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Latissimus dorsi tendon transfer for irreparable rotator cuff tears: a modified technique using arthroscopy.
Arthrosc Tech 2013; 2(1):e27-30AT

Abstract

Latissimus dorsi transfer is a well-established method for the treatment of posterosuperior massive irreparable rotator cuff tears. We propose using an arthroscopically assisted technique that avoids insult to the deltoid. With the patient in the lateral decubitus position, an L-shaped incision is made along the anterior belly of the latissimus muscle and then along the posterior axillary line. The latissimus and teres major are identified and separated. The tendon insertion of the latissimus is isolated, and a FiberWire traction suture (Arthrex, Naples, FL) is placed, facilitating dissection of the muscle to the thoracodorsal neurovascular pedicle and subsequent mobilization. The interval deep to the deltoid and superficial to the teres minor is developed into a subdeltoid tunnel for arthroscopic tendon transfer. The latissimus tendon is then transferred and stabilized arthroscopically to the lateral aspect of the infraspinatus and supraspinatus footprints by multiple suture anchors.

Authors+Show Affiliations

Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, U.S.A.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23767006

Citation

Villacis, Diego, et al. "Latissimus Dorsi Tendon Transfer for Irreparable Rotator Cuff Tears: a Modified Technique Using Arthroscopy." Arthroscopy Techniques, vol. 2, no. 1, 2013, pp. e27-30.
Villacis D, Merriman J, Wong K, et al. Latissimus dorsi tendon transfer for irreparable rotator cuff tears: a modified technique using arthroscopy. Arthrosc Tech. 2013;2(1):e27-30.
Villacis, D., Merriman, J., Wong, K., & Rick Hatch, G. F. (2013). Latissimus dorsi tendon transfer for irreparable rotator cuff tears: a modified technique using arthroscopy. Arthroscopy Techniques, 2(1), pp. e27-30. doi:10.1016/j.eats.2012.10.004.
Villacis D, et al. Latissimus Dorsi Tendon Transfer for Irreparable Rotator Cuff Tears: a Modified Technique Using Arthroscopy. Arthrosc Tech. 2013;2(1):e27-30. PubMed PMID: 23767006.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Latissimus dorsi tendon transfer for irreparable rotator cuff tears: a modified technique using arthroscopy. AU - Villacis,Diego, AU - Merriman,Jarrad, AU - Wong,Karlton, AU - Rick Hatch,George F,3rd Y1 - 2013/01/04/ PY - 2012/06/19/received PY - 2012/10/17/accepted PY - 2013/6/15/entrez PY - 2013/6/15/pubmed PY - 2013/6/15/medline SP - e27 EP - 30 JF - Arthroscopy techniques JO - Arthrosc Tech VL - 2 IS - 1 N2 - Latissimus dorsi transfer is a well-established method for the treatment of posterosuperior massive irreparable rotator cuff tears. We propose using an arthroscopically assisted technique that avoids insult to the deltoid. With the patient in the lateral decubitus position, an L-shaped incision is made along the anterior belly of the latissimus muscle and then along the posterior axillary line. The latissimus and teres major are identified and separated. The tendon insertion of the latissimus is isolated, and a FiberWire traction suture (Arthrex, Naples, FL) is placed, facilitating dissection of the muscle to the thoracodorsal neurovascular pedicle and subsequent mobilization. The interval deep to the deltoid and superficial to the teres minor is developed into a subdeltoid tunnel for arthroscopic tendon transfer. The latissimus tendon is then transferred and stabilized arthroscopically to the lateral aspect of the infraspinatus and supraspinatus footprints by multiple suture anchors. SN - 2212-6287 UR - https://www.unboundmedicine.com/medline/citation/23767006/Latissimus_dorsi_tendon_transfer_for_irreparable_rotator_cuff_tears:_a_modified_technique_using_arthroscopy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/XATS47 DB - PRIME DP - Unbound Medicine ER -