Latissimus dorsi tendon transfers. Medical search. Frequent questions

These surgeries include a range of primary nerve reconstruction procedures, which are optimally performed three to six months following the injury, as well as secondary reconstructive procedures, which include free muscle transplants, pedicle muscle transfers, tendon transfers, and fusions. (hss.edu)
Procedures involved in reconstruction may include one or more of the following: neurolysis/nerve release, nerve repair, nerve grafts and nerve transfers. (hss.edu)
After a trial of conservative management, a wide array of surgical options exists for massive irreparable RCTs, which include rotator cuff debridement, partial rotator cuff repair, biceps tenotomy and tenodesis, tendon transfers, superior capsule reconstruction, subacromial balloon, and reverse shoulder arthroplasty [4]. (fortuneonline.org)
A clinical study comparing surgical methods for the treatment of massive rotator cuff tears found equivalency in patient-reported outcomes between two predominant treatment approaches: tendon transfers and superior capsular reconstruction. (massgeneral.org)
The results of the study showed that there was no difference in the process of recovery or the patient-reported outcomes after a two-year minimum follow-up between tendon transfer and superior capsular reconstruction. (massgeneral.org)
His opinion, which does not draw directly from the clinical results, is that tendon transfers are better for patients who lack external rotation strength before treatment, whereas superior capsular reconstruction is a better treatment for patients with irreparable tears who still have some external rotation strength. (massgeneral.org)
In the treatment of forearm STS, reconstruction of the skin and tendon can compensate for function, while bone resection and major nerve disturbance cannot. (biomedcentral.com)
To obtain optimal oncological and functional outcomes, surgical excision with wide margins followed by reconstruction of the skin, tendons, nerves, vessels, bones, and joints should be performed. (biomedcentral.com)
The refinements and finishing touches for breast reconstruction with expanders and implants may be far different than those for a transverse rectus abdominis myocutaneous (TRAM) flap for immediate reconstruction or a delayed latissimus flap in an irradiated mastectomy defect. (medscape.com)
[ 2 ] place an implant beneath a transferred latissimus myocutaneous flap, or perform immediate reconstruction with a large myocutaneous flap. (medscape.com)
Trenhaile SW, "Superior Capsular Reconstruction versus Tendon Transfers versus Biologics: Considerations for Irreparable Cuff Tears", Podium presentation, New Orleans International Advanced Shoulder Symposium, Westin Canal Place, New Orleans, LA. October 4, 2019. (scotttrenhailemd.com)

BACKGROUND: This retrospective study was undertaken to evaluate mid-term clinical and radiological outcomes of lattisimus dorsi (LD) tendon transfer in patients with irreparable massive rotator cuff tears (MRCT). (koreamed.org)
Shoulder tendon transfers are surgical treatment options for a select cohort of patients that have large irreparable rotator cuff tears. (drandrewmcbride.com)
This study aimed to examine the preliminary clinical results of the infraspinatus rotational transfer procedure for irreparable posterosuperior rotator cuff tears. (cisejournal.org)

It is possible to tear the latissimus dorsi, and athletes are at particular risk. (medicalnewstoday.com)

