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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 2, 208-212.
doi: 10.1302/0301-620X.88B2.16830  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Transfer of the tendon of latissimus dorsi for the treatment of massive tears of the rotator cuff

A NEW SINGLE-INCISION TECHNIQUE

P. Habermeyer, MD, Professor Orthopaedic Surgeon1; P. Magosch, MD, Medical Information Specialist1; T. Rudolph, MD, Resident1; S. Lichtenberg, MD, Orthopaedic Surgeon1; and D. Liem, MD, Resident1

1 Shoulder and Elbow Service ATOS Clinic, Bismarckplatz 9-15, 69115 Heidelberg, Germany.

Correspondence should be sent to Dr P. Habermeyer; e-mail: Habermeyer{at}atos.de

We describe 14 patients who underwent transfer of latissimus dorsi using a new technique through a single-incision. Their mean age was 61 years (47 to 76) and the mean follow-up was 32 months (19 to 42).

The mean Constant score improved from 46.5 to 74.6 points. The mean active flexion increased from 119° to 170°, mean abduction from 118° to 169° and mean external rotation from 19° to 33°. The Hornblower sign remained positive in three patients (23%) as did the external rotation lag sign also in three patients (23%). No patient had a positive drop-arm sign at follow-up. No significant difference was noted between the mean pre- and postoperative acromiohumeral distance as seen on radiographs. An increased grade of osteoarthritis was found in three patients (23%). Electromyographic analysis showed activity of the transferred muscle in all patients.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General