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Surgical Indications for Latissimus Dorsi Tendon Transfer

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Latissimus Dorsi Transfer

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Abstract

Latissimus dorsi tendon transfer is currently the most commonly used transposition technique in shoulder surgery and can be performed using both an open technique—the first described—and an arthroscopic approach. This versatile transfer is indicated in cases of irreparable massive posterosuperior rotator cuff tears. This is the most common use of this tendon transfer. The authors explain what is meant by irreparability of a rotator cuff tear and what preoperative conditions can best satisfy this indication for latissimus dorsi tendon transfer. They also specify that concomitant irreparable subscapularis tear and clinically overt osteoarthritis or progressive chondropathy are contraindications to use of the technique. Surgeons have recently also started using latissimus dorsi tendon transfer in patients with irreparable subscapularis tears. In this case, the tendon fully satisfies all transfer suitability criteria and consequently probably represents its most elective indication. Indeed, in addition to improving articular function, it also helps to stabilise the joint against the progressive anteroinferior instability caused by the tear.

The last and rarest indication for latissimus dorsi tendon transfer is in combination with joint replacement surgery, in an attempt to improve external rotation and elevation mobility.

The standardised, routinely performed arthroscopic technique preferred by the authors, considering the now long-term results, has proven to be reliable and, given its advantages, is far more than an alternative to the classic open technique.

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References

  1. Maxwell G. Iginio Tansini and the origin of the latissimus dorsi musculotaneous flap. Plast Reconstr Surg. 1980;65:686–92.

    Article  CAS  PubMed  Google Scholar 

  2. Hidalgo DA. Latissimus dorsi free flaps. In: Shaw WW, Hidalgo DA, editors. Microsurgery in Trauma, vol. 21. Mount Kisco, NY: Futura Publishing Co. Inc.; 1987. p. 245–56.

    Google Scholar 

  3. Gerber C, Vinh TS, Hertel R, Hess CW. Latissumus dorsi transfer for the treatment of massive tears of the rotatr cuff. A preliminary report. Clin Orthop Relat Res. 1988;232:51–61.

    Google Scholar 

  4. Rockwood CA Jr, Williams GR Jr, Burkhead WZ Jr. Debridement of degenerative irreparable lesions of the rotator cuff. J Bone Joint Surg Am. 1995;77:857–66.

    Article  PubMed  Google Scholar 

  5. Warner JJ. Management of massive irreparable rotator cuff tears: the role of tendon transfer. Istr Course Lect. 2001;50:63–71.

    CAS  Google Scholar 

  6. Goutallier D, Postel JM, Bernageau J, Levau L, Voisin MC. Fatty muscle degeneration in cuff ruptures:pre- and postoperative evaluation by CT scan. Clin Orthop And Relat Res. 1994;304:78–83.

    Google Scholar 

  7. Fuchs B, Weishaupt D, Zanetti M, Hodler J, Gerber C. Fatty degeneration of the muscles of the rotator cuff assessment by computed tomography versus magnetic resonance imaging. J Shoulder Elb Surg. 1999;8(6):599–605.

    Article  CAS  Google Scholar 

  8. Gervasi E, Cautero E, Tancredi G, Spicuzza A. Rotture della cuffia dei rotatori:transfer tendinei con tecnica artroscopica. Artroscopia base ed avanzata. CIC Edizioni Internazionali. 69:559–66.

    Google Scholar 

  9. Nakagaki K, et al. Fatti degeneration in the supraspinatus muscle after rotator cuff tear. J Shoulder Elb Surg. 1996;5(3):194–200.

    Article  CAS  Google Scholar 

  10. Gladstone JN, Bishop JY, Flatow EL. Fatty infiltration and atrophy of thr rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome. AmJ Sports Med. 2007;35(5):719–28.

    Article  Google Scholar 

  11. Hamada K, Fukuda H, Mikasa M, Kobayashi Y. Roentgenographic findings in massive rotator cuff tears. A long term observation. Clin Orthop Relat Res. 1990;254:92–6.

    Google Scholar 

  12. Dwyer T, Razmjou H, Henry P, Gosselin-Fournier S, Holtby R. Association between pre-operativemagnetic resonance imaging and reparability of large and massive rotator cuff tears. Knee Surg Sports Traumatol Arthrosc. 2013;23(2):415–22.

    Article  PubMed  Google Scholar 

  13. Castricini R, De Benedetto M, Orlando N, Gervasi E, Castagna A. Irreparable rotator cuff tears: a novel classification system. Musculoskelet Surg. 2014;98(Suppl 1):49–53.

    Article  PubMed  Google Scholar 

  14. Curtis AS, BurbanK KM, Tierney JJ, Scheller AD, Curran AR. The inserctional foot print of the rotator cuff: an anatomic study. Athroscopy. 2006;22(6):603–9.

