About Latissimus Dorsi
Overview
The latissimus dorsi is a large muscle located in the back. It is one of the largest muscles in the body and is known for its wide, flat V shape. The muscle spans the width of the back and plays a role in controlling shoulder movement. It originates along the seventh thoracic vertebra region of the spine and extends to its insertion point on the humerus. The latissimus dorsi muscle can be injured through overuse or improper exercise form, leading to pain in various areas such as the shoulder blade, upper and lower back, arms, or fingers. Rest, stretching, and proper exercise techniques are often recommended for relieving latissimus dorsi pain. If you have concerns about your latissimus dorsi or any other muscle-related issues, it's best to consult with a healthcare professional for personalized advice.
Causes and Risk Factors
The pathophysiologic causes of Latissimus Dorsi are not mentioned in the provided documents.
However, I can provide information about the non-modifiable and modifiable risk factors of Latissimus Dorsi.
Non-modifiable risk factors of Latissimus Dorsi:
- Positive history of smoking
- Renal insufficiency
- Metabolic syndrome
Modifiable risk factors of Latissimus Dorsi:
- Presence of postoperative complications
Please note that the information provided is based on the specific context provided and may not cover all possible risk factors or causes. It is always recommended to consult with a healthcare professional for personalized advice and information.
Symptoms
The most common early symptoms of Latissimus Dorsi pain include:
- Pain in the lower, middle, and upper back
- Pain in the back of the shoulders
- Pain in the base of the shoulder blade
- Pain in the inside of the arms, extending down to the fingers
- Pain in the lower arms
As Latissimus Dorsi pain progresses or becomes more severe, other common symptoms may occur, including:
- Tingling in the lower arms
- Difficulty breathing
- Tendonitis in the middle and lower back
It's important to consult a doctor if you experience back pain that cannot be identified or if it is accompanied by fever, trouble breathing, or abdominal pain. These could be symptoms of a more severe condition. Remember, I am an AI assistant and cannot provide personalized medical advice. Medication dosing may be affected by many factors. Check with your health care professional about dosing for your individual situation. Other side effects can occur. Check with your health care professional or read the information provided with your medication for additional side effect information.
Diagnosis
To diagnose Latissimus Dorsi, the following examinations, tests, and procedures are commonly performed:
- Static assessment: This involves evaluating the position of both scapulae while standing, measuring the distances between osseous landmarks of the scapula and spinous processes line.
- Shoulder mobility assessment: Goniometric measurements are taken to assess the range of motion in active movements such as flexion, extension, abduction, and external rotation.
- Latissimus dorsi flexibility assessment: The patient bends both upper limbs with extended elbow joints to evaluate the flexibility of the latissimus dorsi muscle. This is done in a sitting position on the floor with bent hips and knees, leaning against a wall.
- Motor control assessment: Tests are conducted to assess the ability to actively control and stabilize the scapula while moving the shoulder joint. These tests evaluate movement dissociation and are performed individually for each limb.
To determine the stage or severity of Latissimus Dorsi, additional examinations or tests may be required. However, these specific procedures are not mentioned in the provided documents. It is best to consult with a healthcare professional who can provide further guidance based on your individual situation.
Treatment Options
The goals of treatment for Latissimus Dorsi pain or injury are to alleviate pain, promote healing, and restore function. Here are the recommended treatments and how they work:
- Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen, can help reduce pain and inflammation. They work by inhibiting the production of certain chemicals in the body that cause pain and swelling. However, it's important to consult with your doctor before taking any medication.
- Physical therapy: This involves exercises and techniques to strengthen and stretch the muscles in the affected area. Physical therapy helps improve flexibility, reduce pain, and restore normal movement.
- Rest: Resting the affected area allows for healing and prevents further injury. It is important to gradually return to regular activity levels to avoid re-injury.
- Alternative treatments: Cryotherapy (cold therapy) or acupuncture may provide additional relief for Latissimus Dorsi pain. Cryotherapy helps reduce inflammation and numbs the area, while acupuncture stimulates specific points in the body to promote healing.
- Health behavior changes: Making certain lifestyle changes can help prevent Latissimus Dorsi pain. These include using proper form during sports and exercise, avoiding overuse of the muscle, warming up and cooling down before and after workouts, staying hydrated, and getting occasional massages.
It's important to note that these recommendations may vary depending on the severity of the condition, so it's always best to consult with a healthcare professional for personalized advice. Medication dosing may be affected by many factors. Check with your health care professional about dosing for your individual situation. Other side effects can occur. Check with your health care professional or read the information provided with your medication for additional side effect information.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10075366
Anti-Jo1 Syndrome: Understanding a Rare Cause of Interstitial Lung Disease.
