Tendon Transfer for Posterosuperior Cuff: Latissimus Dorsi Transfer
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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.
KeywordsMuscle transfer Latissimus dorsi Transfer Rotator cuff
- 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