Latissimus Dorsi Transfer to Irreparable Anterosuperior Lesions to the Rotator Cuff: Description of Surgical Technique.

Autor:	Simionato IF; Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Santa Casa de Porto Alegre, Porto Alegre, RJ, Brasil., Matsumoto FY; Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Santa Casa de Porto Alegre, Porto Alegre, RJ, Brasil., Britto AG; Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Santa Casa de Porto Alegre, Porto Alegre, RJ, Brasil., Ferreira MT; Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Santa Casa de Porto Alegre, Porto Alegre, RJ, Brasil., Eichenberg AH; Departamento de Ortopedia e Traumatologia, Clínica Conex, Ijuí, RS, Brasil., Mothes FC; Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Santa Casa de Porto Alegre, Porto Alegre, RJ, Brasil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2021 Oct 28; Vol. 56 (5), pp. 671-674. Date of Electronic Publication: 2021 Oct 28 (Print Publication: 2021).
DOI:	10.1055/s-0041-1726060
Abstrakt:	Lesions to the shoulder rotator cuff may have several configurations, and are divided and classified according to the size of the lesion, the tendon involved, its combinations and whether there is possibility of repair. Irreparable subscapular lesions, as well as irreparable anterosuperior lesions, may generate shoulder dysfunction due to loss of humeral head depressants, causing pain and functional limitation. Myotendinous transfers are among the therapeutic alternatives, and the most studied and widespread in recent decades is the transfer of the pectoralis major to the minor tuberosity. However, some anatomical studies suggest that the latissimus dorsi is a more appropriate alternative for the treatment of these lesions because it presents force vectors more similar to those of the subscapularis, besides presenting promising results in the clinical evaluations with short follow-up. The present work aims to describe the surgical technique developed for transfer of the latissimus dorsi in cases of irreparable subscapular and anterossuperior lesions to the rotator cuff. Competing Interests: Conflito de Interesses Os autores declaram não haver conflito de interesses. (Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze:	MEDLINE
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