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Japanese

Latissimus Dorsi Transfer for Massive Rotator Cuff Tears Ken-ichi Otoshi 1 , Shin-ichi Kikuchi 1 , Hiroaki Shishido 1 , Hisayoshi Tachihara 1 , Sakae Nagakura 1 , Shin-ichi Konno 1 1Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine Keyword: 腱板広範囲断裂 , massive rotator cuff tear , 広背筋移行術 , latissimus dorsi transfer pp.687-692
Published Date 2009/7/25
DOI https://doi.org/10.11477/mf.1408101546
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 We conducted a study to evaluate the outcome of treatment of massive rotator cuff tears with difficulty actively elevating the shoulder by latissimus dorsi (LD) transfer. Six cases in which a massive rotator cuff tear had been treated by LD transfer were reviewed. Two years after surgery the results were evaluated based on the active range of motion of the shoulder, the JOA score, and rating on the visual analog pain scale (VAS). The ranges of active flexion and abduction had increased significantly two years after surgery, and the JOA score and pain level based on the VAS had significantly improved. LD transfer is an effective procedure for treating massive rotator cuff tears in patients with difficulty actively elevating the shoulder. However, the presence of deltoid dysfunction sometimes causes a poor outcome after LD transfer.


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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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