Table 1: Indications, contraindications and complications of latissimus dorsi tendon transfer.

Indications Contraindications Complications

Patients
    • Young age, active individuals
    • Older patients with increased functional
    • demands, bodily active
Clinical
    • Severe functional disability due to
    • Weakness and loss of motion
    • Severe pain caused by a massive
    • Irreparable cuff tear
Compliance
    • Patients that will comply with long •rehabilitation
Imaging and intraoperative
    • Fatty infiltration – retraction
    • Not amenable to repair











Absolute
• Postoperative hematoma
• Infection
• Late / secondary tendon rupture
• Anchor pull out
• Nerve palsies
• Advanced age
• Comorbidities (infection etc)
• Severe joint degeneration (Hamada ≥ stage 2, Samilson ≥ stage 1)
• Compromised Coracoacromial arch
• Anterosuperior subluxation
• Subscapularis deficiency – atrophy – fatty degeneration
• Deltoid deficiency – detachment
• Nerve injuries
• Inability to comply with long rehabilitation

Relative
• Subscapularis partial tears
• Advanced fatty degeneration of the teres minor
• Acromio- humeral distance < 7 mm
• Moderate joint degeneration (Hamada – Stage 1-2)
• Preoperative weakness - pseudoparalysis