Accepted for publication
A paper titled "All Arthroscopic Latissimus Dorsi Transfer" has been accepted by Techniques in Shoulder & Elbow Surgery, the companion journal to the Journal of Shoulder and Elbow Surgery. Co-authors are Dr Kieran Hirpara and Dr Noel Peter.
What a latissimus dorsi transfer is for
Latissimus dorsi transfers are used most commonly in patients with irreparable rotator cuff tears, with the aim of restoring shoulder function. Where the rotator cuff tendon has degenerated and retracted beyond the point at which it can be reattached, the latissimus dorsi, a large muscle of the back, can be detached from its usual insertion and reattached in a position where it can take over part of the function the cuff has lost, particularly external rotation.
The technique described
The paper describes a wholly arthroscopic method of performing the transfer. Traditionally this operation requires a substantial open approach, so performing it through keyhole incisions is a technical development rather than a change in the principle of the operation.
Where it sits among the options
An irreparable cuff tear has several possible answers depending on the individual, including non-surgical management and rehabilitation, partial repair, superior capsular reconstruction, tendon transfer, and reverse total shoulder replacement. Individual results vary.
Related information
See our rotator cuff tear page and our post on superior capsular reconstruction.