title: Transfer of the latissimus dorsi as a salvage procedure for failed debridement and attempted repair of massive rotator cuff tears.
abstract: Seven patients who had a previously failed attempt at debridement and repair of a massive rotator cuff tear were managed with latissimus dorsi transfer. Patient age averaged 63 years and average follow-up was 31 months. All patients were evaluated with shoulder radiographs, Constant and Murley Scores, UCLA Shoulder Score, visual analog pain score, range of motion, and the Short Shoulder Form. Modest improvement was noted in forward flexion and abduction. Significant improvement was noted in shoulder function. Transfer of the latissimus dorsi as salvage for a previously failed repair of a massive rotator cuff tear is effective in providing pain relief and improving shoulder function.
authors.affiliation: Department of Orthopedic Surgery, Section of Sports Medicine & Shoulder Surgery, University of South Alabama Medical Center Mobile, Alabama 36617-2293, USA.
authors.forename: Albert W
authors.initials: AW
authors.lastname: Pearsall
authors.forename: Sudhakar G
authors.initials: SG
authors.lastname: Madanagopal
authors.forename: Spero G
authors.initials: SG
authors.lastname: Karas
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003646:Debridement; D005206:Fascia Lata / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology; D012008:Recurrence; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D016879:Salvage Therapy; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery; D017211:Treatment Failure; D016896:Treatment Outcome