• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Latissimus dorsi transfer for primary treatment of irreparable rotator cuff tears
【24h】

Latissimus dorsi transfer for primary treatment of irreparable rotator cuff tears

机译：背阔肌转移术治疗不可挽回的肩袖撕裂

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Transfer of the musculotendinous unit of the latissimus dorsi was performed in seven patients (5 men and 2 women, with a mean age of 57 years) with irreparable rotator cuff tear who had had no previous surgery for cuff repair. Preoperatively, the mean active shoulder motion was 86° in flexion, 74° in abduction and 22° in external rotation. One patient had a positive lift-off test. The average preoperative Constant and Murley score was 44%. Diagnosis of irreparability of the cuff leasion was made preoperatively only in one case. In the remaining patients, the preoperative data only led to suspect that the tear was irreparable. At surgery, all patients had an irreparable tear of the superoinferior portion of the cuff and one patient also had a tear of the subscapularis tendon. In all cases the latissimus dorsi tendon was inserted to the greater tuberosity and, in four cases, to the subscapularis tendon; in three patients it was sutured to the bicipital tendon. Postoperatively all patients had relief of shoulder pain. The mean improvement in active flexion, abduction and external rotation was, respectively, 39°, 29° and 10°: At the latest follow-up, the average Constant and Murley score was 64%. The results of surgery were rated as excellent in three cases, good in two, fair in one and poor in one. All patients but one returned to preoperative work. Transfer of the latissimus dorsi muscle is an effective procedure for patients in middle or early elderly age who have an irreparable tear of the supraspinatus and infraspinatus tendons.
机译：七名患有不可修复的肩袖撕裂的患者（7名男性，5名男性和2名女性，平均年龄57岁）曾接受过背阔肌肌腱膜单位的转移，这些患者以前没有进行过袖套修复手术。术前平均主动肩膀运动为屈曲86°，外展74°和外旋22°。一名患者的剥离试验呈阳性。术前Constant和Murley评分平均为44％。仅在一种情况下术前诊断了袖带切开的不可修复性。在其余患者中，术前数据仅导致怀疑泪液无法修复。手术时，所有患者的袖带上下部均撕裂得不可修复，一名患者的肩sub下肌腱也撕裂。在所有情况下，背阔肌腱均被插入到较大的结节处，而在四种情况下，则被置入肩sub下肌腱。在三名患者中，它被缝合到二头肌腱上。术后所有患者均缓解了肩部疼痛。主动屈曲，外展和外旋的平均改善分别为39°，29°和10°：在最新的随访中，Constant和Murley的平均得分为64％。手术结果被评定为优良3例，良2例，中1例，差1例。除一名患者外，所有患者均恢复了术前工作。背阔肌的转移对于中上或早期老年患者有有效的治疗，这些患者的上棘和肌下肌腱撕裂得无法修复。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号