Latissimus dorsi tendon transfer in reverse shoulder arthroplasty: transfer location affects strength

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Biomechanics Analysis of Latissimus Dorsi Transfer in Reverse Shoulder Arthroplasty

Reverse total shoulder arthoplasty (RTSA) is commonly used in patients with cuff tear arthropathy (CTA) to relief pain and to restore active humeral elevation ROM [1]. The reverse prosthetic designs medialise the humeral centre of rotation increasing the Deltoid moment arm and its performance [2]. However, clinical studies have shown that patients with RTSA usually show poor humeral internal/ex...

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Reverse shoulder arthroplasty for deltoid-deficient shoulder following latissimus dorsi flap transfer. Case report

INTRODUCTION The usual indication for reverse shoulder arthroplasty is glenohumeral arthritis with inadequate rotator cuff and intact deltoid muscle. We report here a case of reverse shoulder arthroplasty using a lattisimus dorsi flap in a patient with deltoid-deficient shoulder following a gunshot injury. PRESENTATION OF THE CASE The patient was an otherwise healthy 51-year-old male with a h...

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Combined latissimus dorsi and teres major tendon transfers for external rotation deficiency in reverse shoulder arthroplasty.

Treatment of rotator cuff deficient shoulders continues to evolve. Reverse total shoulder arthroplasty has proven effective for restoring forward elevation and abduction in patients who suffer from pseudoparalysis secondary to rotator cuff insufficiency. Unfortunately, reverse total shoulder arthroplasty is less effective at restoring lost external rotation function in patients with deficient p...

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Latissimus dorsi transfer: L'Episcopo versus Herzberg technique.

The purpose of this study was to compare the clinical results of two different techniques of latissimus dorsi transfer used in 28 patients, either a modified single incision mini-invasive Herzberg transfer (HT) or a combined latissimus dorsi and teres major transfer according to L'Episcopo (LE). Twenty-eight patients fulfilled the inclusion criteria. Minimum follow-up was 24 months. Sixteen pat...

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Latissimus Dorsi Transfer in Posterior Irreparable Rotator Cuff Tears

BACKGROUND Massive rotator cuff tears pose a difficult and complex challenge even for the experienced surgeon; inability to repair these tears by conventional means designates them as irreparable, while management becomes quite taxing. Several operative options have been suggested for the management of such lesions with varying degrees of success, while it is imperative to match patient demands...

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ژورنال

عنوان ژورنال: JSES International

سال: 2021

ISSN: 2666-6383

DOI: 10.1016/j.jseint.2020.10.013