The anatomy of the thoracodorsal artery within the latissimus dorsi muscle

Rowsell, Anthony R.; Eisenberg, Naomi; Davies, David G.; Taylor, G. Ian

doi:10.1016/0007-1226(86)90083-4

Cited by 55 publications

(19 citation statements)

References 3 publications

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“…The thoracodorsal nerve, 96.2 mm ± 19.2 mm in length, is from posterior cord of brachial plexus, accompanied by thoracodorsal artery, and appears in the back of the axillary sheath. Rowsel, et al [17] obtained the same conclusion as Angrigiani by corrosion specimens and found direct perforating branch existed in 81 percent of the 100 specimens, its largest blood supply range was up to 25 cm × 15 cm in size. The advantage and disadvantage of latissimus dorsi musculocutaneous flap are as follows.…”

Section: Gross Anatomy Of Latissimus Dorsi Muscle Is As Follows Latisupporting

confidence: 62%

Flap transplantation for treatment of pelvic fracture and defective hip

Feng¹,

Niu²,

Zhang³

et al. 2014

DCC

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A case of flap transplantation for treatment of pelvic fracture and defective hip in the Third Affiliated Hospital of Inner Mongolia Medical University was collected and analyzed on the basis of diagnosis, physical examination and treatment. The patient was in serious condition with large necrotic area and prone to lead to various complications. The paper aims to share experience and provide references for similar cases amongst surgeons.Key Words: Pelvic fracture, Soft tissue defect, Skin flap transplantation Medical recordA 24-year-old male patient was admitted to our hospital due to pain in waist, abdomen and hip accompanied by active bleeding in left hip and the right waist back (amount was unknown), activity limitation for 7 hours from a motor vehicle crash on March 12, 2012. He received transfusion of blood type A packed red blood cells with volume of 400 ml without effective outcome in other hospitals prior to his admission. He was without any diet, urinary and bowel elimination since the occurrence of the disease. Abdominal ultrasound showed the right lower of the abdominal fluid sonolucent area. CT examination demonstrated the right transverse process fractures in 1-5 lumbar vertebrae, spinous process fracture in 4,5 lumbar, factures in left superior ramus of pubis and left ramus of ischium, and bilateral iliac bone fractures. Physical examinationData on the physical examination includes T 36.8°C, P 95/min, R 23/min, BP 75/40 mmHg. He was conscious and showed poor in spirit, but fluent in the language. The heart rate was 95 beats per minute, showing regularity in the force and rhythm of the heartbeat. Double lung breath sounds resonance. Both abdominal tenderness and rebound tenderness and muscle tension were presented. No mass was seen in the abdomen. No enlargement of liver, spleen and kidneys beneath the rib was found. Murphy's sign was negative, shifting dullness was positive, and bowl sound was weaker. Skin contusion (20 cm × 20 cm in size) in left hip and the right waist back was found. An open wound (15 cm in length) in left hip and the right waist back with degloving injury, permeability and active bleeding in internal part was presented. Pelvic compression and separation test was positive. Palpable sense of bone rubbing and audible sense of bone crepitus were displayed. The double lambs showed adduction, outboard-rotating and flexion deformity, sensory in peripheral was normal and blood circulation was also normal.

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Section: Gross Anatomy Of Latissimus Dorsi Muscle Is As Follows Latisupporting

confidence: 62%

Flap transplantation for treatment of pelvic fracture and defective hip

Feng¹,

Niu²,

Zhang³

et al. 2014

DCC

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“…The thoracodorsal vessels, which arise from the subscapular system in 94% of cases (in 5% of cases they arise directly from the axillary vessels and in 1% from the lateral thoracic vessels), are the dominant blood supply for the latissimus dorsi muscle [14]. The secondary blood supply comes from perforating branches of the posterior intercostal vessels.…”

Section: Latissimus Dorsi Flapsmentioning

confidence: 99%

Reconstruction of the chestwall and thorax

Skoracki

Chang

2006

Journal of Surgical Oncology

100

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Chest wall reconstructions can be complex and challenging procedures and may require a multidisciplinary approach. The most common indications for chest wall reconstruction are the repair of defects due to tumor ablation, infection, radiation necrosis, congenital deformities, and trauma. Flap reconstruction by plastic surgery is often required when skin is removed as part of the chest wall resection or when radiation therapy is given pre- or post-operatively. Tissue flaps may be needed to provide vascularized tissue over alloplastic materials used to stabilize the chest wall, to cover vital structures of the chest cavity, to fill dead space, and to improve cosmesis.

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“…Thus normally the loss of latissimus muscle is of no drastic functional consequences for the patient. The dominant vascular supply is the thoracodorsal artery [2] (Fig. 1).…”

Section: Anatomymentioning

confidence: 99%

Latissimus dorsi muscle flap

Sivakumar

Vijayaragavan

2007

Interact Surg

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The latissimus dorsi muscle is the largest muscle in the body, measuring up to 20 Â 40 cm. The latissimus dorsi muscle is the largest single transplantable block of vascularised tissue allowing coverage of larger wounds. It is one of the most versatile free musculocutaneus flaps available. Its size allows it to be used to cover defects of great magnitude. The ability to tailor and trim the muscle, taking only the size required, dramatically increases its versatility. The muscle is extremely malleable and may be folded, turned, rolled under and stuffed into cavities and wounds of all sizes and shapes with cut component [1].

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The anatomy of the thoracodorsal artery within the latissimus dorsi muscle

Cited by 55 publications

References 3 publications

Flap transplantation for treatment of pelvic fracture and defective hip

Flap transplantation for treatment of pelvic fracture and defective hip

Reconstruction of the chestwall and thorax

Latissimus dorsi muscle flap

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