Tendon transfer for irreparable cuff tear [electronic resource] /
Valenti, Philippe.editor.
Treatment of symptomatic irreparable cuff tear is rare, but represents a difficult challenge for the surgeon. Tendon transfer from periscapular muscles group is a therapeutic option. Many tendon transfers are reported as latissimus dorsi, teres major, split of anterior deltoid and pectoralis major. The goal of this book is to remind the biomechanical and anatomical basis of these tendon transfers and to report tips and tricks and results of these techniques. A treatment algorithm is proposed in patients who have both pain and weakness or have loss of active forward elevation or external rotation. Moreover, tendon transfer can be combined with reverse shoulder prosthesis in patients with an unstable gleno humeral arthritis.
Description based upon print version of record.
Title Page; Copyright Page; Contributors; Table of Contents; Foreword; Biomechanical analysis of tendon transfers for irreparable rotator cuff tears; Introduction; Material and methods; Study of biomechanical properties of shoulder girdle muscles; Study of the point of fixation of latissimus dorsi MTT; Results; Comparative biomechanical properties of shoulder girdle muscles; Study of the point of fi xation of latissimus dorsi MTT; Discussion; References; Latissimus dorsi transfer for massive and irreparable rotator cuff tears; Indications for surgery; Operative technique; Step 1
Step 2: Harvesting the tendon of latissimus dorsiStep 3: Tubulization of the tendon and tunnelization under the deltoid; Step 4: Fixation of the latissimus dorsi into the transosseous tunnel of remplace made in the greater tuberosity; References; Results of latissimus dorsi tendon transfer in primary or salvage reconstruction of massive, irreparable rotator cuff tears; Introduction; Materials and methods; Statistical tests; Results; Discussion; References; Arthroscopic humeral head interference screw fixation for latissimus dorsi transfer in massive and irreparable posterosuperior cuff tear
IntroductionClassic operative technique: direct IFS; Technique with closed tunnel; Reverse IFS: TLS technique; Technique with classic anchors (Milliet); References; Teres major flap: surgical anatomy, technique of harvesting, methods of fixation, postoperative management; Introduction; Anatomy of the teres major muscle; Descriptive anatomy; Dimensions of the teres major; Vascular supply; Nerve supply; Study of the tension of the vascular-nervous pedicle after teres major transfer; Biomechanics of teres major flap; Surgical technique; Anesthesia; Installation; Superior incision
Posterior incisionTeres major harvesting; Transfer of the teres major; Closure; Postoperative; Clinical experience; Patients; Results; Follow-up; Clinical evaluation; Radiographic evaluation; Electromyographic and MRI evaluation; Complication; Prognosis factors; Discussion; References; Deltoid flap for irreparable rotator cuff tear: indications, technique and results; Introduction; Indications and contraindications; Preoperative planning; Surgical technique; Postoperative management; Material and methods; Results; Chronologic evolution; Influence of the age and tear extension; Discussion
ConclusionReferences; The myotendinous advancements of supra and infraspinatus muscles in the treatment of irreparable retracted tears of the rotator cuff; Introduction; Technique; Supraspinatus advancement; Infraspinatus advancement; Indications; Supraspinatus advancements; Infraspinatus advancements; Results (Symposium SO.F.C.O.T 2003); References; Pectoralis major transfer: surgical anatomy, technique of harvesting, methods of fixation, postoperative management; Surgical anatomy; Origin; Direction; Insertion; Innervation; Vascularization; Action
Technique of harvesting and methods of fixation
Includes bibliographical references.
Treatment of symptomatic irreparable cuff tear is rare, but represents a difficult challenge for the surgeon. Tendon transfer from periscapular muscles group is a therapeutic option. Many tendon transfers are reported as latissimus dorsi, teres major, split of anterior deltoid and pectoralis major. The goal of this book is to remind the biomechanical and anatomical basis of these tendon transfers and to report tips and tricks and results of these techniques. A treatment algorithm is proposed in patients who have both pain and weakness or have loss of active forward elevation or external rotation. Moreover, tendon transfer can be combined with reverse shoulder prosthesis in patients with an unstable gleno humeral arthritis.
Surgery.
Orthopedics.
Surgery.
Orthopedics.