Arthroscopy-Assisted Latissimus Dorsi Transfer for Irreparable Subscapularis Tears

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dc.contributor.authorReinares, Felipe
dc.contributor.authorCalvo, Andrés
dc.contributor.authorReyes, José
dc.contributor.authorMoreno, José
dc.contributor.authorPaccot, Daniel
dc.date.accessioned2022-04-01T14:13:59Z
dc.date.available2022-04-01T14:13:59Z
dc.date.issued2021
dc.description.abstractIrreparable tears of the subscapularis (SS) tendon are difficult to manage and represent a challenge for the surgeon, especially in young and active patients. They are associated with a horizontal imbalance of the shoulder, causing pain and limitation of active internal rotation. Historically, the alternative for these patients has been transfer of the pectoralis major, with all its variations, total or partial, up or under the conjoint tendon. However, this transfer has mechanical disadvantages, especially related to the vector of traction, because it originates in the anterior region of the chest. In 2013, Elhassan and colleagues demonstrated in cadavers the technical feasibility and neurological safety of performing transfers of the latissimus dorsi (LD) to the lesser tuberosity to reconstruct irreparable lesions of the subscapularis. This option, compared with alternatives, has superior biomechanical advantages such as a similar vector of traction, originating from lower and posterior to the thorax, in addition to involving a synergistic muscle in action. In early 2016, Kany and colleagues first published a study of 5 patients undergoing arthroscopic assisted LD to SS transfer, with promising results. Our purpose is to present an arthroscopically assisted latissimus dorsi transfer technique in patients with irreparable subscapularis rupture.es
dc.description.versionVersión publicadaes
dc.identifier.citationFelipe Reinares, Andres Calvo, José T. Reyes, José L. Moreno, Daniel Paccot, Arthroscopy-Assisted Latissimus Dorsi Transfer for Irreparable Subscapularis Tears, Arthroscopy Techniques, Volume 10, Issue 1, 2021, Pages e49-e53, ISSN 2212-6287, https://doi.org/10.1016/j.eats.2020.09.008.es
dc.identifier.urihttps://doi.org/10.1016/j.eats.2020.09.008es
dc.identifier.urihttp://hdl.handle.net/11447/5883
dc.language.isoenes
dc.subjectArthroscopyes
dc.subjectIrreparablees
dc.subjectLatissimuses
dc.subjectSubscapularises
dc.subjectTransferes
dc.titleArthroscopy-Assisted Latissimus Dorsi Transfer for Irreparable Subscapularis Tearses
dc.typeArticlees
dcterms.sourceEuropean journal of orthopaedic surgery & traumatology : orthopédie traumatologiees

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