Tags

Type your tag names separated by a space and hit enter

Risk of latissimus dorsi tendon rupture after arthroscopic transfer for posterior superior rotator cuff tear: a comparative analysis of 3 humeral head fixation techniques.

Abstract

BACKGROUND

To compare latissimus dorsi tendon rupture rates after arthroscopic transfer for posterior superior rotator cuff tear using 3 different humeral head fixation techniques.

METHODS

One-hundred fifty consecutive latissimus dorsi transfers were included. Inclusion criteria were massive irreparable posterosuperior rotator cuff tear with advanced fatty infiltration associated with persistent pain and limited range of motion after failed conservative treatments or surgery. All transfers were arthroscopically assisted and fixed in a transosseous tunnel with a cortical button (group 1, n = 59), "over the top" onto the footprint of the supraspinatus (group 2, n = 47), or posteriorly onto the footprint of the infraspinatus (group 3, n = 44) with 2 suture anchors. The tendons were marked with 3 metallic clips placed intraoperatively at a fixed distance of 2, 4, and 6 cm from the tip. Immediate postoperative standard anteroposterior radiographs were performed to confirm the position of the clips and to determine whether the clips displaced on subsequent radiographs during follow-up, indicating tendon rupture.

RESULTS

Repeat radiographs at 3-month follow-up showed higher risk of latissimus dorsi transfer rupture rate in 27/59 patients in group 1 (46%), 11/47 in group 2 (24%), and 7/44 in group 3 (15%).

CONCLUSION

Posterior anchor fixation of the latissimus dorsi tendon onto the infraspinatus footprint had the lowest rupture rate.

Authors+Show Affiliations

Shoulder Department, Clinique de l'Union, Ramsay GDS, Saint Jean, France. Electronic address: jean.kany@clinique-union.fr.Lakshmi Hospital, Ernakulam, Kerala, India.Shoulder Department, LIRCOS, Clinique Jouvenet, Ramsay GDS, Paris, France.Division of Arthroscopy and Sports Surgery, Department of Orthopaedics, St John's Medical College and Hospital, Bangalore, Karnataka, India.Shoulder Department, Clinique Bizet, Paris, France.Shoulder Department, Mayo Clinic, Rochester, MN, USA.Shoulder Department, Hôpital Ambroise Pare, Paris, France.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31473133

Citation

Kany, Jean, et al. "Risk of Latissimus Dorsi Tendon Rupture After Arthroscopic Transfer for Posterior Superior Rotator Cuff Tear: a Comparative Analysis of 3 Humeral Head Fixation Techniques." Journal of Shoulder and Elbow Surgery, 2019.
Kany J, Sekaran P, Grimberg J, et al. Risk of latissimus dorsi tendon rupture after arthroscopic transfer for posterior superior rotator cuff tear: a comparative analysis of 3 humeral head fixation techniques. J Shoulder Elbow Surg. 2019.
Kany, J., Sekaran, P., Grimberg, J., Amavarathi, R. S., Valenti, P., Elhassan, B., & Werthel, J. D. (2019). Risk of latissimus dorsi tendon rupture after arthroscopic transfer for posterior superior rotator cuff tear: a comparative analysis of 3 humeral head fixation techniques. Journal of Shoulder and Elbow Surgery, doi:10.1016/j.jse.2019.06.019.
Kany J, et al. Risk of Latissimus Dorsi Tendon Rupture After Arthroscopic Transfer for Posterior Superior Rotator Cuff Tear: a Comparative Analysis of 3 Humeral Head Fixation Techniques. J Shoulder Elbow Surg. 2019 Aug 28; PubMed PMID: 31473133.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk of latissimus dorsi tendon rupture after arthroscopic transfer for posterior superior rotator cuff tear: a comparative analysis of 3 humeral head fixation techniques. AU - Kany,Jean, AU - Sekaran,Padmanaban, AU - Grimberg,Jean, AU - Amavarathi,Rajkumar S, AU - Valenti,Philippe, AU - Elhassan,Bassem, AU - Werthel,Jean David, Y1 - 2019/08/28/ PY - 2019/05/01/received PY - 2019/06/11/revised PY - 2019/06/18/accepted PY - 2019/9/2/entrez PY - 2019/9/2/pubmed PY - 2019/9/2/medline KW - Latissimus dorsi transfer KW - arthroscopic humeral fixation KW - irreparable postero superior cuff KW - massive cuff tear KW - metal clips KW - rupture rate KW - transosseous JF - Journal of shoulder and elbow surgery JO - J Shoulder Elbow Surg N2 - BACKGROUND: To compare latissimus dorsi tendon rupture rates after arthroscopic transfer for posterior superior rotator cuff tear using 3 different humeral head fixation techniques. METHODS: One-hundred fifty consecutive latissimus dorsi transfers were included. Inclusion criteria were massive irreparable posterosuperior rotator cuff tear with advanced fatty infiltration associated with persistent pain and limited range of motion after failed conservative treatments or surgery. All transfers were arthroscopically assisted and fixed in a transosseous tunnel with a cortical button (group 1, n = 59), "over the top" onto the footprint of the supraspinatus (group 2, n = 47), or posteriorly onto the footprint of the infraspinatus (group 3, n = 44) with 2 suture anchors. The tendons were marked with 3 metallic clips placed intraoperatively at a fixed distance of 2, 4, and 6 cm from the tip. Immediate postoperative standard anteroposterior radiographs were performed to confirm the position of the clips and to determine whether the clips displaced on subsequent radiographs during follow-up, indicating tendon rupture. RESULTS: Repeat radiographs at 3-month follow-up showed higher risk of latissimus dorsi transfer rupture rate in 27/59 patients in group 1 (46%), 11/47 in group 2 (24%), and 7/44 in group 3 (15%). CONCLUSION: Posterior anchor fixation of the latissimus dorsi tendon onto the infraspinatus footprint had the lowest rupture rate. SN - 1532-6500 UR - https://www.unboundmedicine.com/medline/citation/31473133/Risk_of_latissimus_dorsi_tendon_rupture_after_arthroscopic_transfer_for_posterior_superior_rotator_cuff_tear:_a_comparative_analysis_of_3_humeral_head_fixation_techniques L2 - https://linkinghub.elsevier.com/retrieve/pii/S1058-2746(19)30460-4 DB - PRIME DP - Unbound Medicine ER -