    Article  Google Scholar 

  15. Gervasi E, Cautero E, Parodi PC, ,Raimondo D, Tancredi G. Arthorscopic latissimus dorsi transfer. Arthoroscopy 2007 23(11):1243.e. 1-4

    Google Scholar 

  16. Costourus JG, Espinosa N, Schmid MR, Gerber C. Teres minor integrity predicts outcome of latissimus dorsi tendon transfer for irreparable rotator cuff tears. J Shoulder Elb Surg. 2007;16:727–34.

    Article  Google Scholar 

  17. Gerber C, Maquiera G, Espinosa N. Latissimus dorsi transfer for the treatment of iireparable rotator cuff tears. JBone Joint Aurg Am. 2006;88:113–20.

    Google Scholar 

  18. Petriccioli D, Bertone C, Marchi G. Recovery of active external rotation and elevation in young active men with irreparable postero superior rotator cuff tear using arthroscopically assisted latissimus dorsi transfer. J Shoulder Elb Surg. 2016;25(9):265–75.

    Article  Google Scholar 

  19. Paribelli G, Boschi S, Randelli P, Compagnoni R, Leonardi F, Cassarini AM. Clinical outcome of latissimus dorsi tendon transfer and partial cuff repair in irreparable postero-superior rotator cuff tear. Musculoskelet Surg. 2015;99(2):127–32.

    Article  CAS  PubMed  Google Scholar 

  20. Castricini R, De Benedetto M, Familiari F, De Gori M, De Nardo P, Orlando N, Gasparini G, Galasso O. Functional status and failed rotator cuff repair predict outcomes after arthroscopic-assisted latissimus dorsi transfer for irreparable massive rotator cuff tears. J Shoulder Elb Surg. 2016;25(4):658–65.

    Article  Google Scholar 

  21. El Hassan B, Christensen TJ, Wagner ER. Feasabiity of latissimus and teres major transfer to reconstruct Irreparable subscapularis tendon tear: an anatomic study. J Shoulder Elb Surg. 2014;23(4):492–9.

    Article  Google Scholar 

  22. Paribelli G, Boschi S. Partial repair and latissimus dorsi transfer. Relive surg. In: Presentation 7th International S.I.A. Meeting, Venice, Italy, 24–25 Nov 2016.

    Google Scholar 

  23. Gerber C, Pennington SD, Lingenfelter EJ, Sukthankar A. Reverse Delta-III toyal sholder replacement combined with latissimus dorsi transfer. A preliminary report. J Bone Joint Surg Am. 2007;89(5):940–7.

    PubMed  Google Scholar 

  24. Boileau P, Rumian AP, Zumstein MA. Reversed shoulder arthroplasty with modified L’Episcopo for combined loss of active elevation and external rotation. J Shoulder Elb Surg. 2010;19(2 suppl):20–30.

    Article  Google Scholar 

  25. Boughebri O, Kilinc A, Valenti P. Reverse shoulder arthroplasty combined with a latissimus dorsi and teres major transfer for a deficit of both active elevation and external rotation. Results of 15 cases with minimum of 2-year follow up. Orthop Traumatol Surg Res. 2013;99(2):131–7.

    Article  CAS  PubMed  Google Scholar 

  26. Shi LL, Cahill KE, Ek ET, Thompson JD, Higgins LD, Warner JJ. Latissimus dorsi e teres major transfer with reverse shoulder arthroplasty restores active motion and reduces pain for posterosuperior cuff dysfunction. Clin Orthop Relat Res. 2015;473(10):3212–7.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Ospedale Privato Accreditato “Prof. Fogliani”, Via Lana 1, Modena, 41124, Italy

    Stefano Boschi

  2. Ospedale Privato Accreditato “Villa Verde”, Viale Ciccolungo 2, Fermo, 63900, Italy

    Roberto Castricini

  3. Ospedale Privato Accreditato “Domus Nova”, Via Pavirani 44, Ravenna, 48121, Italy

    Gianezio Paribelli

Authors
  1. Stefano Boschi
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  2. Roberto Castricini
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  3. Gianezio Paribelli
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Correspondence to Stefano Boschi .

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Editors and Affiliations

  1. Domus Nova Clinic, Ravenna, Ravenna, Italy

    Gianezio Paribelli

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Boschi, S., Castricini, R., Paribelli, G. (2017). Surgical Indications for Latissimus Dorsi Tendon Transfer. In: Paribelli, G. (eds) Latissimus Dorsi Transfer. Springer, Cham. https://doi.org/10.1007/978-3-319-61946-0_4

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  • DOI: https://doi.org/10.1007/978-3-319-61946-0_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61945-3

  • Online ISBN: 978-3-319-61946-0

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