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Latissimus Dorsi Tendon Repair Through Single-Incision Axillary Approach Using All-Suture Anchor Tension Slide.
Andrew Zobgy1, Daniel Hagaman1, Brittany M Woodall
1San Diego Medical Center, Southern California Permanente Medical Group, San Diego, CA, USA.
The Permanente Journal
|May 12, 2025
Summary
This study details a novel surgical technique for repairing latissimus dorsi (LD) tendon ruptures in athletes. The all-suture anchor method successfully restored function, enabling a return to high-demand activities.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Research
Background:
- Latissimus dorsi (LD) tendon ruptures significantly impair athletes' function.
- High-demand athletes require effective surgical repair for optimal recovery.
Purpose of the Study:
- To describe a novel surgical technique for LD tendon rupture repair.
- To evaluate the efficacy of a single-incision axillary approach with an all-suture anchor tension slide technique in a high-demand athlete.
Main Methods:
- Surgical repair of a complete LD tendon rupture using a single-incision axillary approach.
- Utilized an all-suture anchor tension slide technique for tendon fixation.
- Implemented a tailored postoperative rehabilitation protocol.
Main Results:
- Successful surgical repair of the LD tendon rupture with 6 cm retraction.
- Patient achieved near-complete return to preinjury function by 7 months post-surgery.
- The technique offered cosmetic benefits and minimized surgical morbidity.
Conclusions:
- The all-suture anchor tension slide technique is effective and reproducible for treating LD tendon ruptures in high-demand athletes.
- This method avoids metal implants and reduces bone loss.
- Further research is needed to compare outcomes and refine indications.
