Arthroscopic fixation with a minimally invasive axillary approach for latissimus dorsi transfer using an endobutton in massive and irreparable postero-superior cuff tears

Yariv Goldstein; Jean Grimberg; Philippe Valenti; Ofir Chechik; Michael Drexler; Jean Kany

doi:10.4103/0973-6042.114223

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Arthroscopic fixation with a minimally invasive axillary approach for latissimus dorsi transfer using an endobutton in massive and irreparable postero-superior cuff tears

Yariv Goldstein¹, Jean Grimberg², Philippe Valenti³, Ofir Chechik⁴, Michael Drexler⁴, Jean Kany⁵
¹ Department of Orthopedic Surgery, The Shoulder Unit, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; Department of Upper Extremity, Clinique De l'Union, Toulouse, France,
² Department of Orthopedic Surgery, Clinique des Lilas, Paris, France,
³ Clinique Jouvenet, Institut de la main, Paris, France,
⁴ Department of Orthopedic Surgery, The Shoulder Unit, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel,
⁵ Department of Upper Extremity, Clinique De l'Union, Toulouse, France,

Correspondence Address:
Yariv Goldstein
Boulevard de Ratalens, 31240, Saint Jean, France

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-6042.114223

Year : 2013 | Volume : 7 | Issue : 2 | Page : 79-82

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Arthroscopically assisted latissimus dorsi transfer is a viable option for treatment of patients in their 50s to 70s, without arthritis of the glenohumeral joint, who suffer from massive rotator cuff tears that are not amendable to primary repair due to fatty changes in the muscle tissue, or that have failed previous repair attempts. This procedure offers immediate and dramatic pain relief and is not as technically demanding as one might think. Understanding and respecting the principles of tendon transfer is a key to the success of this procedure.

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SURGICAL TECHNIQUE

Correspondence Address:
Yariv Goldstein
Boulevard de Ratalens, 31240, Saint Jean, France

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-6042.114223