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Tendon Transfer for Posterosuperior Cuff: Latissimus Dorsi Transfer

  • Frank Martetschläger
Chapter
  • 82 Downloads

Abstract

Transfer of the tendon of latissimus dorsi (LDT) muscle for the treatment of irreparable posterosuperior tears was introduced by Gerber et al. in 1988 in order to provide containment of the humeral head inside the glenohumeral joint and to regain control of external rotation. Since then, several different modifications of the technique have been introduced, using one or two incisions for the flap harvesting and reattachment. Long-term follow-up studies have shown a reliable value of the procedure in a strictly selected patient cohort. Therefore, the latissimus dorsi transfer is still a valuable procedure for experienced shoulder surgeons in the field of irreparable rotator cuff tears.

Keywords

Muscle transfer Latissimus dorsi Transfer Rotator cuff 

References

  1. 1.
    Gerber C, Vinh TS, Hertel R, Hess CW. Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff. A preliminary report. Clin Orthop Relat Res. 1988;232:51–61.Google Scholar
  2. 2.
    Habermeyer P, Magosch P, Rudolph T, Lichtenberg S, Liem D. Transfer of the tendon of latissimus dorsi for the treatment of massive tears of the rotator cuff: a new single-incision technique. J Bone Joint Surg Br. 2006;88(2):208–12.CrossRefGoogle Scholar
  3. 3.
    El-Azab HM, Rott O, Irlenbusch U. Long-term follow-up after latissimus dorsi transfer for irreparable posterosuperior rotator cuff tears. J Bone Joint Surg Am. 2015;97(6):462–9.CrossRefGoogle Scholar
  4. 4.
    Gerber C, Rahm SA, Catanzaro S, Farshad M, Moor BK. Latissimus dorsi tendon transfer for treatment of irreparable posterosuperior rotator cuff tears: long-term results at a minimum follow-up of ten years. J Bone Joint Surg Am. 2013;95(21):1920–6.CrossRefGoogle Scholar
  5. 5.
    Irlenbusch U, Bracht M, Gansen HK, Lorenz U, Thiel J. Latissimus dorsi transfer for irreparable rotator cuff tears: a longitudinal study. J Shoulder Elb Surg. 2008;17(4):527–34.CrossRefGoogle Scholar

Copyright information

© ESSKA 2020

Authors and Affiliations

  • Frank Martetschläger
    • 1
  1. 1.German Center for Shoulder SurgeryATOS ClinicMunichGermany

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