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Murine Flexor Tendon Injury and Repair Surgery
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Latissimus Dorsi Tendon Rupture.
Michael S George1, Michael Khazzam
1From KSF Orthopaedic Center, Houston, TX (Dr. George), and the Department of Orthopaedic Surgery, the University of Texas Southwestern Medical School, Dallas, TX (Dr. Khazzam).
The Journal of the American Academy of Orthopaedic Surgeons
|October 3, 2018
Summary
Isolated latissimus dorsi tears are uncommon. Complete ruptures need surgical repair using suture anchors, with most athletes returning to full activity post-surgery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Injuries
Background:
- Isolated injuries to the latissimus dorsi muscle are infrequently encountered in clinical practice.
- Nonsurgical management is effective for partial tendon tears.
- Complete tendon ruptures necessitate surgical intervention.
Purpose of the Study:
- To review the surgical management of complete latissimus dorsi tendon ruptures.
- To describe surgical approaches and techniques for latissimus dorsi repair.
- To evaluate the functional outcomes following surgical latissimus dorsi reconstruction.
Main Methods:
- Review of literature focusing on case series of latissimus dorsi tendon repair.
- Description of surgical techniques including anterior deltopectoral and posterior axillary incisions.
- Utilization of suture anchors for reattachment to the humerus.
Main Results:
- Surgical repair is indicated for complete latissimus dorsi tendon ruptures.
- Two primary surgical approaches exist: combined anterior and posterior incisions, or a long posterior incision.
- Most patients achieve a return to full athletic activity after surgical repair.
Conclusions:
- Surgical repair of complete latissimus dorsi tendon ruptures can restore function.
- The choice of surgical approach may depend on surgeon preference and specific injury characteristics.
- Outcomes suggest a favorable prognosis for athletes undergoing latissimus dorsi repair.
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