Latissimus Dorsi Transfer for the Treatment of Massive Tears of the Rotator Cuff A Preliminary Report

Gerber, Christian; Vinh, Tho Son; Hertel, R.; Heß, Christian

doi:10.1097/00003086-198807000-00008

Cited by 392 publications

(334 citation statements)

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“…For treatment of posterosuperior rotator cuff tears, Gerber et al [8,11] and others [1,12,16,23] have described transfer of the latissimus dorsi tendon sutured to the insertion site of the supraspinatus tendon using a twoincision technique.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Cofield used the term massive for all tears exceeding 5 cm [4]. Gerber et al classified massive cuff tears according to their reparability [8,11]. In this classification if the cuff edges cannot be reduced without extensive tension when the arm is abducted to 60°, it is classified as Type III or massive [8,11].…”

Section: Introductionmentioning

confidence: 99%

“…Gerber et al classified massive cuff tears according to their reparability [8,11]. In this classification if the cuff edges cannot be reduced without extensive tension when the arm is abducted to 60°, it is classified as Type III or massive [8,11]. A later modification of the classification added consideration of the extent of the tear suggesting that lesions involving at least two entire tendons were determined as massive [9,10].…”

Section: Introductionmentioning

confidence: 99%

“…Gerber et al reported that the functional deficits of a posterosuperior cuff tear and the neurologic cuff deficiency resulting from suprascapular nerve lesions seen in brachial plexus palsies are comparable [11]. This concept led the senior author (HP) to perform a modified L'Episcopo technique to restore the loss of external rotation in patients with massive posterosuperior rotator cuff tears.…”

Section: Introductionmentioning

confidence: 99%

“…This concept led the senior author (HP) to perform a modified L'Episcopo technique to restore the loss of external rotation in patients with massive posterosuperior rotator cuff tears. The technique, the original latissimus dorsi transfer described by Gerber et al [11], used the tendon of the latissimus dorsi to reconstruct the posterior and superior parts of the cuff, through two incisions. In contrast, the modified technique presented in the current study aims to restore the posterior rotator cuff structures thereby restoring external rotation, but it is performed using one incision.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Modified L'Episcopo Tendon Transfers for Irreparable Rotator Cuff Tears: 5-year Followup

Gerhardt

Lehmann

Lichtenberg³

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Patients with posterosuperior cuff tears lose functional external rotation of the shoulder. Latissimus dorsi and teres major transfer is performed to restore external rotation. Twenty patients with a mean age was 55.8 ± 6 years underwent this procedure and were examined at averages of 24.7 (n = 17) and 70.6 (n = 13) months. Two patients did not improve presumably because of failure of the transfer. The Constant and Murley score increased from 55.6 to 90.4 after 2 years and to 87.9 after 5 years. The mean active flexion increased from 119.4°to 169.3°and reached 170°after 5 years, and mean external rotation increased from 12°to 35°, finally reaching 23°.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Modified L'Episcopo Tendon Transfers for Irreparable Rotator Cuff Tears: 5-year Followup

Gerhardt

Lehmann

Lichtenberg³

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Elevator muscle of the tendon of latissimus dorsi muscle

Sol

Olave

2005

Clinical Anatomy

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Muscular dispositions in the axilla acquire importance under certain surgical procedures that involve the axillary artery ligature. These supernumerary muscles make the approach to the axillary fossa and their content difficult. We dissected 108 formalized corpses from adult male individuals. The specimens belong to the topographic Anatomy Unit of the Faculty of Medicine, Universidad de La Frontera, Chile. In all dissections, a rare and infrequent muscular variation attributed to the presence of a elevator muscle at the dorsal part of the latissimus muscle on the right upper limb from an adult individual was found. This muscle was fusiform and originated at the coracoid process by a short tendon of cylindrical form inserted in the dorsal superior part of the tendon of the latissimus dorsi muscle. Muscular belly and tendons of origin and insertion were closely related to the brachial plexus and the axillar vessels that they crossed.

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Effect of experimental suprascapular nerve block on active glenohumeral translations in vivo

Werner

Weishaupt

Blumenthal

et al. 2006

Journal Orthopaedic Research

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Static superior shoulder instability is associated with long-standing rotator cuff tears. Factors or mechanisms which can prevent superior migration of the humeral head, and therefore allow preservation or restoration of shoulder function despite nonanatomical cuff repair, are poorly understood. The question has therefore arisen, whether centering of the humeral head was the result of active shoulder muscle function. It was the goal of this experimental investigation to (1) determine the pattern of glenohumeral translations during active shoulder abduction measured by openmagnetic resonance imaging (MRI) techniques, and to (2) determine the influence of experimental paralysis of the infra-and supraspinatus muscles on these translations. In contrast to prior experimental investigations, the humeral head remained always centered in the glenoid fossa during active abduction. No superior migration of the humeral head could be provoked with experimental paralysis of the supra-and/or infraspinatus muscles. The hypothesis that static or dynamic superior humeral head displacement is prevented by active-supra-and/or infraspinatus muscle function must therefore be rejected, for the shoulder with a structurally intact muscle-tendon-bone unit.

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Latissimus Dorsi Transfer for the Treatment of Massive Tears of the Rotator Cuff A Preliminary Report

Cited by 392 publications

References 0 publications

Modified L'Episcopo Tendon Transfers for Irreparable Rotator Cuff Tears: 5-year Followup

Modified L'Episcopo Tendon Transfers for Irreparable Rotator Cuff Tears: 5-year Followup

Elevator muscle of the tendon of latissimus dorsi muscle

Effect of experimental suprascapular nerve block on active glenohumeral translations in vivo

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