Evidence map›Paper›PMID 38294257›Full record

ArticleThe American journal of sports medicine2024

Anterior Latissimus Dorsi Transfer for Irreparable Subscapularis Tears Improves Shoulder Kinematics in a Dynamic Biomechanical Cadaveric Shoulder Model.

Daniel P Berthold, Marco-Christopher Rupp, Elifho Obopilwe, Sebastian Siebenlist, Bassem T Elhassan, Augustus D Mazzocca, Lukas N Muench

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Article in The American journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Daniel P BertholdDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0001-6630-6406
Marco-Christopher RuppDepartment of Sports Orthopaedics, Technical University of Munich, Munich, Germany.
Elifho ObopilweDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut, USA.
Sebastian SiebenlistDepartment of Sports Orthopaedics, Technical University of Munich, Munich, Germany.
Bassem T ElhassanDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Augustus D MazzoccaDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Lukas N MuenchDepartment of Sports Orthopaedics, Technical University of Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn young patients with irreparable subscapularis deficiency (SSC-D) and absence of severe osteoarthritis, anterior latissimus dorsi transfer (aLDT) has been proposed as a treatment option to restore the anteroposterior muscular force couple to regain sufficient shoulder function. However, evidence regarding the biomechanical effect of an aLDT on glenohumeral kinematics remains sparse. PURPOSE/HYPOTHESIS: The purpose of this study was to investigate the effects of an aLDT on range of glenohumeral abduction motion, superior migration of the humeral head (SM), and cumulative deltoid force (cDF) in a simulated SSC-D model using a dynamic shoulder model. It was hypothesized that an aLDT would restore native shoulder kinematics by reestablishing the insufficient anteroposterior force couple. STUDY

designControlled laboratory study.

methodsEight fresh-frozen cadaveric shoulders were tested using a validated shoulder simulator. Glenohumeral abduction angle (gAA), SM, and cDF were compared across 3 conditions: (1) native, (2) SSC-D, and (3) aLDT. gAA and SM were measured using 3-dimensional motion tracking, while cDF was recorded in real time during dynamic abduction motion by load cells connected to actuators.

resultsThe SSC-D significantly decreased gAA (Δ-9.8°; 95% CI, -14.1° to -5.5°;

conclusionIn this cadaveric study, performing an aLDT for an irreparable subscapularis insufficiency restored the anteroposterior force couple and prevented superior and anterior humeral head migration, thus improving glenohumeral kinematics. Furthermore, compensatory deltoid forces were reduced by performing an aLDT. CLINICAL RELEVANCE: Given the favorable effect of the aLDT on shoulder kinematics in this dynamic shoulder model, performing an aLDT may be considered as a treatment option in patients with irreparable SSC-D.

Indexed as

BursitisSuperficial Back MusclesBiomechanical PhenomenaCadaverHumansRotator CuffShoulderirreparable subscapularis tearlatissimus dorsi transfermuscular force coupleshoulder kinematicssubscapularis deficiencytendon transfer

Identifiers

PMID38294257
PMCPMC10905977

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.