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Massive, Irreparable Rotator Cuff Tears Treated with an Arthroscopic-Assisted Latissimus Dorsi Tendon Transfer: Indications, Surgical Technique, and Outcomes

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Shoulder Arthroplasty

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Abstract

Irreparable posterosuperior rotator cuff tears represent a surgical challenge. Several surgical procedures have been proposed for young patients with irreparable posterosuperior rotator cuff tears, such as rotator cuff debridement, biceps tenotomy/tenodesis, tuberoplasty, partial rotator cuff repair, rotator cuff grafting, latissimus dorsi tendon transfer, and reverse total shoulder arthroplasty. Arthroscopic-assisted latissimus dorsi tendon transfer has been shown to provide satisfactory results with no progression of glenohumeral osteoarthritis and no subacromial space reduction. Here we describe indications, surgical technique, and outcomes of the aforementioned surgical technique.

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Authors and Affiliations

  1. Department of Orthopaedic and Trauma Surgery, Magna Graecia University, Catanzaro, Italy

    Filippo Familiari, Olimpio Galasso, Raffaella Russo & Giorgio Gasparini

  2. Department of Orthopaedic and Trauma Surgery, Villa Maria Cecilia Hospital, Cotignola, Italy

    Roberto Castricini

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  1. Filippo Familiari
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  2. Roberto Castricini
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  3. Olimpio Galasso
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  4. Raffaella Russo
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  5. Giorgio Gasparini
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Editors and Affiliations

  1. Orthopaedics & Traumatology, Hacettepe University School of Medicine Orthopaedics & Traumatology, Ankara, Turkey

    Gazi Huri

  2. Department of Orthopedic Surgery, Villa del Sole Clinic and Magna Graecia University of Catanzaro, Catanzaro, Italy

    Filippo Familiari

  3. Orthopedic Department, Chosun University Hospital Orthopedic Department, Gwangju, Korea (Republic of)

    Young Lae Moon

  4. Department of Orthopedics & Traumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Mahmut Nedim Doral

  5. II Clinica Ortopedica & Laboratory Biomeccanica, IRCCS Istituto Ortopedico Rizzoli - University of Bologna, Bologna, Italy

    Giulio Maria Marcheggiani Muccioli

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Familiari, F., Castricini, R., Galasso, O., Russo, R., Gasparini, G. (2020). Massive, Irreparable Rotator Cuff Tears Treated with an Arthroscopic-Assisted Latissimus Dorsi Tendon Transfer: Indications, Surgical Technique, and Outcomes. In: Huri, G., Familiari, F., Moon, Y.L., Doral, M.N., Marcheggiani Muccioli, G.M. (eds) Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-19285-3_13

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