title: Arthroscopic fixation with a minimally invasive axillary approach for latissimus dorsi transfer using an endobutton in massive and irreparable postero-superior cuff tears.
abstract: 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.
authors: 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.
authors: Yariv
authors: Y
authors: Goldstein
authors: Jean
authors: J
authors: Grimberg
authors: Philippe
authors: P
authors: Valenti
authors: Ofir
authors: O
authors: Chechik
authors: Michael
authors: M
authors: Drexler
authors: Jean
authors: J
authors: Kany
keywords: Latissimus dorsi; massive cuff tear endobutton; shoulder arthroscopy; tendon transfer
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