Een gerandomiseerde studie tussen twee typen peesomleggingen als behandeling voor zeer grote scheuren in de schouderpezen

Teres Major muscle transfer group will show
significant better improvement in active abduction and external rotation than the LD group after 1 year.

3-6 and 12 months postoperatively

Teres major muscle transfer versus latissimus dorsi muscle transfer



The patient is positioned in lateral position on the unaffected side. The first skin incision runs just above the posterior pillar of the armpit. The muscle of interest is identified,
transversing under the medial head or the triceps.
dorsi. The axillary and radial nerves are identified above and below the tendon insertion.

The tendon is detached from the humerus. The second skin incision is made lateral from the acromion process (deltoid split approach). The deltoid is split and the subdeltoid bursaopened. The rotator cuff is examined. The tendon is passed under the posterior part of the deltoid muscle to the subacromial space. The tendon is inserted in the m. infraspinatus area using one or two bone-anchors.