Hoang Victor, Anthony Taylor, Meter Joseph, Amesur Ajit, Alqueza Arnold, Elhassan Bassem T
Brigham and Women's Hospital/Harvard Medical School, Boston, Massachusetts, U.S.A.
Touro University Nevada College of Osteopathic Medicine, Henderson, Nevada, U.S.A.
Arthrosc Tech. 2023 Feb 22;12(2):e181-e185. doi: 10.1016/j.eats.2022.10.017. eCollection 2023 Feb.
Teres major (TM) and latissimus dorsi (LD) ruptures are relatively rare in the general population and have primarily been observed in overhead throwing athletes. Although the gold standard of care has traditionally been nonoperative, surgical repair of TM and LD tendon ruptures has become increasingly prevalent in high-level athletes who fail to return to play. Literature is scarce regarding operative repair of these tendon ruptures. Therefore, our goal is to present a potential technique for open repair to surgeons who may be faced with this unique orthopedic injury. Our technique details an open TM and LD repair, in addition to biceps tenodesis, using cortical suspensory fixation buttons with a combined anterior and posterior approach.
大圆肌（TM）和背阔肌（LD）断裂在普通人群中相对罕见，主要见于过头投掷运动员。尽管传统上的最佳治疗方法是非手术治疗，但对于未能恢复运动的高水平运动员，TM和LD肌腱断裂的手术修复越来越普遍。关于这些肌腱断裂的手术修复的文献很少。因此，我们的目标是向可能面临这种独特骨科损伤的外科医生介绍一种开放性修复的潜在技术。我们的技术详细介绍了一种开放性TM和LD修复方法，除了肱二头肌固定术外，还采用皮质悬吊固定纽扣，采用前后联合入路。
