From KSF Orthopaedic Center, Houston, TX (Dr. George), and the Department of Orthopaedic Surgery, the University of Texas Southwestern Medical School, Dallas, TX (Dr. Khazzam).
J Am Acad Orthop Surg. 2019 Feb 15;27(4):113-118. doi: 10.5435/JAAOS-D-17-00581.
Isolated injury to the latissimus dorsi is rare. Partial tendon tears may be successfully treated nonsurgically. Complete tendon ruptures require surgical repair. Tendon repair can be approached either through an anterior deltopectoral incision with a secondary small posterior axillary incision or through a long posterior axillary incision. Suture anchors can be used to repair the latissimus dorsi to the humeral attachment. Although the literature is limited to single-patient case series, most patients have returned to full athletic activity after surgical repair.
背阔肌的孤立损伤很少见。部分肌腱撕裂可以成功地进行非手术治疗。完全性肌腱断裂需要手术修复。肌腱修复可以通过前三角肌胸大肌切口加辅助小的后腋窝切口或长的后腋窝切口进行。缝合锚钉可用于将背阔肌修复到肱骨附着处。尽管文献仅限于单个患者的病例系列，但大多数患者在手术后都能恢复到完全的运动活动。
