Biomaterial Database

Latissimus dorsi pedicled graft. An unusual cause of shoulder pain. 1998

R R Slater, and R M Szabo, and J M Sykes

Department of Orthopaedic Surgery, University of California, Davis at Sacramento 95817, USA.

An unusual complication after the use of a pedicled latissimus dorsi flap is reported. The flap was used to reconstruct a facial defect after excision of a high grade mucoepidermoid carcinoma of a parotid gland. The tendinous insertion of the latissimus dorsi on the humerus was left intact and the flap pivoted around this point. Subsequent use of his arm caused the patient disabling shoulder pain from traction on the tendon. Symptoms resolved after the tendon was divided.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D010307	Parotid Neoplasms	Tumors or cancer of the PAROTID GLAND.	Cancer of Parotid,Parotid Cancer,Cancer of the Parotid,Neoplasms, Parotid,Cancer, Parotid,Cancers, Parotid,Neoplasm, Parotid,Parotid Cancers,Parotid Neoplasm
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012782	Shoulder	Part of the body in humans and primates where the arms connect to the trunk. The shoulder has five joints; ACROMIOCLAVICULAR joint, CORACOCLAVICULAR joint, GLENOHUMERAL joint, scapulathoracic joint, and STERNOCLAVICULAR joint.	Shoulders
D013524	Surgical Flaps	Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.	Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps
D052256	Tendinopathy	Clinical syndrome describing overuse tendon injuries characterized by a combination of PAIN, diffuse or localized swelling, and impaired performance.	Tendinitis,Tendinosis,Tendonitis,Tendonopathy,Tendonosis,Tendinitides,Tendinopathies,Tendinoses,Tendonitides,Tendonopathies,Tendonoses
D018277	Carcinoma, Mucoepidermoid	A tumor of both low- and high-grade malignancy. The low-grade grow slowly, appear in any age group, and are readily cured by excision. The high-grade behave aggressively, widely infiltrate the salivary gland and produce lymph node and distant metastases. Mucoepidermoid carcinomas account for about 21% of the malignant tumors of the parotid gland and 10% of the sublingual gland. They are the most common malignant tumor of the parotid. (From DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p575; Holland et al., Cancer Medicine, 3d ed, p1240)	Carcinomas, Mucoepidermoid,Mucoepidermoid Carcinoma,Mucoepidermoid Carcinomas