Beside his continuous clinical activity, he has also described novel surgical procedures such as the latissimus dorsi transfer for a pseudoparalytic shoulder and he has described several important pathologies, such as the isolated rupture of the subscapularis tendon. (wikipedia.org)
The Body Mechanic, Inc. - The latissimus dorsi muscle has a little pouch at the superior edge that the shoulder blade sits in. (paramedicultrasound.com)
However, the lower trapezius transfer (LTT) has emerged as an effective alternative with its own set of advantages, such being a tendon transfer that is "in line" and "in phase" with the shoulder functions it restores. (fortuneonline.org)
Compared to shoulder arthroplasty, tendon transfers have no concern for implant failure or implant longevity, making tendon transfers an optimal treatment option in this specific patient population [9]. (fortuneonline.org)
Objectives: We evaluated the results of the correction of adduction and internal rotation deformities of the shoulder associated with residual obstetrical brachial plexus palsy (OBPP) by the transfer of latissimus dorsi and teres major muscles to the rotator cuff. (aott.org.tr)
The lower trapezius has a similar line of pull to the posterior rotator muscles and can be transferred with the assistance of a bridging allograft to improve shoulder strength and function. (drandrewmcbride.com)
Do you have helpful imaging or information that can be used demonstratively to defend the Obstetric care during delivery once the anterior shoulder was diagnosed as caught behind mom's symphasis pubis, or evaluate the Tenotomy for right lacertus fibroosis, the right forearm supinator plasty using pronator teres or the very early right latissimus dorsi/ teres major tendon transfer and right pectoralis major lengthening? (medicallegalblog.com)
He is considered the world expert in the evaluation and management of scapulothoracic disorders, and tendon transfers around the shoulder and elbow. (massgeneral.org)
This can cause a flat shoulder plane due to standing up in the golf swing.Doing the deep squat with the arms crossed is to test if the Latissimus Dorsi is inhibiting the overhead deep squat. (gerardcambon.net)
The Lats start from the lower half of the vertebral column and hipbone and taper to a rounded tendon attached to the front of the upper part of the humerus near its upper end just under the shoulder.The importance of the Latissimus Dorsi in the golf swing is that when an efficient golf swing is made they play a big role in powering the golf swing. (gerardcambon.net)
Biceps and shoulder musculature reinnervation involving both nerve grafting and transfer techniques has resulted in reliable restoration of elbow flexion and shoulder abduction when the procedure is undertaken within 6 to 9 months of injury. (medscape.com)

The present study reveals the fascicle orientation of the muscles namely gluteus maximus, latissimus dorsi, and lower trapezius muscles at different vertebral levels with respect to posterior layer of thoracolumbar fascia. (mltj.online)

The latissimus dorsi or lats are the large flat muscles on each side covering the width of the middle and lower back. (healthcoach.clinic)
The broad sheet of connective tissue in the lower back that the latissimus dorsi muscles (the "lats") fuse into is an example of an aponeurosis. (openstax.org)

Moreover, the teres major transfer (TMT) has also been described both in isolation and in conjunction with the LDT, as well as pectoralis major and pectoralis minor transfers [10]. (fortuneonline.org)

15 ] modified and developed a novel surgical procedure from the Japanese literature for irreparable posterosuperior RCTs termed "infraspinatus rotational transfer. (cisejournal.org)
1] Others would regard it as futile effort to try and mobilize such tendons and resort to tendon transfers (pectoralis major for subscapularis tears and latissimus dorsi for posterosuperior tears). (internationalshoulderjournal.org)

In Poland syndrome patients, we perform bipolar latissimus dorsi flap transfer, which can be associated with a sublatissimus implant in women. (drwilliamwatfa.com)
In this case, compromised lower limb vasculature discouraged flap anastomosis below the knee, both anterolateral thigh flap donor sites were involved in the purpuric necrosis of the thighs and the use of latissimus dorsi flaps would impede subsequent aided mobilisation/wheelchair use. (ajops.com)

In operations such as nerve grafts, nerve transfers, and muscle transfers, specially trained surgeons, using customized precision instruments, work meticulously to reconnect and repair nerves. (hss.edu)
A nerve transfer is a procedure in which an expendable donor nerve (from another location in the patient's body) is rerouted and connected to the site of a damaged or de-innervated nerve stump to restore its function. (hss.edu)
During a nerve transfer, the surgeon is also able to separate out those fascicles (bundles of nerve fibers) that deliver the necessary information. (hss.edu)
Surgeons refer to various types of nerve transfers, based on the location of the donor nerve. (hss.edu)
Intraplexal nerve transfers are those that are done within the brachial plexus itself. (hss.edu)
The three most common treatments for Erb's palsy are nerve transfers from the opposite arm, subscapularis releases and latissimus dorsi tendon transfers. (standardofcare.com)
Nerve transfers are usually performed under the age of 9 months since it increases the effectiveness of the procedure, and if done at an older age more harm than good is done, aa a result of nerve damage in the area from which the nerves were taken. (standardofcare.com)
Despite favorable results reported for early nerve grafting and transfer techniques, attempts at restoring function to long-standing denervated muscle have not been generally successful. (medscape.com)

nConclusion: The transfer of the latissimus dorsi and teres major tendons is a necessary procedure to restore external rotation and abduction functions of paralysed shoulders. (aott.org.tr)

