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All-Arthroscopic Latissimus Dorsi Transfer

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Presentation on theme: "All-Arthroscopic Latissimus Dorsi Transfer"— Presentation transcript:

1 All-Arthroscopic Latissimus Dorsi Transfer
Kenneth Cutbush, M.B.B.S., F.R.A.C.S., F.A.Orth.A., Noel A. Peter, B.Med.Sci.(Hons), B.M.B.S., Dip.Sports.Med.(UK), F.R.C.S.(Tr&Orth), Kieran Hirpara, M.B.B.Ch. B.A.O., M.D., M.R.C.S.(Ed), F.R.C.S.(Tr&Orth)  Arthroscopy Techniques  Volume 5, Issue 3, Pages e607-e613 (June 2016) DOI: /j.eats Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 The sterile arm holder of the Spider 2 Limb Positioner is applied on the radial border of the forearm to provide a greater degree of internal rotation. Arthroscopy Techniques 2016 5, e607-e613DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Position of the O, N, P, and Q portals in the axilla. The arm is abducted, and the head is to the left of the image. Arthroscopy Techniques 2016 5, e607-e613DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Visualization of the latissimus tendon on first pass of the endoscope through the N portal. The patient's head is to the left of the image, and the surgeon is standing to the patient's back. Arthroscopy Techniques 2016 5, e607-e613DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Axillary nerve as it traverses the superior border of the latissimus dorsi tendon. Arthroscopy Techniques 2016 5, e607-e613DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 Dissection of the axillary nerve using the O working portal and the N viewing portal. Arthroscopy Techniques 2016 5, e607-e613DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

7 Fig 6 Arthroscopic whipstitching of the superior border of the latissimus dorsi tendon. Arthroscopy Techniques 2016 5, e607-e613DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

8 Fig 7 Thoracodorsal neurovascular pedicle viewed through the N portal.
Arthroscopy Techniques 2016 5, e607-e613DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

9 Fig 8 Transferred latissimus dorsi tendon through the subdeltoid tunnel. Arthroscopy Techniques 2016 5, e607-e613DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

10 Fig 9 Secure fixation of the transferred tendon onto the prepared greater tuberosity. Arthroscopy Techniques 2016 5, e607-e613DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions


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