Pectoralis Major and Anterior Latissimus Dorsi Transfer for Subscapularis Tears
| Autor: | Marion Burnier, Thibault Lafosse |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry medicine.medical_treatment Internal rotation 030229 sport sciences Surgery Tendon body regions 03 medical and health sciences Common tendon 0302 clinical medicine medicine.anatomical_structure Surgical Management of Massive Irreparable Cuff Tears (J Sanchez-Sotelo Section Editor) Orthopedic surgery medicine Tears Orthopedics and Sports Medicine Lesser Tuberosity Range of motion business Reduction (orthopedic surgery) |
| Zdroj: | Curr Rev Musculoskelet Med |
| ISSN: | 1935-9748 |
| DOI: | 10.1007/s12178-020-09674-4 |
| Popis: | PURPOSE OF REVIEW: Irreparable subscapularis tears represent a challenging entity, especially when they occur in younger patients with high functional demands. Tendon transfers are one of the options considered for surgical management for this pathology. The purpose of this article is to review the surgical technique and outcome of the two most common tendon transfers considered for irreparable subscapularis tears: pectoralis major and latissimus dorsi. RECENT FINDINGS: Transfer of the pectoralis major has been considered for decades the transfer of choice for irreparable subscapularis tears. Recently, a series with long-term follow-up (over 18 years) supported the reduction in pain and improvement in functional scores and patient satisfaction after pectoralis major transfer. However, the range of motion and the force in internal rotation were not maintained over time. Transfer of the latissimus dorsi to the lesser tuberosity has been recently described as an alternative with a sound biomechanical rationale and encouraging short-term results. SUMMARY: Transfer of the pectoralis major and the transfer of latissimus dorsi to the lesser tuberosity are the two transfers most commonly considered for patients with irreparable subscapularis tears. Transfer of the pectoralis major has a much longer track record. Both procedures seem to improve outcomes. Comparative studies are needed to determine the relative indications of these two procedures. |
| Databáze: | OpenAIRE |
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