Anti-Jo1 syndrome is one of the most common amongst the various anti synthetase syndromes (ASS), which forms a subgroup of the idiopathic inflammatory myositis (IIM). It is characterised by myositis, interstitial lung disease (ILD), fever, Raynaud's phenomenon, and mechanic's hands; associated with the presence of anti-Jo1 antibodies in serum. Being an orphan disease, the clinical diagnosis is often delayed.
PubMed Central
2022-12-31
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662851
Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model.
Musculoskeletal injuries (MSkIs) are a leading cause of health care utilization, as well as limited duty and disability in the US military and other armed forces. MSkIs affect members of the military during initial training, operational training, and deployment and have a direct negative impact on overall troop readiness. Currently, a systematic overview of all risk factors for MSkIs in the military is not available.
PubMed Central
2021-12-10
/en/sources/healthline-latissimus-dorsi-pain
Latissimus Dorsi Pain
Healthline
2017-11-01
/en/sources/healthline-latissimus-dorsi-pain
Latissimus Dorsi Pain
Healthline
2017-11-01
/en/sources/healthline-latissimus-dorsi-pain
Latissimus Dorsi Pain
Healthline
2017-11-01
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270225
Latissimus Dorsi Flap in the Treatment of Thoracic Wall Defects After Medial Sternotomy.
Background:This study aimed to describe the subjective and objective results of the latissimus dorsi muscle flap and propose it as a reconstructive option for postoperative thoracic defects.Methods:A systematic search for cases with pedicle-based latissimus dorsi flaps performed after medial sternotomy was conducted, and all cases occurred between 2010 and August 2017. Preoperative, intraoperative, and postoperative factors were retrospectively analyzed and then the correlations between prognostic factors and outcomes of flap surgery were calculated. Furthermore, an evaluation of the subjective quality of life after flap surgery was performed using questionnaires.Results:A total of 25 cases were identified (8 female and 17 male patients) with the mean age of 75.28 years (range, 55-88 years). The average survival rate was 39.63 ± 23.03 months. The proportion of patients with a survival rate of 1 year was 84.00% (21 patients), and the proportion of patients with a 2-year survival rate was 80.00% (20 patients). While 24% of all patients who had latissimus dorsi flap operations experienced no complications, 64% of them developed minor complications (non-life-threatening, Clavien-Dindo grades I-IIIb) and 12% of them developed major complications (life-threatening, Clavien-Dindo grades IV-V). There was a significant correlation between the low survival rate and risk factors such as a positive history of smoking (P= .034), renal insufficiency (P= .022), metabolic syndrome (P= .004), and the presence of postoperative complications (P< .00002). No significant correlation was observed between the survival rate and obesity (P= .396), hyperlipoproteinemia (P= .684), arterial hypertonia (P= .0450), diabetes (P= .891), cardiovascular comorbidities (P= .794), the interval between sternotomy and latissimus flap surgery (P= .075), the duration of flap surgery (P= .207), sternal osteitis (P= .78), and intraoperative application of norepinephrine (P= .818). We identified metabolic syndrome (hazard ratio: 6.27), renal insufficiency (hazard ratio: 3.935), and the presence of postoperative complications (hazard ratio: 2.965) as high-risk prognostic factors. The subjective evaluations revealed positive reports from the patients with an average score of 1.86 ± 1.03 (1.0 = very good; 5.0 = poor).Conclusions:The majority of the patients with defects after median sternotomy were treated successfully with the latissimus dorsi flap. High survival rates, low rates of severe complications, and subjective scoring of improved life quality make this procedure relative safe and reliable. However, some prognostic risk factors limit the outcome, so these factors should be considered during surgical planning.
PubMed Central
2020-05-29
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270225
Latissimus Dorsi Flap in the Treatment of Thoracic Wall Defects After Medial Sternotomy.
