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Arthroscopic-assisted Latissimus Dorsi Tendon Transfer for the Management of Irreparable Rotator Cuff Tears in Middle-aged Physically Active Patients
Clinics in Shoulder and Elbow ; : 9-15, 2019.
Article in English | WPRIM | ID: wpr-739754
ABSTRACT

BACKGROUND:

Latissimus dorsi (LD) tendon transfer is used as a treatment option for massive irreparable posterosuperior rotator cuff tears, and recently, an arthroscopic-assisted technique was introduced. This study was undertaken to evaluate the clinical and radiological outcomes of arthroscopic-assisted LD tendon transfer for the management of irreparable rotator cuff tears in active middle-aged patients.

METHODS:

The records of five patients (two males) with irreparable tears involving the supraspinatus and infraspinatus tendons managed by arthroscopic-assisted LD tendon transfer were retrospectively reviewed. Clinical outcomes were assessed using the visual analogue scale (VAS) pain scale, American Shoulder and Elbow Surgeon's (ASES) scores, the University of California Los Angeles (UCLA) scale, and ranges of motion. Postoperative integrities of transferred tendon were evaluated by magnetic resonance imaging in 4 patients and by ultrasound in one.

RESULTS:

Mean patient age was 55 years (range, 48–61 years), and mean follow-up period was 20 months (range, 12.0–27.2 months). Mean VAS score significantly improved from 6.6 ± 2.6 preoperatively to 1.8 ± 2.5 postoperatively (p=0.009), mean ASES score increased from 67.6 ± 9.2 to 84.6 ± 15.1, and mean UCLA score from 18.0 ± 1.4 to 28.8 ± 8.5 (all p<0.001). Postoperative imaging of the transferred LD tendon showed intact repair in 4 patients. The remaining patient experienced LD transfer rupture and a poor outcome.

CONCLUSIONS:

Arthroscopic-assisted LD tendon transfer improved shoulder pain and function in patients with massive, irreparable rotator cuff tears, and may be an option for this condition, especially in physically active patients.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Rupture / Shoulder / Tears / Tendon Transfer / Tendons / Magnetic Resonance Imaging / California / Retrospective Studies / Follow-Up Studies / Ultrasonography Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Clinics in Shoulder and Elbow Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Rupture / Shoulder / Tears / Tendon Transfer / Tendons / Magnetic Resonance Imaging / California / Retrospective Studies / Follow-Up Studies / Ultrasonography Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: Clinics in Shoulder and Elbow Year: 2019 Type: Article