Surgical Technique and Anatomic Study of Latissimus Dorsi and Teres Major Transfers

Pearle, Andrew D.; Kelly, Bryan T.; Voos, James E.; Chehab, Eric L.; Warren, Russell F.

doi:10.2106/jbjs.e.00426

Cited by 64 publications

(44 citation statements)

References 25 publications

(28 reference statements)

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“…Herein, we report that the width at insertion border was a 7.2 cm (Fig. 1), which was longer than the previous report [4]. It could be explained that the width at insertion border of TerMa in our case was only muscle fibers (note: there was no terminal tendon of TerMa [Fig.…”

Section: Discussionmentioning

confidence: 45%

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Variant insertion of the teres major muscle

et al. 2012

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The teres major (TerMa) muscle has a clinical significance for tendon transfer procedures in patients with massive rotator cuff tears. Individually, it originates from the dorsum of the inferior angle of scapula and inserts into the medial lip of bicepital groove of the humerus. Functionally, TerMa in cooperation with latissimus dorsi (LD) adducts arm, medially rotates arm, and assists in arm extension. The variation of TerMa insertion is very rare. In the shoulder and axillary regions of a 33-year-old Thai male cadaver, the variant insertion of the right TerMa was found. The muscle fibers of TerMa are directly attached at the supero-medial border of LD tendon. Notably, there was no terminal tendon of TerMa. To explain an unusual movement of the arm, this rare variation of the TerMa insertion is necessary to be recognized. This case report is very important for surgeons to preoperatively consider using the terminal tendon of TerMa for tendon transfer in treating patients with irreparable cuff tears.

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Section: Discussionmentioning

confidence: 45%

“…Basically, the width of the TerMa tendon is shorter than that of its muscle fibers. In tendon dimensions, it has been reported that the width at insertion of TerMa tendon was 4.0 cm (range, 3.3 to 5.0 cm) [4]. Herein, we report that the width at insertion border was a 7.2 cm (Fig.…”

Section: Discussionmentioning

confidence: 60%

Variant insertion of the teres major muscle

et al. 2012

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“…Similarly, Buijze et alreported findings from a study of 62 shoulders in 31 cadavers with regard to the anatomical suitability of latissimus dorsi or teres major transfer, and confirmed that the teres major tendon was short and, as such, surgical fixation may be technically demanding [40]. The same group also suggested a potentially higher risk to neurovascular structures was more likely with LDT because the pedicle inserts nearer the tendon than that of teres major, although this conflicts with the work of Pearle et al [39].…”

Section: Ldtmentioning

confidence: 97%

“…Pearle et al published an anatomic cadaveric study to examine the surgically relevant relationships for the latissimus dorsi and the teres major [39] (Fig. 5).…”

Section: Ldtmentioning

confidence: 99%

“…5). They identified the neurovascular pedicle to be 13.1 cm and 7.4 cm from the tendon insertion for the latissimus dorsi and teres major, respectively, raising concerns about the risk of nerve injury with dual tendon transfer [39]. They also issued caution in the tunnelling and re‐routing of the tendon transfer with respect to the radial and axillary nerve proximity, and therefore the potential for injury.…”

Section: Ldtmentioning

confidence: 99%

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