Incidence of shoulder functional morbidity following ipsilateral mastectomy and latissimus dorsi flap reconstruction

Abstract

IntroductionThe aim of this study was to investigate the incidence of shoulder morbidity in our cohort of patients with latissimus dorsi flap reconstruction after mastectomy.MethodsThis is a retrospective study of prospectively collected data of 72 patients using validate Oxford shoulder score for function and quickDASH score for disability. Scores were collected preoperatively and at time of final review or study. We also reviewed patient records for patients who had a formal diagnosis of shoulder pathology. Results were analysed with student t-test.ResultsAnalysis of scores showed a statistically significant worsening of both oxford shoulder score (p < 0.005) and quickDASH score (p < 0.005), when pre and post-operative scores were compared. Seven patients had a formal diagnosis of shoulder pathology, and all of them recovered well. There was no significant difference in oxford shoulder score or quickDASH scores between patients with or without shoulder pathology. About 40% patients had some functional loss or disability at 4 years after the surgery.ConclusionOur study shows a high incidence of significant shoulder functional morbidity following latissimus dorsi flap reconstruction but number of patients requiring specific treatment is low.Level of evidenceLevel IV, therapeutic study.

Thoracodorsal artery flaps for breast reconstruction–the variants and its approach

“…The finding of LD harvest-associated morbidity is supported by systematic reviews of the literature on LD flaps [39,40]. However, the evidence on functional morbidity associated with LD flap harvest is still ambiguous [22,37,[40][41][42][43]. The follow-up time in most studies examining morbidities and consequences of harvesting the LD flap is relatively short.…”

Gambaran Tingkat Disabilitas dan Keterbatasan Gerak Sendi Bahu Pasien Kanker Payudara Pasca Mastektomi Unilateral di RSUP Dr. Hasan Sadikin Bandung Tahun 2019

“…Selanjutnya skor tersebut akan diklasifikasikan berdasarkan tingkat disabilitasnya menjadi tidak ada disabilitas (0), disabilitas minimum (1-20), disabilitas ringan (21-40), disabilitas sedang (41-60), dan disabilitas berat (>60). 10 Pengukuran lingkup gerak sendi dilakukan sendiri oleh peneliti menggunakan goniometer dan prosedur terstandarisasi pada gerak abduksi, fleksi, dan rotasi eksternal kompleks sendi bahu pada lengan operasi pasien. Hasil pengukuran diklasifikasikan menjadi pasien dengan lingkup gerak sendi normal dan pasien dengan penurunan lingkup gerak sendi.…”

Motor Control Evaluation as a Significant Component in Upper Limb Function Assessment in Female Breast Cancer Patients after Mastectomy

“…The advances in surgical techniques and minimizing their invasiveness result in less severe tissue damage in the operated areas. The complications including chronic pain, upper limb and chest lymphedema, range of motion limitations, and motor control deficiencies may lead to upper limb function impairment and affect the quality of life negatively [5][6][7]. It is common that the patients experience fear of upper limb use in daily life even many years after the treatment [8].…”

“…It is common that the patients experience fear of upper limb use in daily life even many years after the treatment [8]. Clinical experience suggests that a number of upper limb function impairments may appear after a prolonged period of time [6,9]. To maintain the functional level of the upper limb, multiple elements of the movement system need to perform accordingly [10].…”