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:10.2106/00004623-200607000-00013

Cited by 24 publications

(22 citation statements)

References 17 publications

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“…The RN crosses the tendons of TM and LD anteriorly, following a slight lateral inclination. This is shown in the present study and by Pearle et al (2006). In the present investigation, the RN was about 1 cm closer to the humerus than Pearle et al (2006) showed.…”

Section: Topographical Locationsupporting

confidence: 68%

“…The AN was found closer to the superior edge of the TM than was previously described by Pearle et al (2006). These differences can be explained by different measuring techniques and by different methods of dissection.…”

Section: Topographical Locationmentioning

confidence: 48%

“…ss, subscapularis muscle; tb long , long head of the biceps muscle. , 2005;Pearle et al 2006), and especially by Beck & Hoffer (1989). A frequency of this variation has not been previously described.…”

Section: Attachmentsmentioning

confidence: 70%

“…First the axillary nerve (AN), the radial nerve (RN), and the posterior humeral circumflex artery and vein were identified. The measurements describing the TM relationship with the RN and AN were based on the methods performed by Pearle et al (2006). The distances between the medial borderline of the humerus and the RN at the TM tendon's superior and inferior margin were measured.…”

Section: Dissectionsmentioning

confidence: 99%

“…Earlier investigations on the TM and LD anatomy have focused on the dimensions of the tendons close to the insertion (Cleeman et al 2003;Pearle et al 2006;Buijze et al 2007;Giessler et al 2007;Morelli et al 2008;Alag€ oz et al 2009). This information meets current needs only partially.…”

Section: Introductionmentioning

confidence: 99%

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Teres major muscle – insertion footprint

2017

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Teres major muscle (TM) and latissimus dorsi muscle (LD) are frequently used in muscle transfers around the shoulder girdle. Some authors have suggested harvesting techniques in which the muscle is detached in continuity with a bone segment. Information on the bony attachment footprint of these muscles is lacking. The purpose of this study was to investigate the region of attachment of the TM to facilitate safe and complete harvesting with a bone segment where it is indicated, and to determine the relationship of the TM footprint with that of the LD. Twenty‐eight upper extremities of 14 human cadavers (six female, eight male) were investigated during the students’ dissection course in the winter term 2012. The attachment footprints were photographed and the images were processed with imageJ Version 1.46r. The TM attachment footprint at the crest of the lesser tubercle had an average dimension of 187 ± 89 mm2. It was 49.6 ± 7.9 mm long and 7.4 ± 2.5 mm wide. The bony attachment of the LD within the bicipital groove, just below the tendon of the long head of the biceps muscle, had an area of 94 ± 37 mm2. It was 36.5 ± 8 mm long and 3.7 ± 1.2 mm wide. Both muscles were separated by 4.4 ± 1.7 mm and their attachments overlapped in the craniocaudal direction by 24.4 ± 12.4 mm. Earlier studies have investigated the dimensions of the muscles’ tendons close to the attachment not the bony attachment itself. The dimension of the attachment of the TM was larger than that of the LD. The ratio between the footprint areas was approximately 2:1. This information should be considered by surgeons undertaking transfers, which include a bony segment of the muscle insertion.

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Section: Topographical Locationsupporting

confidence: 68%

Section: Topographical Locationmentioning

confidence: 48%