Changes in in vivo three dimensional shoulder kinematics following latissimus dorsi tendon transfer for irreparable posterosuperior rotator cuff tears: A systematic review with meta-analysis.

Autor: La Banca V; Midwest Orthopedics at Rush, Rush University Medical Center, 1611 West Harrison St, Chicago, IL, USA; Instituto Brasil de Tecnologia da Saúde, R.Visc de Pirajá, 407, Rio de Janeiro, RJ, Brazil; Disciplina de Ortopedia, Centro Universitário Faculdade de Medicina do ABC (FMABC), Av. Lauro Gomes, 2000, Santo André, SP, Brazil. Electronic address: labanca.vitor@gmail.com., Bonadiman JA; Midwest Orthopedics at Rush, Rush University Medical Center, 1611 West Harrison St, Chicago, IL, USA; Instituto Brasil de Tecnologia da Saúde, R.Visc de Pirajá, 407, Rio de Janeiro, RJ, Brazil. Electronic address: joaoartur10@gmail.com., Gonzalez FF; Midwest Orthopedics at Rush, Rush University Medical Center, 1611 West Harrison St, Chicago, IL, USA; Instituto Brasil de Tecnologia da Saúde, R.Visc de Pirajá, 407, Rio de Janeiro, RJ, Brazil. Electronic address: felipe_gonzalez@rush.edu., Gustafson JA; Midwest Orthopedics at Rush, Rush University Medical Center, 1611 West Harrison St, Chicago, IL, USA; Instituto Brasil de Tecnologia da Saúde, R.Visc de Pirajá, 407, Rio de Janeiro, RJ, Brazil. Electronic address: Jonathan_A_Gustafson@rush.edu., Leporace G; Instituto Brasil de Tecnologia da Saúde, R.Visc de Pirajá, 407, Rio de Janeiro, RJ, Brazil; Depto. de Diagnóstico por Imagem - Escola Paulista de Medicina, Universidade Federal de São Paulo, R. Napoleão de Barros, 800, São Paulo, SP, Brazil. Electronic address: gustavo@biocinetica.com.br., Garrigues GE; Midwest Orthopedics at Rush, Rush University Medical Center, 1611 West Harrison St, Chicago, IL, USA. Electronic address: grant.garrigues@rushortho.com., Chahla J; Midwest Orthopedics at Rush, Rush University Medical Center, 1611 West Harrison St, Chicago, IL, USA. Electronic address: jorge.chahla@rushortho.com., Metsavaht L; Instituto Brasil de Tecnologia da Saúde, R.Visc de Pirajá, 407, Rio de Janeiro, RJ, Brazil. Electronic address: leo@metsavaht.com.br.
Jazyk: angličtina
Zdroj: Clinical biomechanics (Bristol, Avon) [Clin Biomech (Bristol, Avon)] 2024 Jan; Vol. 111, pp. 106148. Date of Electronic Publication: 2023 Nov 14.
DOI: 10.1016/j.clinbiomech.2023.106148
Abstrakt: Background: Latissimus dorsi transfer is a surgical procedure that can be used for treating posterosuperior rotator cuff tears. The procedure leads to improved shoulder function via alterations in the force vector couple around the shoulder. However, there is still no consensus on the biomechanical changes resulting from latissimus dorsi transfer.
Methods: We performed a systematic review of the literature on 3D motion analysis studies evaluating the effects of latissimus dorsi transfer on shoulder kinematics. The available data on segment and joint range of motion was extracted and subject to meta-analysis when consistent across the studies.
Findings: Our meta-analysis of pre- and post-operative studies revealed a significant improvement in forward flexion and abduction following latissimus dorsi transfer. When comparing the latissimus transferred shoulder with an uninjured contralateral side the meta-analysis found no significant difference in flexion range of motion, while abduction and external rotation was significantly higher in the uninjured shoulders. The overall risk of bias was moderate to high. High heterogeneity was found in the reporting of data, which limited our ability to perform a meta-analysis across the studies for all interest outcomes.
Interpretations: Our findings suggest that latissimus dorsi transfer for posterosuperior rotator cuff tears effectively improves shoulder flexion and abduction. External rotation is also expected to improve but at inferior levels as compared to the unaffected side. However, the heterogeneity of the reported data on 3D motion analysis studies highlights the need for better standardization in research and reporting as to conclude the impact of different joints.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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