Biomechanical effectiveness of different types of tendon transfers to the shoulder for external rotation

Journal of Shoulder and Elbow Surgery
Robert U HartzlerBassem Elhassan

Abstract

Our purpose was to determine and compare the external rotation moment arm (ERMA) of the latissimus dorsi (LD), teres major (TM), and lower trapezius (LT) when transferred to selected locations on the proximal humerus. We hypothesize that the LT transfer has a higher ERMA compared with LD or TM. Six fresh frozen cadaveric hemithoraces were used in a novel experimental design. The tendon and joint displacement method was used to calculate ERMA for 6 transfer pairs: LD to superolateral humeral head (SHH), LD to proximal-lateral humeral diaphysis (LHD), TM to SHH, TM to LHD, LT to infraspinatus insertion (ISI), and LT to teres minor insertion (TMI). Tendon transfer pair had a significant effect on ERMA (P < .001), with a significant interaction effect between tendon transfer and position of the humerus (P < .0001). With the humerus at 0° abduction, the ERMAs of the LT-ISI (28.1 mm) or LT-TMI (22.3 mm) transfers were significantly higher than the ERMAs of LD-SHH (10.6 mm; P = .0001, P = .04) or LD-LHD (6.5 mm; P < .0001, P < .001). Also, ERMAs of LT-ISI and LT-TMI transfers were significantly higher than ERMA of TM-LHD (10.4 mm; P = .0001, P = .03). Shoulder external rotation tendon transfers differ in effectiveness and may be affec...Continue Reading

References

Jan 1, 1967·Acta Orthopaedica Scandinavica·A K Saha
Aug 1, 1984·Journal of Biomechanical Engineering·K N AnE Y Chao
May 21, 1998·Journal of Shoulder and Elbow Surgery·M BeauchampR R Richards
Nov 14, 1998·Journal of Shoulder and Elbow Surgery·L CelliS Manzieri
Oct 30, 1999·Journal of Shoulder and Elbow Surgery·G HerzbergJ Dimnet
Jan 5, 2000·Clinical Biomechanics·T NakajimaK N An
Mar 2, 2005·The Journal of Bone and Joint Surgery. British Volume·J M KirkosJ H Haritidis
Jan 26, 2006·The Journal of Bone and Joint Surgery. British Volume·P HabermeyerD Liem
Nov 10, 2006·Journal of Biomechanics·Kai-Nan An
Nov 28, 2006·Journal of Shoulder and Elbow Surgery·Clément M L WernerChristian Gerber
Mar 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Michael J CodsiJoseph P Iannotti
May 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Christian GerberAtul Sukthankar
Apr 24, 2008·Journal of Shoulder and Elbow Surgery·Philippe FavreChristian Gerber
Oct 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Peter M Waters, Donald S Bae
Apr 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Bassem ElhassanAlex Shin
Mar 10, 2010·Journal of Shoulder and Elbow Surgery·Pascal BoileauMatthias A Zumstein
Jul 9, 2010·The Journal of Hand Surgery·Bassem ElhassanRobert Spinner

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Citations

Mar 13, 2016·Journal of Shoulder and Elbow Surgery·Bassem T ElhassanJean-David Werthel
Jul 2, 2015·Journal of Shoulder and Elbow Surgery·Joshua A GreenspoonPeter J Millett
Feb 24, 2015·Journal of Shoulder and Elbow Surgery·Reza OmidAnthony M Yi
May 18, 2016·International Journal of Shoulder Surgery·Joe de Beer, Deepak N Bhatia
Jul 9, 2016·Hand Clinics·Chelsea C Boe, Bassem T Elhassan
Dec 30, 2014·Acta ortopedica brasileira·Mauro Emilio Conforto GracitelliArnaldo Amado Ferreira Neto
May 4, 2017·EFORT Open Reviews·Jeremie M Axe
Feb 8, 2018·Current Reviews in Musculoskeletal Medicine·Nicholas J Clark, Bassem T Elhassan
Mar 1, 2019·JBJS Reviews·Caio ChecchiaJean Kany
Sep 15, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Jean-David WerthelBassem Elhassan
Sep 6, 2017·JBJS Reviews·Bradley SchochMark Lazarus
Jul 15, 2020·Current Reviews in Musculoskeletal Medicine·Eric R Wagner, Bassem T Elhassan
Aug 24, 2018·British Medical Bulletin·Leonardi OstiNicola Maffulli
Dec 14, 2018·Obere Extremität·Philippe Valenti, Jean-David Werthel
Dec 14, 2018·Obere Extremität·William R Aibinder, Bassem T Elhassan
Oct 25, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Konstantina MoraitiPhilippe Valenti
Dec 18, 2019·Orthopaedics & Traumatology, Surgery & Research : OTSR·Jean Kany
Mar 9, 2021·SICOT-J·Ismail TurkmenOguz Poyanlı
Feb 23, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Michael A StoneSurena Namdari
Jul 5, 2021·Hand Surgery and Rehabilitation·J-D Werthel, B Elhassan
Aug 10, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Samuel E BroidaEric R Wagner
Sep 29, 2021·Current Reviews in Musculoskeletal Medicine·Natalie K KucirekStephanie E Wong
Oct 1, 2021·Journal of Shoulder and Elbow Surgery·Erick M MarigiPhilipp Kriechling

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