Background:This study aimed to describe the subjective and objective results of the latissimus dorsi muscle flap and propose it as a reconstructive option for postoperative thoracic defects.Methods:A systematic search for cases with pedicle-based latissimus dorsi flaps performed after medial sternotomy was conducted, and all cases occurred between 2010 and August 2017. Preoperative, intraoperative, and postoperative factors were retrospectively analyzed and then the correlations between prognostic factors and outcomes of flap surgery were calculated. Furthermore, an evaluation of the subjective quality of life after flap surgery was performed using questionnaires.Results:A total of 25 cases were identified (8 female and 17 male patients) with the mean age of 75.28 years (range, 55-88 years). The average survival rate was 39.63 ± 23.03 months. The proportion of patients with a survival rate of 1 year was 84.00% (21 patients), and the proportion of patients with a 2-year survival rate was 80.00% (20 patients). While 24% of all patients who had latissimus dorsi flap operations experienced no complications, 64% of them developed minor complications (non-life-threatening, Clavien-Dindo grades I-IIIb) and 12% of them developed major complications (life-threatening, Clavien-Dindo grades IV-V). There was a significant correlation between the low survival rate and risk factors such as a positive history of smoking (P= .034), renal insufficiency (P= .022), metabolic syndrome (P= .004), and the presence of postoperative complications (P< .00002). No significant correlation was observed between the survival rate and obesity (P= .396), hyperlipoproteinemia (P= .684), arterial hypertonia (P= .0450), diabetes (P= .891), cardiovascular comorbidities (P= .794), the interval between sternotomy and latissimus flap surgery (P= .075), the duration of flap surgery (P= .207), sternal osteitis (P= .78), and intraoperative application of norepinephrine (P= .818). We identified metabolic syndrome (hazard ratio: 6.27), renal insufficiency (hazard ratio: 3.935), and the presence of postoperative complications (hazard ratio: 2.965) as high-risk prognostic factors. The subjective evaluations revealed positive reports from the patients with an average score of 1.86 ± 1.03 (1.0 = very good; 5.0 = poor).Conclusions:The majority of the patients with defects after median sternotomy were treated successfully with the latissimus dorsi flap. High survival rates, low rates of severe complications, and subjective scoring of improved life quality make this procedure relative safe and reliable. However, some prognostic risk factors limit the outcome, so these factors should be considered during surgical planning.
PubMed Central
2020-05-29
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9645236
The turbocharged wide anterolateral thigh perforator flap to reconstruct massive soft tissue defects in traumatized lower extremities: A case series.
Extensive traumatic soft tissue defects in the lower extremities typically require complete coverage of exposed bone because inadequate coverage, such as partial flap loss, may result in bony infection and ultimately lead to limb salvage failure. To achieve complete coverage of these defects, we used the wide anterolateral thigh perforator flap in which the turbocharging procedure augments the blood flow. Herein, we describe our turbocharging technique and discuss its effectiveness.
PubMed Central
2022-10-25
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270225
Latissimus Dorsi Flap in the Treatment of Thoracic Wall Defects After Medial Sternotomy.
Background:This study aimed to describe the subjective and objective results of the latissimus dorsi muscle flap and propose it as a reconstructive option for postoperative thoracic defects.Methods:A systematic search for cases with pedicle-based latissimus dorsi flaps performed after medial sternotomy was conducted, and all cases occurred between 2010 and August 2017. Preoperative, intraoperative, and postoperative factors were retrospectively analyzed and then the correlations between prognostic factors and outcomes of flap surgery were calculated. Furthermore, an evaluation of the subjective quality of life after flap surgery was performed using questionnaires.Results:A total of 25 cases were identified (8 female and 17 male patients) with the mean age of 75.28 years (range, 55-88 years). The average survival rate was 39.63 ± 23.03 months. The proportion of patients with a survival rate of 1 year was 84.00% (21 patients), and the proportion of patients with a 2-year survival rate was 80.00% (20 patients). While 24% of all patients who had latissimus dorsi flap operations experienced no complications, 64% of them developed minor complications (non-life-threatening, Clavien-Dindo grades I-IIIb) and 12% of them developed major complications (life-threatening, Clavien-Dindo grades IV-V). There was a significant correlation between the low survival rate and risk factors such as a positive history of smoking (P= .034), renal insufficiency (P= .022), metabolic syndrome (P= .004), and the presence of postoperative complications (P< .00002). No significant correlation was observed between the survival rate and obesity (P= .396), hyperlipoproteinemia (P= .684), arterial hypertonia (P= .0450), diabetes (P= .891), cardiovascular comorbidities (P= .794), the interval between sternotomy and latissimus flap surgery (P= .075), the duration of flap surgery (P= .207), sternal osteitis (P= .78), and intraoperative application of norepinephrine (P= .818). We identified metabolic syndrome (hazard ratio: 6.27), renal insufficiency (hazard ratio: 3.935), and the presence of postoperative complications (hazard ratio: 2.965) as high-risk prognostic factors. The subjective evaluations revealed positive reports from the patients with an average score of 1.86 ± 1.03 (1.0 = very good; 5.0 = poor).Conclusions:The majority of the patients with defects after median sternotomy were treated successfully with the latissimus dorsi flap. High survival rates, low rates of severe complications, and subjective scoring of improved life quality make this procedure relative safe and reliable. However, some prognostic risk factors limit the outcome, so these factors should be considered during surgical planning.
PubMed Central
2020-05-29
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112655
The musculoskeletal consequences of latissmus dorsi breast reconstruction in women following mastectomy for breast cancer.
Current evidence suggests that patients who have latissimus dorsi (LD) breast reconstruction following mastectomy for breast cancer can experience long-term shoulder dysfunction. However, as there is no standardised assessment or follow-up period within the literature, findings are conflicting. This research aimed to investigate the impact on daily living of immediate and delayed LD breast reconstruction in women following mastectomy for breast cancer.
