Latissimus Dorsi Tendon Repair.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Musculoskeletal Injuries

Background:

• Latissimus dorsi tendon ruptures are uncommon injuries primarily affecting elite throwing athletes.
• Clinical signs include ecchymosis, posterior axillary fold asymmetry, and weakness in shoulder adduction, extension, and internal rotation.
• Magnetic resonance imaging (MRI) is essential for diagnosis.

Purpose of the Study:

• To describe a surgical technique for latissimus dorsi tendon repair.
• To discuss technical pearls for a single-incision approach using suture button fixation.
• To address the limited literature on surgical repair options for latissimus tendon tears.

Main Methods:

• The article presents a surgical technique for latissimus dorsi tendon repair.
• Focuses on a single-incision approach utilizing suture button fixation.
• Includes an accompanying video demonstrating the procedure.

Main Results:

• The described technique facilitates latissimus dorsi tendon repair.
• Suture button fixation via a single incision is presented as a viable surgical option.
• Highlights technical considerations for successful repair.

Conclusions:

• Surgical repair is indicated for professional throwing athletes with complete latissimus tendon avulsions or midsubstance tears.
• The single-incision technique with suture button fixation is a demonstrated method for latissimus tendon repair.
• Further studies are needed to evaluate different fixation options and surgical approaches.