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reverse shoulder prosthesis - tendon transfer? s/m

Posted By: ltt on 2008-01-24
In Reply to: Massive Rotator Cuff Tear - If you understand - my hearing/typing - you are a miracle worker sm

Subject: reverse shoulder prosthesis - tendon transfer? s/m

Reverse total shoulder arthroplasty allows the restoration of active overhead elevation in patients with a massive rotator cuff tear and pseudoparesis of elevation. However, it does not restore active external rotation, the lack of which can also constitute a substantial functional handicap and compromise the outcome of this arthroplasty. Latissimus dorsi tendon transfer reliably restores control of active external rotation in rotator-cuff-deficient shoulders. In this preliminary study, we assessed the results of the combination of a latissimus dorsi transfer to the greater tuberosity and a reverse total shoulder arthroplasty in the presence of lost active external rotation.


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