Recovery of active external rotation and elevation in young active men with irreparable posterosuperior rotator cuff tear using arthroscopically assisted latissimus dorsi transfer

Petriccioli, Dario; Bertone, Celeste; Marchi, Giacomo

doi:10.1016/j.jse.2015.12.011

Cited by 44 publications

(34 citation statements)

References 51 publications

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“… 5 , 18 Both De Casas et al 8 and Kanatli et al 19 reported successful outcomes in 75% and 93% of their patients, respectively, who experienced preoperative pseudoparalysis. Additionally, Petriccioli et al 28 reported that 5 of their patients with preoperative pseudoparalysis experienced an average increase in forward flexion by 105°, remarking that pseudoparalysis resolved postoperatively and that arthroscopic-assisted LDTT may have a beneficial role in this population. Kanatli et al 19 theorized that the favorable results in the pseudoparalytic population may be attributed to the dual roles of the latissimus dorsi tendon of not only serving the function of the torn rotator cuff tendons but also providing a depressive force on the humeral head, maintaining its optimal anatomic position within the glenoid.…”

Section: Discussionmentioning

confidence: 99%

“…Massive rotator cuff tears (MRCTs) are defined as rotator cuff lesions with a diameter greater than 5 cm 6 , 7 or involving the detachment of at least 2 entire tendons, 10 and they can be associated with significant pain and functional impairment. Indeed, MRCTs are challenging abnormalities to manage, and in approximately 10% of these cases, 28 the injury may be irreparable, as defined by grade 3 retraction (a minimum of >3 cm lateral to medial) according to the Patte classification 26 and grade 3 fatty infiltration according to the Fuchs classification. 9 As tear size progresses, the torn rotator cuff is unable to stabilize the glenohumeral joint, leading to superior migration of the humeral head and eventually to rotator cuff arthropathy.…”

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confidence: 99%

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Arthroscopic-Assisted Latissimus Dorsi Tendon Transfer for Massive Rotator Cuff Tears: A Systematic Review

Memon

Kay

Quick

et al. 2018

Orthopaedic Journal of Sports Medicine

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Background:Arthroscopic-assisted latissimus dorsi tendon transfer (LDTT) has shown promising results with good outcomes in patients with massive rotator cuff tears (MRCTs), as reported by individual studies. However, to the best of the authors’ knowledge, no systematic review has been performed to assess the collective outcomes of these individual studies.Purpose/Hypothesis:The primary purpose of this study was to assess patient outcomes after arthroscopic-assisted LDTT for the management of MRCTs. The secondary objectives were to report on the management of MRCTs, including diagnostic investigations, surgical decision making, and arthroscopic techniques, as well as to evaluate the quality of evidence of the existing literature. It was hypothesized that nearly all patients were satisfied with arthroscopic-assisted LDTT and that they experienced improvements in pain symptoms, function, and strength after the procedure, with an overall complication rate of less than 10%.Study Design:Systematic review; Level of evidence, 4.Methods:The databases MEDLINE, Embase, and PubMed were searched from database inception (1946) until August 18, 2017, with titles, abstracts, and full-text articles screened independently by 2 reviewers. Inclusion criteria were English-language studies investigating arthroscopic-assisted LDTT for the management of MRCTs on patients of all ages. Conference papers, book chapters, review articles, and technical reports were excluded. The quality of the included studies was categorized by level of evidence and the Methodological Index for Non-Randomized Studies (MINORS) checklist.Results:In total, 8 studies (7 case series [median MINORS score, 7 of 16] and 1 prospective comparative study [median MINORS score, 14 of 24]) were identified; the studies included 258 patients (258 shoulders) with MRCTs treated with LDTT using arthroscopic-assisted techniques. The decision to pursue surgery was based on both clinical findings and investigations in 5 studies, investigations only in 2 studies, and clinical findings only in 1 study. Overall, 88% of patients were satisfied with the results of surgery and experienced significant improvement in their symptoms, including shoulder pain, strength, range of motion, and overall function, over a mean follow-up period of 34.3 months. Overall, there was a low rate of complications (7%) associated with the procedure.Conclusion:Arthroscopic-assisted LDTT for MRCTs provides patients with marked improvement in shoulder pain, strength, and function, and the procedure is associated with a low risk of complication. Further high-quality comparative studies are warranted to validate these findings in comparison with other operative techniques.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Arthroscopic-Assisted Latissimus Dorsi Tendon Transfer for Massive Rotator Cuff Tears: A Systematic Review

