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At least 307 records · Page 17Linked to original sources
PubMed1983

Restoration of extensor pollicis longus function by tendon transfer.

Transfer of the extensor indicis proprius was carried out in 28 patients with chronic loss of the extensor pollicis longus. The patients were evaluated after intervals ranging from 4 months to 5 years, and 23 (82 percent) showed excellent recovery of long thumb extensor function, although 9 of these did lose as much as 30 degrees of flexion at the interphalangeal joint. There were two failures (7 percent), and two patients were lost to follow-up. One patient ruptured the juncture of the transfer but responded well to reattachment. There were not complications attributed to removal of this tendon from the index finger.

Arthritis, Rheumatoid↗
PubMedDate not supplied

Combined pectoralis major and latissimus dorsi tendon transfer for massive rotator cuff deficiency.

This report is a retrospective review of 11 consecutive patients treated with a combined transfer of the latissimus dorsi and pectoralis major tendons for massive rotator cuff deficiency. Each patient's chief complaint was diminished shoulder function and motion with little or no accompanying pain. The primary operative objective was to increase active shoulder motion. All 11 patients were followed up for at least 2 years (range, 24 to 42 months). The mean active elevation improved from 42 degrees preoperatively to 86 degrees postoperatively. The mean active external rotation improved from 0 degrees to 13 degrees. On the basis of the Medical Research Council scale, the mean abduction strength improved from 2.3 to 3.1 and the mean external rotation strength improved from 2.1 to 2.7. Overall, 4 patients made no improvement, 2 improved slightly, and 5 improved significantly. We conclude that a combined transfer of the latissimus dorsi and pectoralis major is a reasonable and safe procedure that may restore active elevation and external rotation in some patients' shoulders with a massive rotator cuff deficiency that have not responded favorably to traditional nonoperative and operative techniques. However, it is difficult to conclude, based on our experience, for which patients this surgery can be predictably successful.

Adult↗