Successful Restoration of the Trapezius Muscle Using Pedicle Latissimus Dorsi

Ihara, Kenji; Katsube, Kousuke; Misumi, Hideki; Kawai, Shinya

doi:10.1097/00003086-200002000-00015

Cited by 14 publications

(18 citation statements)

References 19 publications

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“…4,5 The latissimus was chosen for its long pedicle, easily contoured shape, and minimal donor morbidity. These favorable characteristics have lead to its use for other reconstructions including triceps, 6 trapezius, 7 and deltoid, 8 and most commonly irreparable rotator cuff tears. 9 Numerous alternatives have been described to restore elbow flexion (Table 1).…”

Section: Introductionmentioning

confidence: 99%

Bipolar latissimus transfer for restoration of elbow flexion

Chaudhry

Hopyan

2013

Journal of Orthopaedics

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Section: Introductionmentioning

confidence: 99%

Bipolar latissimus transfer for restoration of elbow flexion

Chaudhry

Hopyan

2013

Journal of Orthopaedics

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“…These favorable characteristics have led to its use for other reconstructions including triceps, trapezius, and deltoid, and most commonly irreparable rotator cuff tears. [14][15][16][17] Various other pedicled muscle transfers have been described like flexor-pronator mass, pectoralis major, pectoralis minor, triceps, and sternocleidomastoid. 8,9,[18][19][20] Most of the studies use a bipolar pedicled latissimus dorsi transfer whereas in this study authors used a unipolar transfer i.e.…”

Section: Discussionmentioning

confidence: 99%

Unipolar pedicled latissimus dorsi transfer for elbow reanimation in traumatic brachial plexus injuries

Agrawal

Choudhary

Agrawal³

2020

Int J Res Med Sci

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Background: Brachial plexus injuries are troubling for the patients socially, economically and emotionally. Elbow joint being a large and vital joint needs to be reanimated so that the patient can carry out his routine work and bring the hand to the mouth. Number of procedures have been defined but latissimus dorsi being a large muscle is the muscle of choice for transfer in cases who present late. Bipolar latissimus dorsi transfers have often been reported but unipolar latissimus dorsi transfer has also been described. Authors have studied the unipolar muscle transfer, it’s surgical technique and results.Methods: In this study 18 patients were studied for demographic data, pre- and post-operative flexion of the elbow and the MRC grade of the corresponding movements. Diagnostic work up in the form of nerve conduction velocity, electromyography and magnetic resonance imaging were carried out and evaluated for their significance in traumatic brachial plexus injuries.Results: In this study 13 patients had avulsion of the C5-6 roots on magnetic resonance imaging. The patients presented after a period of 128.83±56.76 days. Substantial time elapsed and ruled out primary brachial plexus reconstruction or nerve transfers. The average elbow flexion improved from 6.67±5.69 degrees (range: 0-20 degrees) to 86.94±12.38 degrees (range: 65-110 degrees) following unipolar latissimus dorsi transfer. 12 patients (66.67%) developed M4 or M4+ power.Conclusions: Unipolar latissimus dorsi muscle transfer is a reliable method and most of the patients develop adequate strength and satisfactory function at the elbow joint.

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“…3,7,11,[17][18][19][20]24,30,32 In most cases, the pedicled latissimus dorsi flap has been used, 7,11,20,24,30,32 but pedicled pectoralis major, trapezius, rectus abdominis, and deltoid muscle flaps, as well as tensor fascia lata free flaps, have been used after trauma, oncologic resection, and radiation therapy. 3,11,17,20,25,32 As do we, Ihara et al 20 believe that the pedicled latissimus dorsi flap is the best option for reconstruction of the wide defects created after resection of a shoulder sarcoma.…”

Section: Discussionmentioning

confidence: 99%