Memon

Kay

Quick

et al. 2018

Orthopaedic Journal of Sports Medicine

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“…Large to massive tears of rotator cuff tendons usually cause atrophy and fatty degeneration of the rotator cuff muscles and painful loss of shoulder function. Several treatment options for large to massive rotator cuff tears (RCTs) exist; they include arthroscopic partial repair, 1 , 2 , 3 tuberoplasty, 4 , 5 debridement 3 , 6 with possible biceps tenotomy, tenodesis or augmentation, 7 , 8 tendon transfer, 9 , 10 , 11 superior capsular reconstruction, 12 , 13 , 14 , 15 , 16 patch augmentation, 17 , 18 , 19 , 20 bridging rotator cuff reconstruction with a graft, 21 and reverse total shoulder arthroplasty. 22 , 23 , 24 Despite all of these options, large to massive RCTs are still difficult to manage and treat effectively.…”

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confidence: 99%

Arthroscopic In Situ Superior Capsular Reconstruction Using the Long Head of the Biceps Tendon

Kim

Lee

Park

et al. 2018

Arthroscopy Techniques

122

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Large to massive rotator cuff tears are challenging to repair, although there are several options for dealing with them. Among them, superior capsular reconstruction was recently introduced as an effective procedure for retaining the static stability of the shoulder joint and preventing the progression to cuff tear arthropathy. The purpose of this technique-based article is to describe a surgical option, called arthroscopic in situ superior capsular reconstruction, for large to massive rotator cuff tears using the long head of the biceps tendon.

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“… 7 Furthermore, one recent study found that latissimus dorsi tendon transfer is especially effective in active patients aged under 60 years. 8 These findings are useful in guiding patient selection for our surgical technique.…”

Section: Discussionmentioning

confidence: 94%

Latissimus Dorsi Tendon Transfer With Acromial Osteotomy for Massive Irreparable Rotator Cuff Tear

Pagani

Cusano

2018

Arthroscopy Techniques

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Latissimus dorsi tendon transfer is an effective option for young and active patients with massive irreparable posterosuperior rotator cuff tears and intact subscapularis tendon. This approach has been shown to relieve pain and improve shoulder function in both the short and long term. We describe a surgical technique using an acromial osteotomy to better expose the greater tuberosity for the tendon transfer without disrupting the deltoid muscle. The latissimus dorsi tendon is reinforced with a human dermal collagen matrix (GraftJacket; Wright Medical Group) for additional augmentation of the muscle to gain more excursion for the tendon transfer to the greater tuberosity. The transferred tendon is fixed to the supraspinatus and infraspinatus footprints on the greater tuberosity using suture anchors. The acromial osteotomy is repaired back anatomically with several No. 5 braided sutures (FiberWire; Arthrex).

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Recovery of active external rotation and elevation in young active men with irreparable posterosuperior rotator cuff tear using arthroscopically assisted latissimus dorsi transfer

Cited by 44 publications

References 51 publications

Arthroscopic-Assisted Latissimus Dorsi Tendon Transfer for Massive Rotator Cuff Tears: A Systematic Review

Arthroscopic-Assisted Latissimus Dorsi Tendon Transfer for Massive Rotator Cuff Tears: A Systematic Review

Arthroscopic In Situ Superior Capsular Reconstruction Using the Long Head of the Biceps Tendon

Latissimus Dorsi Tendon Transfer With Acromial Osteotomy for Massive Irreparable Rotator Cuff Tear

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