Arthroscopic repair of an avulsed latissimus dorsi tendon transfer for massive, irreparable rotator cuff tear: a report of two cases.

Journal of Shoulder and Elbow Surgery(2014)

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摘要
Chronic, massive tears of the rotator cuff can cause significant pain and loss of function. Although some patients with massive tears of the rotator cuff respond well to nonoperative therapy, others progress to debilitating pain despite nonsurgical measures. 10 Tashjian R.Z. Epidemiology, natural history, and indications for treatment of rotator cuff tears. Clin Sports Med. 2012; 31: 589-604https://doi.org/10.1016/j.csm.2012.07.001 Abstract Full Text Full Text PDF PubMed Scopus (393) Google Scholar Depending on the quality of the residual tendon or the presence of fatty infiltration of the rotator cuff musculature, or both, adequate repair may be unsuccessful or impossible. 3 Galatz L.M. Ball C.M. Teefey S.A. Middleton W.D. Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004; 86-A: 219-224 PubMed Google Scholar , 8 Jost B. Pfirrmann C.W. Gerber C. Switzerland Z. Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am. 2000; 82: 304-314 Crossref PubMed Google Scholar Transfer of the latissimus tendon remains a viable option for patients with irreparable posterior-superior rotator cuff tears who have weakness in forward elevation and external rotation with or without severe pain. 2 Birmingham P.M. Neviaser R.J. Outcome of latissimus dorsi transfer as a salvage procedure for failed rotator cuff repair with loss of elevation. J Shoulder Elbow Surg. 2008; 17: 871-874https://doi.org/10.1016/j.jse.2008.04.007 Abstract Full Text Full Text PDF PubMed Scopus (64) Google Scholar , 4 Gerber C. Maquieira G. Espinosa N. Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am. 2006; 88: 113-120https://doi.org/10.2106/JBJS.E.00282 Crossref PubMed Scopus (340) Google Scholar , 14 Warner J.J. Parsons I.M. Latissimus dorsi tendon transfer: a comparative analysis of primary and salvage reconstruction of massive, irreparable rotator cuff tears. J Shoulder Elbow Surg. 2001; 10: 514-521https://doi.org/10.1067/mse.2001.118629 Abstract Full Text Full Text PDF PubMed Scopus (223) Google Scholar
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irreparable rotator cuff tear,arthroscopic repair
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