The latissimus dorsi originates broadly from the iliac crest, thoracolumbar fascia, and spinous processes of the lower thoracic and lumbar vertebrae to then insert on the bicipital groove floor of the humerus. (fortuneonline.org)

RESORTHO Balgrist Campus Gerber C, Latissimus dorsi transfer for the treatment of irreparable tears of the rotator cuff.Clin Orthop Relat Res. (wikipedia.org)
Tendon transfers are used very sparingly, the most commonly done being pectoralis major transfer for irreparable tears of the subscapularis muscle tendon. (internationalshoulderjournal.org)

Impingement of the deep surface of the supraspinatus tendon on the postero superior glenoid rim: an arthroscopic study. (icr-nice.com)
Injury to either surface of this joint can cause bone spurs that protrude down leading to tearing of the underlying supraspinatus tendon . (medicallegalblog.com)

The amputated part was examined and was found to contain most of the flexor tendons avulsed from musculotendinous junctions, along with the nerves and vessels [Figure 2]. (njps.org)
Both single and double free muscle transfer procedure were performed using extraplexal donor motor nerves. (medscape.com)

Gerber C and Krushell RJ, Isolated rupture of the tendon of the subscapularis muscle. (wikipedia.org)

The authors report the functional outcomes after functioning free muscle transfer (FFMT) for restoration of the upper-extremity movement after brachial plexus injury (BPI). (medscape.com)

Any or all of these muscles or the tendons that connect them to the humerus can be injured, but in my experience, the supraspinatus is by far the most commonly injured. (medicallegalblog.com)

The latissimus dorsi is one of the largest muscles in the back. (medicalnewstoday.com)
Rotation of the human skeleton showing the latissimus dorsi muscles in the back, animation. (paramedicultrasound.com)

L'episcopo or Latissimus Dorsi (Double Incision) Transfer? (vumedi.com)
An open incision is required in the axilla region to mobilise the tendon. (drandrewmcbride.com)
Bipolar Latissimus Dorsi Transfer through a Single Incision: First Key-Step in Poland Syndrome Chest Deformity. (drwilliamwatfa.com)
All procedures are performed through a single short midaxillary incision, and tendon translocation in this technique allows the creation of the anterior axillary fold and thus a natural chest appearance. (drwilliamwatfa.com)

A few experienced surgeons have claimed to observe recovering muscle function after arthroscopic repair of tendons where the muscles seemed to have no potential as judged by conventional imaging. (internationalshoulderjournal.org)

Open Glenohumeral Joint Reduction and Latissimus Dorsi and Teres Major Tendon Transfers for Infants and Children Following Brachial Plexus Birth Palsy. (harvard.edu)
In addition to restoration of elbow flexion, this double free muscle transfer provides an opportunity for patients with complete brachial plexus avulsions to regain prehension. (medscape.com)
Cite this: Gracilis Free Muscle Transfer for Restoration of Function After Complete Brachial Plexus Avulsion - Medscape - May 01, 2004. (medscape.com)

To be effective, it is important to harvest from the healthy side the three triangular flaps to be transferred into the release incisions on the contracted side. (basicsofburncare.org)

The LDT involves the transfer of the latissimus dorsi tendon from its original insertion to the greater tuberosity, which converts the latissimus dorsi into an external rotator and a flexor of the glenohumeral joint [10]. (fortuneonline.org)

At the other end of the tendon, it fuses with the periosteum coating the bone. (openstax.org)
The tension created by contraction of the muscle fibers is then transferred though the mysia, to the tendon, and then to the periosteum to pull on the bone for movement of the skeleton. (openstax.org)
The right leg wound contained exposed tibia and fibula denuded of periosteum, tendons lacking paratenon and the cut surface of muscle. (ajops.com)

