Updated: 5/11/2021

Latissimus Dorsi Rupture

0%
Topic
Review Topic
0
0
0%
0%
Evidence
8
0
0
0%
0%
Videos / Pods
2
Topic
Images
https://upload.orthobullets.com/topic/3072/images/lat tear.jpg
  • Summary
    • Latissimus dorsi rupture is a very rare condition that has been reported as a cause of pain in the thrower’s shoulder.
    • Diagnosis is suspected with pain over the latissimus dorsi made worse with shoulder adduction/internal rotation and confirmed with an MRI.
    • Treatment is nonoperative for the majority of patients. Surgery is indicated in competitive athletes with completed tears. 
  • Epidemiology
    • Incidence
      • very rare condition
  • Etiology
    • Mechanism
      • felt to be eccentric overload during the follow-through of the throwing motion
  • Anatomy
    • Latissimus dorsi muscle
  • Presentation
    • Physical exam
      • local tenderness and deformity over latissimus dorsi muscles
      • pain with shoulder adduction and internal rotation
  • Imaging
    • MRI
      • shows increased T2 signal and retraction of latissimus dorsi muscle
  • Treatment
    • Nonoperative
      • short period of rest followed by PT
        • indications
          • allow resumption of activities in low demand patients
        • technique
          • physical therapy goals are to restore shoulder motion and strength
          • throwing can be allowed
            • after full, pain-free motion and good strength
            • balance of the rotator cuff and scapular rotator muscles
    • Operative
      • primary repair vs reconstruction
        • indications
          • for high demand athletes (currently there are no defined indications for surgical repair)
        • technique
          • early primary repair is favored to prevent retraction and scarring

Please rate this review topic.

You have never rated this topic.

Thank you. You can rate this topic again in 12 months.

Flashcards (0)
Cards
1 of 0
Evidence (8)
VIDEOS & PODCASTS (3)
EXPERT COMMENTS (6)
Private Note