Tendon Transfer — Latissimus Dorsi Tendon Transfer

Lahey Hospital & Medical Center · M. Lemos, MD; K. Keen, PT; E. Lang, PT, DPT

Weight-Bearing

N/A

Key Restrictions

Abduction + ER shoulder immobilizer at all times until 6 wks; no passive IR/adduction/extension; no over-door pulleys; no lifting with operative extremity; no heavy weights permanently

Timeline & Phases

Phase I 0-6 wks (protective/immobilizer); Phase II 6-12 wks (AROM/lat dorsi re-education); Phase III 12-24 wks (strengthening/proprioception); Phase IV 24+ wks (advanced strengthening/return to activity)

Notes

Indicated for irreparable posterior-superior RCT without GH arthritis; expected strength 75-80% of uninvolved side; biofeedback/NMES recommended for lat dorsi muscle re-education as external rotator

Surgeon / Author

M. Lemos, MD; K. Keen, PT; E. Lang, PT, DPT

Published

2019-12