Subacute repair of latissimus dorsi tendon avulsion in the recreational athlete: Two-year outcomes of 2 cases

Cox, Efrem M.; McKay, Scott; Wolf, Brian R.

doi:10.1016/j.jse.2010.03.015

Cited by 15 publications

(15 citation statements)

References 11 publications

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“…Other studies of latissimus ruptures treated operatively are limited to much smaller case series or single case reports. 9,10 Other fixation options for latissimus tendon injuries include suture anchor or transosseous tunnel fixation. 11 Given the rarity of this injury, there have been no studies comparing the single-and dual-incision techniques or different fixation options.…”

Section: Discussionmentioning

confidence: 99%

Latissimus Dorsi Tendon Repair

Alrabaa

Ahmad

2020

Arthroscopy Techniques

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Latissimus dorsi tendon ruptures are less-common injuries that can occur in elite throwing athletes. Physical examination of the thrower with a latissimus injury may show ecchymosis of the upper arm and asymmetry of the posterior axillary fold along with possible weakness in shoulder adduction, extension, and internal rotation. Magnetic resonance imaging is used to confirm the diagnosis. Latissimus tendon ruptures are largely treated nonoperatively; surgical repair is only advocated for in professional throwing athletes with complete avulsion injuries or midsubstance latissimus tendon tears. Surgical repair options include the use of suture anchors, cortical suture buttons, or transosseous sutures via a single posterior axillary incision or a 2-incision technique. Given the limited literature on this topic, there have been no studies evaluating the different fixation options or surgical approaches for tendon repair. This article and accompanying video show the technique and discusses the technical pearls of a latissimus tendon repair using suture button fixation via a single-incision approach.

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Section: Discussionmentioning

confidence: 99%

Latissimus Dorsi Tendon Repair

Alrabaa

Ahmad

2020

Arthroscopy Techniques

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“… 10 Presentation may include ecchymosis of the axilla and palpable mass that can simulate a sarcoma. 1 , 7 Recent advances have shown both MRI and ultrasonography as imaging modality options that provide useful information, allowing characterization of these injuries into 4 basic categories: (1) isolated tendon injury/avulsion 1 , 5 , 7 - 9 , 11 , 13 , 14 , 17 , 19 ; (2) combination injuries with LD tendon injury associated with trauma to the adjacent pectoralis major, teres major, or rotator cuff 3 , 12 , 14 , 17 , 18 ; (3) isolated myotendinous strain 10 , 15 , 16 ; and (4) intramuscular strain. 2 , 4 …”

Section: Discussionmentioning

confidence: 99%

Traumatic Tear of the Latissimus Dorsi Myotendinous Junction

et al. 2015

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A case of a latissimus dorsi myotendinous junction strain in an avid CrossFit athlete is presented. The patient developed acute onset right axillary burning and swelling and subsequent palpable pop with weakness while performing a “muscle up.” Magnetic resonance imaging examination demonstrated a high-grade tear of the right latissimus dorsi myotendinous junction approximately 9 cm proximal to its intact humeral insertion. There were no other injuries to the adjacent shoulder girdle structures. Isolated strain of the latissimus dorsi myotendinous junction is a very rare injury with a scarcity of information available regarding its imaging appearance and preferred treatment. This patient was treated conservatively and was able to resume active CrossFit training within 3 months. At 6 months postinjury, he had only a mild residual functional deficit compared with his preinjury level.

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“…A review of citing and cited articles produced 25 case reports and 2 case series detailing 55 sports injuries to these 2 muscles. While the majority of the athletes studied (32/ 55) were baseball pitchers, 12,14,29,34,37,44 these injuries have also been reported in athletes participating in water skiing, 12,20,[30][31][32]35 tennis, 38,46 rock climbing, 33 track, 10 hockey, 18 golf, 45 body building, 7 volleyball, 1 basketball, 1 handball, 2 wrestling, 19 rodeo steer riding, 9,21 cricket, 47 a police athletic competition, 8 and military training 47 (Table 1).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Surgical treatment of latissimus dorsi tendon avulsions has been described in detail in 10 patients 12,14,17,[19][20][21][31][32][33] ( Table 2). There is also 1 described case of suture repair of a grade 3 strain/rupture at the musculotendinous junction of the latissimus dorsi.…”

Section: Operative Treatmentmentioning

confidence: 99%

“…39 Full adduction may be required when fixation is secured to bring tendon to bone. 12 Of concern, cadaveric studies show that internal rotation and abduction decrease by half the distance between the radial and axillary nerves and the latissimus dorsi footprint on the humerus. 11 The first technique may be more familiar to surgeons accustomed to open reconstructive shoulder surgery, while the second is more familiar to surgeons who perform latissimus dorsi flap surgery.…”

Section: Operative Treatmentmentioning

confidence: 99%

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Sports Injuries to the Latissimus Dorsi and Teres Major

Donohue

Lubitz

Kremchek³

2016

Am J Sports Med

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Injuries to the latissimus dorsi and teres major muscles, while rare, are debilitating. They are seen in a variety of sports, although disproportionately in the throwing shoulder of baseball pitchers. There have been 25 case reports and 2 case series published on the nonoperative and operative management of these injuries. Latissimus dorsi and teres major muscle anatomy, function, and common injury patterns are well described in these case reports. Also well detailed are the typical patient presentation, physical examination, and imaging findings. Latissimus dorsi tendon injuries are sometimes treated operatively, whereas latissimus dorsi muscle belly or isolated teres major injuries are treated nonoperatively. Nonoperative treatment includes oral anti-inflammatories and shoulder physical therapy. A number of surgical patient positions, approaches, and fixation constructs have been described, although 2 techniques of positioning and surgical approach are used most commonly. Fixation is most often performed with suture anchors. Return-to-play timing, shoulder strength, and healing on magnetic resonance imaging are variable. No standard of care currently exists for the treatment of latissimus dorsi or teres major injuries. If treating a patient with an injury to either muscle, the clinician should be familiar with accumulated experience as reported in the published literature.

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Subacute repair of latissimus dorsi tendon avulsion in the recreational athlete: Two-year outcomes of 2 cases

Cited by 15 publications

References 11 publications

Latissimus Dorsi Tendon Repair

Latissimus Dorsi Tendon Repair

Traumatic Tear of the Latissimus Dorsi Myotendinous Junction

Sports Injuries to the Latissimus Dorsi and Teres Major

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