The latissimus dorsi is a large, flat muscle covering the width of the middle and lower back. (medicalnewstoday.com)
The common tendon transfers described for RCTs include the latissimus dorsi transfer (LDT) and the lower trapezius transfer (LTT). (fortuneonline.org)
Techniques for tendon transfers in the study included both latissimus dorsi transfers and lower trapezius transfers. (massgeneral.org)
The individual performs weight bearing transfers to/from the power wheelchair while in the home, using either their upper extremities during a non-level (uneven) sitting transfer and/or their lower extremities during a sit to stand transfer. (cms.gov)

anterior border of latissimus dorsi. (paramedicultrasound.com)

To many attorneys this ball and socket joint seems like a confusing mass of tendons and skeletal structures with functions that are difficult to recognize and names that are hard to pronounce. (medicallegalblog.com)
In skeletal muscles that work with tendons to pull on bones, the collagen in the three tissue layers (the mysia) intertwines with the collagen of a tendon. (openstax.org)

When a muscle contracts the effort is transferred to the bone and movement is produced. (getrevising.co.uk)

defined an irreparable RCT as an injury where the tendon stump does not reach the footprint after soft tissue mobilization [ 13 ]. (cisejournal.org)
In other places, the mysia may fuse with a broad, tendon-like sheet called an aponeurosis , or to fascia, the connective tissue between skin and bones. (openstax.org)
Tendons are a tough yet flexible band of fibrous tissue that joins muscle to bone. (getrevising.co.uk)

How do you stretch the latissimus dorsi? (medicalnewstoday.com)

The above judgment also varies from surgeon to surgeon: some experienced surgeons would be able to mobilize the tendons arthroscopically to a satisfactory degree and report good results after repair. (internationalshoulderjournal.org)

Certain exercises can alleviate pain associated with the latissimus dorsi and strengthen the muscle to prevent further injury. (medicalnewstoday.com)

Nine patients underwent a double free muscle transfer for simultaneous restoration of elbow flexion and wrist extension (first muscle) and finger flexion (second muscle), combined with direct triceps neurotization. (medscape.com)

Once stable on day 13, he was transferred to the Adult Burn Service at the Royal Adelaide Hospital (RAH) for wound management constituting 19 per cent total body surface area (TBSA). (ajops.com)

Transfer for combined elbow flexion and wrist extension compared with elbow flexion alone lowered the overall results for elbow flexion strength. (medscape.com)
Seventy-nine percent of the FFMTs for elbow flexion alone (single transfer) and 63% of similarly innervated muscles transferred for combined motion achieved at least Grade M4 elbow flexion strength. (medscape.com)

However, no studies in the English literature have reported the clinical results of infraspinatus rotational transfer (IRT) for irreparable large and massive RCTs. (cisejournal.org)

Damage to the latissimus dorsi can cause other symptoms. (medicalnewstoday.com)

These methods are primarily used to preserve joint range of motion (ROM), to delay tendon and muscle contractures, and to prevent upper extremity osseous deformities. (musculoskeletalkey.com)
Functioning free muscle transfer is a viable reconstructive option for restoration of upper-extremity function in the setting of severe BPI. (medscape.com)

Latissimus dorsi in motion -------- Get Full Access to Muscle&Motion: /pricing/ Not sure yet? (paramedicultrasound.com)

Anatomy9

Diseases5

Analytical, Diagnostic and Therapeutic Techniques and Equipment6

Anthropology, Education, Sociology and Social Phenomena1

Information Science7

Health Care1

Reconstruction11

Rotator cuff tears3

Tear the latissimus dorsi1

Shoulder11

Gluteus1

Lats2

Teres major transfer1

Posterosuperior2

Flap2

Nerve8

External Rotation1

Thoracolumbar fascia1

Tears2

Supraspinatus tendon2

Nerves2

Subscapularis muscle1

Outcomes1

Humerus1

Muscles in the back2

Incision4

Arthroscopic1

Brachial plexus3

Flaps1

Flexor1

Periosteum3

Lower4

Anterior1

Skeletal2

Muscle contracts1

Tissue3

Stretch1

Repair1

Injury1

Patients1

Adult1

Elbow2

Clinical results1

Damage1

Upper extremity2

Motion1