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Clinical outcome of latissimus dorsi tendon transfer and partial cuff repair in irreparable postero-superior rotator cuff tear

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Abstract

Background and purpose

Irreparable rotator cuff tears are a common cause of pain in adult population, requiring in many cases a surgical treatment. Possible alternatives are debridement, partial repair, muscle transfers and joint replacement. We evaluated two groups of patients with irreparable rotator cuff tear treated surgically: one group received an arthroscopic-assisted latissimus dorsi tendon transfer (LDTT), and the other an arthroscopic rotator cuff partial repair. Aim of our study was to compare clinical results and quality of life in two groups of patients with massive irreparable rotator cuff tear: one receiving an arthroscopic LDTT and the other receiving an arthroscopic rotator cuff partial repair.

Methods

Forty patients were assigned to two groups: 20 patients to group TT treated with LDTT and 20 patients to group PR treated with a partial repair. The average follow-up duration was 2.8 years (1–5, SD 3). Pre- and postoperative modified UCLA shoulder score, ROM, measurement of the strength and the rotator cuff quality of life (RC-QOL) were used to asses the outcome.

Results

LDTT showed significative improvements when compared to partial repair in UCLA score results, strength and RC-QOL questionnaire. No differences were found between the groups in pain relief.

Conclusion

Both techniques are effective in reducing patients’ symptoms. We believe that in younger, high-demanding patients with no or mild osteoarthritis, the LDTT represents a valid treatment option with better modified UCLA score improvement and strength at our follow-up.

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References

  1. Oh JH et al (2009) Prognostic factors affecting anatomic outcome of rotator cuff repair and correlation with functional outcome. Arthroscopy 25(1):30–39

    Article  PubMed  Google Scholar 

  2. Khair MM, Gulotta LV (2011) Treatment of irreparable rotator cuff tears. Curr Rev Musculoskelet Med 4(4):208–213

    Article  PubMed Central  PubMed  Google Scholar 

  3. Gervasi E et al (2007) Arthroscopic latissimus dorsi transfer. Arthroscopy 23(11):1243.e1–1243.e4

    Article  Google Scholar 

  4. Boileau P et al (2005) Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? J Bone Joint Surg Am 87(6):1229–1240

    Article  PubMed  Google Scholar 

  5. Burkhart SS et al (1994) Partial repair of irreparable rotator cuff tears. Arthroscopy 10(4):363–370

    Article  CAS  PubMed  Google Scholar 

  6. Goutallier D et al (1994) Fatty muscle degeneration in cuff ruptures. Pre- and post-operative evaluation by CT scan. Clin Orthop Relat Res 304:78–83

    PubMed  Google Scholar 

  7. Ellman H et al (1986) Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am 68(8):1136–1144

    CAS  PubMed  Google Scholar 

  8. American Academy of Orthopaedic Surgeons (1965) Joint motion: method of measuring and recording. American Academy of Orthopaedic Surgeons, Chicago

    Google Scholar 

  9. Papalia R et al (2010) RC-QOL score for rotator cuff pathology: adaptation to Italian. Knee Surg Sports Traumatol Arthrosc 18(10):1417–1424

    Article  PubMed  Google Scholar 

  10. Bogduk N et al (1998) The morphology and biomechanics of latissimus dorsi. Clin Biomech (Bristol, Avon) 13(6):377–385

    Article  Google Scholar 

  11. Magermans DJ et al (2004) Effectiveness of tendon transfers for massive rotator cuff tears: a simulation study. Clin Biomech (Bristol, Avon) 19(2):116–122

    Article  CAS  Google Scholar 

  12. Magermans DJ et al (2004) Biomechanical analysis of tendon transfers for massive rotator cuff tears. Clin Biomech (Bristol, Avon) 19(4):350–357

    Article  CAS  Google Scholar 

  13. Oh JH et al (2013) Biomechanical effect of latissimus dorsi tendon transfer for irreparable massive cuff tear. J Shoulder Elbow Surg 22(2):150–157

    Article  PubMed  Google Scholar 

  14. Ling HY et al (2009) Biomechanics of latissimus dorsi transfer for irreparable posterosuperior rotator cuff tears. Clin Biomech (Bristol, Avon) 24(3):261–266

    Article  CAS  Google Scholar 

  15. Aoki M et al (1996) Transfer of latissimus dorsi for irreparable rotator-cuff tears. J Bone Joint Surg Br 78(5):761–766

    CAS  PubMed  Google Scholar 

  16. Gerber C et al (1988) Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff. A preliminary report. Clin Orthop Relat Res 232:51–61

    PubMed  Google Scholar 

  17. Iannotti JP et al (2006) Latissimus dorsi tendon transfer for irreparable posterosuperior rotator cuff tears. Factors affecting outcome. J Bone Joint Surg Am 88(2):342–348

    Article  PubMed  Google Scholar 

  18. Miniaci A, MacLeod M (1999) Transfer of the latissimus dorsi muscle after failed repair of a massive tear of the rotator cuff. A two to five-year review. J Bone Joint Surg Am 81(8):1120–1127

    CAS  PubMed  Google Scholar 

  19. Namdari S et al (2012) Latissimus dorsi tendon transfer for irreparable rotator cuff tears: a systematic review. J Bone Joint Surg Am 94(10):891–898

    Article  PubMed  Google Scholar 

  20. Petriccioli D, Bertone C, Marchi G, Garofalo G (2012) Arthroscopically assisted latissimus dorsi transfer with a minimally invasive harvesting technique: surgical technique and anatomic study. Musculoskelet Surg 96(Suppl. 1):S35–S40

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Ospedale “Domus Nova”, Ravenna, Italy

    G. Paribelli, F. Leonardi & A. M. Cassarino

  2. Ospedale “Prof. Fogliani”, Modena, Italy

    S. Boschi

  3. Dipartimento Scienze biomediche per la salute, Policlinico San Donato, Università degli studi di Milano, Milan, Italy

    P. Randelli

  4. Azienda Ospedaliera “Bolognini”, Seriate, Italy

    R. Compagnoni

Authors
  1. G. Paribelli
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  2. S. Boschi
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  3. P. Randelli
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  4. R. Compagnoni
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  5. F. Leonardi
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  6. A. M. Cassarino
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Corresponding author

Correspondence to R. Compagnoni.

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Paribelli, G., Boschi, S., Randelli, P. et al. Clinical outcome of latissimus dorsi tendon transfer and partial cuff repair in irreparable postero-superior rotator cuff tear. Musculoskelet Surg 99, 127–132 (2015). https://doi.org/10.1007/s12306-015-0353-4

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  • DOI: https://doi.org/10.1007/s12306-015-0353-4

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