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Latissimus Dorsi Tendon Transfer vs. Superior Capsular Reconstruction for Treatment of Irreparable Rotator Cuff Tears: A Retrospective Comparison Study With Short-term Clinical Results by Delaney, Ruth A.; Kadow, Tiffany R.; Garcia, Daniel; Minorini, Rebecca; Baratz, Mark E.; Lin, Albert is a Medicine article available to read on EtoBox.

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patients had a prior failed latarjet and subsequently required additional bone grafting, and were excluded. Therefore, 56 patients were included in this study. The average age of 53 years (range, 37-79), with 39 (70%) males, and 30 (54%) performed in the dominant extremity. Every patient had a prior surgery, with a mean number 2 (range, 1-5). Concomitant pathologies included a supraspinatus tear in 37, upper infraspinatus tear in 11, and mild arthritis in 7 shoulders. On radiographic evaluation, 38 patients had evidence of proximal migration, while 27 had anterior subluxation. The surgical technique included open repair in 14 shoulders and arthroscopic repair in 42 shoulders. Outcome measures included visual pain analogue score (VAS), range of motion (ROM), subjective shoulder value (SSV), and Constant shoulder score. Results: At a mean 13 months follow-up (7-51 months), patients had significant improvements in their pain, flexion, abduction, internal rotation, SSV, and Constant scores when compared to preoperatively (p<0.03). There was an improved subjective lift off test in all patients, but only 12 patients had a complete reversal of the lift off test. Belly press test improved

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Author

Delaney, Ruth A.; Kadow, Tiffany R.; Garcia, Daniel; Minorini, Rebecca; Baratz, Mark E.; Lin, Albert

Publisher

Elsevier ; New York: Elsevier; Elsevier BV (ISSN 2468-6026)

Published

2019

Language

EN

Field

Medicine (Health Sciences)