Étude 3D des mouvements après transfert de tendon du grand dorsal pour rupture massive postéro-supérieure de la coiffe des rotateurs: analyse de la proprioception et des capacités à effectuer les gestes de la vie courante - 30/01/20
3D motion analysis of latissimus dorsi tendon transfer in patients with posterosuperior rotator cuff tears: Analysis of proprioception and the ability to perform ADLS
, Sarah Erhard a, Mirjam Thielen a, Sebastian I. Wolf a, Felix Zeifang b, Stefan van Drongelen c, Michael W. Maier aAbstract |
Background |
Massive irreparable posterosuperior rotator cuff tears may result in a loss of external rotation. Most of these patients lose their ability to perform activities of daily living (ADLs), especially where external rotation and abduction are needed. Latissimus dorsi tendon transfer (LDTT) is a method to restore abduction and external rotation in patients with posterosuperior rotator cuff tears. There are no objective data concerning whether LDTT can restore range of motion (ROM), especially in performing ADLs and if proprioception changes after LDTT.
Methods |
We examined 12 patients 4.2 years (1–9 years) after LDTT with simultaneous 3D motion analysis; the opposite, nonaffected side was assessed as control. The measurement protocol included maximum values in flexion/extension, abduction/adduction, internal/external rotation in 0° and in 90° flexion and in 90° abduction. To evaluate competences, we measured seven activities of daily life and examined the proprioceptive ability using an active angle reproduction test.
Results |
4.2 years (1–9 years) after LDTT there was no significant difference in flexion/extension and abduction/adduction compared to the healthy side. Maximum external rotation was significantly reduced compared to the opposite side. Eleven patients (85 %) were able to perform all ADL. Proprioceptive ability did not differ from the healthy side.
Conclusion |
LDTT cannot fully restore a patient's ability for external rotation after a posterosuperior rotator cuff tear. However, 4.2 years after surgery, 85 % of the patients are able to perform all ADLs. Proprioceptive ability is not affected by the transfer.
El texto completo de este artículo está disponible en PDF.Keywords : Latissimus dorsi tendon transfer, Upper extremity, 3D motion analysis, Activities of daily life, Proprioception, Posterosuperior cuff tears
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 106 - N° 1
P. 27 - février 2020 Regresar al número
Artículo precedente
- Effet de la taille de la boucle sur la sécurité du serrage et l’élongation d’un nœud en chirurgie de la coiffe des rotateurs
- Selim Ergün, Umut Akgün, Mustafa Karahan
- Nouveaux facteurs prédictifs de la rupture du subscapulaire : angle de coraco-petite tubérosité humérale, angle et hauteur de la tubérosité inférieure
- Joong-Bae Seo, Sung-Joon Kim, Hee Jung Ham, Kwon Young Kwak, Jaesung Yoo
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.
¿Ya suscrito a @@106933@@ revista ?