Arthroscopically Assisted Transposition of the Latissimus Dorsi in the Treatment of Patients with Massive Ruptures of the Rotator Cuff (Clinical Observation)

Massive rotator cuff tears present a challenging problem for surgeons. According to various authors, from 10 to 40 % of ruptures are massive and more often affect patients over 60 years of age with low-intensity injuries. There is currently no consensus on the classification of rotator cuff injuries...

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Autores principales:	N. S. Ponomarenko, V. V. Monastyrev, I. A. Kuklin, D. V. Menshova
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2021
Materias:	rupture rotator cuff surgical treatment Science Q
Acceso en línea:	https://doaj.org/article/7775b45b28744f2da8dca7b7cf0826d0
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spelling	oai:doaj.org-article:7775b45b28744f2da8dca7b7cf0826d02021-11-23T06:14:45ZArthroscopically Assisted Transposition of the Latissimus Dorsi in the Treatment of Patients with Massive Ruptures of the Rotator Cuff (Clinical Observation)2541-94202587-959610.29413/ABS.2020-5.6.23https://doaj.org/article/7775b45b28744f2da8dca7b7cf0826d02021-01-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2513https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Massive rotator cuff tears present a challenging problem for surgeons. According to various authors, from 10 to 40 % of ruptures are massive and more often affect patients over 60 years of age with low-intensity injuries. There is currently no consensus on the classification of rotator cuff injuries. The use of MRI is the gold standard in diagnostics and surgical tactics. Treatment of patients with severe fatty degeneration, muscular atrophy and retraction of the damaged tendon presents certain difficulties. Reinsertion of the damaged rotator cuff tendon is not possible in such patients. There are many different methods of surgical and conservative treatment. In our opinion, transposition of the latissimus dorsi is the method of choice for young and active patients. With the development of new technologies, transposition of the latissimus dorsi muscle began to be performed arthroscopically. This article presents a clinical case: a woman with chronic total rupture of the supraspinatus tendon, Patte grade 3 and fatty degeneration of grade 3 by Thomazeau. The patient was also diagnosed with a secondary superior subluxation of the humeral head. The patient underwent surgical treatment: arthroscopic- associated transposition of the latissimus dorsi muscle to the greater tubercle of the humerus. There was a positive trend, an improvement in the functional result occurred already in the early postoperative period. Considering the above, the method of choice in the treatment of patients with massive ruptures of the rotator cuff tendons can be considered as transposition of the latissimus dorsi muscle, performed by the arthroscopic-associated method.N. S. PonomarenkoV. V. MonastyrevI. A. KuklinD. V. MenshovaScientific Сentre for Family Health and Human Reproduction Problemsarticlerupturerotator cuffsurgical treatmentScienceQRUActa Biomedica Scientifica, Vol 5, Iss 6, Pp 194-198 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	rupture rotator cuff surgical treatment Science Q
spellingShingle	rupture rotator cuff surgical treatment Science Q N. S. Ponomarenko V. V. Monastyrev I. A. Kuklin D. V. Menshova Arthroscopically Assisted Transposition of the Latissimus Dorsi in the Treatment of Patients with Massive Ruptures of the Rotator Cuff (Clinical Observation)
description	Massive rotator cuff tears present a challenging problem for surgeons. According to various authors, from 10 to 40 % of ruptures are massive and more often affect patients over 60 years of age with low-intensity injuries. There is currently no consensus on the classification of rotator cuff injuries. The use of MRI is the gold standard in diagnostics and surgical tactics. Treatment of patients with severe fatty degeneration, muscular atrophy and retraction of the damaged tendon presents certain difficulties. Reinsertion of the damaged rotator cuff tendon is not possible in such patients. There are many different methods of surgical and conservative treatment. In our opinion, transposition of the latissimus dorsi is the method of choice for young and active patients. With the development of new technologies, transposition of the latissimus dorsi muscle began to be performed arthroscopically. This article presents a clinical case: a woman with chronic total rupture of the supraspinatus tendon, Patte grade 3 and fatty degeneration of grade 3 by Thomazeau. The patient was also diagnosed with a secondary superior subluxation of the humeral head. The patient underwent surgical treatment: arthroscopic- associated transposition of the latissimus dorsi muscle to the greater tubercle of the humerus. There was a positive trend, an improvement in the functional result occurred already in the early postoperative period. Considering the above, the method of choice in the treatment of patients with massive ruptures of the rotator cuff tendons can be considered as transposition of the latissimus dorsi muscle, performed by the arthroscopic-associated method.
format	article
author	N. S. Ponomarenko V. V. Monastyrev I. A. Kuklin D. V. Menshova
author_facet	N. S. Ponomarenko V. V. Monastyrev I. A. Kuklin D. V. Menshova
author_sort	N. S. Ponomarenko
title	Arthroscopically Assisted Transposition of the Latissimus Dorsi in the Treatment of Patients with Massive Ruptures of the Rotator Cuff (Clinical Observation)
title_short	Arthroscopically Assisted Transposition of the Latissimus Dorsi in the Treatment of Patients with Massive Ruptures of the Rotator Cuff (Clinical Observation)
title_full	Arthroscopically Assisted Transposition of the Latissimus Dorsi in the Treatment of Patients with Massive Ruptures of the Rotator Cuff (Clinical Observation)
title_fullStr	Arthroscopically Assisted Transposition of the Latissimus Dorsi in the Treatment of Patients with Massive Ruptures of the Rotator Cuff (Clinical Observation)
title_full_unstemmed	Arthroscopically Assisted Transposition of the Latissimus Dorsi in the Treatment of Patients with Massive Ruptures of the Rotator Cuff (Clinical Observation)
title_sort	arthroscopically assisted transposition of the latissimus dorsi in the treatment of patients with massive ruptures of the rotator cuff (clinical observation)
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2021
url	https://doaj.org/article/7775b45b28744f2da8dca7b7cf0826d0
work_keys_str_mv	AT nsponomarenko arthroscopicallyassistedtranspositionofthelatissimusdorsiinthetreatmentofpatientswithmassiverupturesoftherotatorcuffclinicalobservation AT vvmonastyrev arthroscopicallyassistedtranspositionofthelatissimusdorsiinthetreatmentofpatientswithmassiverupturesoftherotatorcuffclinicalobservation AT iakuklin arthroscopicallyassistedtranspositionofthelatissimusdorsiinthetreatmentofpatientswithmassiverupturesoftherotatorcuffclinicalobservation AT dvmenshova arthroscopicallyassistedtranspositionofthelatissimusdorsiinthetreatmentofpatientswithmassiverupturesoftherotatorcuffclinicalobservation
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Arthroscopically Assisted Transposition of the Latissimus Dorsi in the Treatment of Patients with Massive Ruptures of the Rotator Cuff (Clinical Observation)

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