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Latissimus Dorsi Tendon Transfer

  • Moira M. McCarthyEmail author
  • Russell F. Warren
Chapter

Abstract

Massive, irreparable rotator cuff tears represent a small but important clinical problem. Chronic debilitating pain, dysfunction, and weakness in the setting of an irreparable rotator cuff tear may be an indication for a latissimus dorsi tendon transfer to the greater tuberosity to restore forward elevation and external rotation to the shoulder. This procedure should be performed in young, active, highly motivated patients with subscapularis and deltoid competency and without significant superior humeral head migration or glenohumeral arthritis. The anatomy of the axilla and chest wall must be respected to avoid neurovascular injury and denervation of the muscle during latissimus tendon harvest and transfer. Superior outcomes are achieved in male patients who experience pain relief and gains in forward elevation and external rotation motion and strength. Adherence to patient indications as well as contraindications is important, as is management of postoperative expectations and appropriate rehabilitation. The latissimus dorsi tendon transfer is an appropriate surgical procedure to provide improved motion and strength in some patients with massive, irreparable posterosuperior rotator cuff tears.

Keywords

Rotator Cuff Latissimus Dorsi Rotator Cuff Tear Axillary Nerve Tendon Transfer 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Sports Medicine and Shoulder SurgeryHospital for Special SurgeryNew YorkUSA
  2. 2.Department of OrthopaedicsHospital for Special SurgeryNew YorkUSA

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