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- W2395645696 abstract "Purpose While reverse shoulder arthroplasty (RSA) corrects vertical muscle imbalance, it cannot restore the horizontal imbalance seen in cuff-deficient shoulders with combined loss of active elevation and external rotation (CLEER). We report the medium-term results of the modified latissimus dorsi/teres major tendon transfer (L9Episcopo procedure) associated with RSA, performed via a single deltopectoral approach. Method Sixteen CLEER patients underwent the procedure and were followed up at a mean of 49 months (range, 36–70). All patients had lost spatial control of their arm, were unable to maintain neutral rotation, and had abnormal infraspinatus and teres minor muscles on imaging. Outcome measures included Constant score (CS), Subjective Shoulder Value (SSV), and ADLER score (activities of daily living requiring external rotation). Results Fifteen patients were satisfied or very satisfied. There were significant improvements (p Conclusion Reverse shoulder arthroplasty combined with the modified L9Episcopo procedure improves shoulder function in patients with CLEER. Patients regain spatial control of their arm. The observed internal rotation loss has led us to modify the surgical technique by fixing the transferred tendons more posteriorly on the humerus." @default.
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- W2395645696 date "2012-09-01" @default.
- W2395645696 modified "2023-09-26" @default.
- W2395645696 title "OUTCOMES OF REVERSE SHOULDER ARTHROPLASTY ASSOCIATED WITH THE MODIFIED L'EPISCOPO PROCEDURE FOR COMBINED LOSS OF ACTIVE ELEVATION AND EXTERNAL ROTATION" @default.
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