu Kiat Campbell, Peter T. Combined latissimus dorsi transfer, subscapularis repair and Latarjet surgery is rare and has never been reported. A 35-year-old man with chronic shoulder pain had a long history of instability of his right shoulder. The first episode occurred during a game of touch rugby followed by multiple episodes of subluxation. MRI was done which showed complete tear of the subscapularis anteriorly which was retracted and atrophied indicating a longstanding tear. There was also significant mid substance supraspinatus tendon tear. Patient then underwent two surgeries. The initial surgery found the rotator cuff to be irreparable with glenoid bone loss and only acromioplasty with acromioclavicular joint resection were performed. He then had a single stage surgery consisting of latissimus dorsi transfer, Latarjet procedure and subscapularis repair. A two-stage surgery can be avoided, and good results can be obtained provided that the patient undergo correct rehabilitation regime after undergoing a single stage surgery. Universiti Putra Malaysia Press 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/89468/1/CUFF.pdf Yeak, Raymond Dieu Kiat and Campbell, Peter T. (2020) Irreparable massive rotator cuff tear in a young patient with recurrent anterior shoulder dislocation. Malaysian Journal of Medicine and Health Sciences, 16 (3). 310 - 312. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/jurnal_kami/malaysian_journal_of_medicine_and_health_sciences_mjmhs/mjmhs_vol_16_no_3_september_2020-58277
spellingShingle Yeak, Raymond Dieu Kiat
Campbell, Peter T.
Irreparable massive rotator cuff tear in a young patient with recurrent anterior shoulder dislocation
title Irreparable massive rotator cuff tear in a young patient with recurrent anterior shoulder dislocation
title_full Irreparable massive rotator cuff tear in a young patient with recurrent anterior shoulder dislocation
title_fullStr Irreparable massive rotator cuff tear in a young patient with recurrent anterior shoulder dislocation
title_full_unstemmed Irreparable massive rotator cuff tear in a young patient with recurrent anterior shoulder dislocation
title_short Irreparable massive rotator cuff tear in a young patient with recurrent anterior shoulder dislocation
title_sort irreparable massive rotator cuff tear in a young patient with recurrent anterior shoulder dislocation
url http://psasir.upm.edu.my/id/eprint/89468/1/CUFF.pdf
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