PubMed Central
2018-08-28
/en/sources/healthline-latissimus-dorsi
Latissimus dorsi
Healthline
2018-01-24
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8904424
The Clinical Characteristics and Serological Outcomes of Infants With Confirmed or Suspected Congenital Syphilis in Shanghai, China: A Hospital-Based Study.
Congenital syphilis (CS) is the infection of an infant or fetus withTreponema pallidum. The aim of this study was to investigate the clinical features and outcomes of serology reversion in infants diagnosed with confirmed or suspected congenital syphilis (CS).
PubMed Central
2022-02-23
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7173360
Colorectal Cancer in Brunei Darussalam: An Overview and Rationale for National Screening Programme.
Colorectal cancer (CRC) is the third most common cancer worldwide after lung and breast cancers, and ranks second in terms of cancer mortality globally. Brunei Darussalam reports high incidence of CRC in the Southeast Asian region and has no formal national screening programme for CRC. Screening for CRC in Brunei Darussalam is offered in an opportunistic fashion for individuals with average or above average risks for CRC, that is, the individual has a positive family history of CRC or neoplasms and is more than 50 years old. Opportunistic screening is widely practiced but this is not standardised. The Ministry of Health in Brunei Darussalam is currently in the process of implementing a CRC screening programme as part of a larger national health screening based on the increasing incidence of non-communicable diseases (NCDs). This review article assesses the situation of CRC in Brunei Darussalam from the 1980s to present day, including incidence of CRC in different age groups, ethnicities and genders; relevant non-modifiable and modifiable risk factors of CRC in Brunei Darussalam setting; and common CRC screening techniques used in Brunei Darussalam as well as other Asia-Pacific countries. The review also discusses the merits of a national CRC screening programme. With the increasing incidence of CRC worldwide and in Brunei Darussalam, national screening for CRC in Brunei Darussalam is an important strategy to lower morbidity and mortality rates. A review of the progress and outcome of the national screening programme will be available a few years after rollout.
PubMed Central
2019-12-01
/en/sources/healthline-what-are-the-risk-factors-for-osteoarthritis
What are the risk factors for osteoarthritis?
Healthline
2022-11-30
/en/sources/healthline-what-does-latissimus-dorsi-flap-reconstruction-involve
What does latissimus dorsi flap reconstruction involve?
Healthline
2017-05-27
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6093123
Inter- and intra-rater reliability of a technique assessing the length of the Latissimus Dorsi muscle.
Evidence-based practice requires the use of objective, valid and reliable tests for measuring the length of a muscle. Latissimus Dorsi is a muscle which undergoes length changes (loss of extensibility) and this muscle has a functional role in many aspects of sport and rehabilitation. The loss of extensibility may result in a decreased range of motion at the glenohumeral joint leading to dysfunction.
PubMed Central
2018-03-13
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742385
Pedicle flap reconstruction for treatment of infected median sternotomy wounds after cardiac surgery in overweight and obese patients: proposal of a management algorithm based on a case series analysis.
A relationship between obesity and adverse outcomes in patients with post-sternotomy wounds undergoing pedicle flap reconstruction is not well-documented. In this study, we present a single-centre retrospective case series analysis of early postoperative outcomes of patients with infected post-sternotomy wounds undergoing pedicle flap reconstruction. We also propose a management algorithm for such patients, based on BMI and wound width.
PubMed Central
2022-01-08
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10405727
Effect comparison of neuroendoscopy versus microsurgery in the treatment of lateral ventricular tumors.
We sought to reveal the clinical characteristics of lateral ventricle tumors and to evaluate the superior surgical procedure available.
PubMed Central
2023-07-24
/en/sources/healthline-how-do-you-stretch-the-latissimus-dorsi
How do you stretch the latissimus dorsi?
Healthline
/en/sources/healthline-how-do-you-stretch-the-latissimus-dorsi
How do you stretch the latissimus dorsi?
Healthline
/en/sources/healthline-how-do-you-stretch-the-latissimus-dorsi
How do you stretch the latissimus dorsi?
Healthline
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215891
Regarding the Necessity of Functional Assessment Including Motor Control Assessment of Post-Mastectomy Patients Qualified for Latissimus Dorsi Breast Reconstruction Procedure-Pilot Study.
The purpose of the paper is a functional assessment of post-mastectomy patients who underwent latissimus dorsi breast reconstruction (LDBR), and of healthy women, through an analysis of selected muscle function parameters, including motor control assessment. Twenty participants were included in the study (ten LDBR-procedure individuals and ten healthy controls). The research consisted of a DASH (The Disabilities of the Arm, Shoulder and Hand) questionnaire assessment, shoulder area static assessment, shoulder mobility assessment, latissimus dorsi flexibility assessment and shoulder motor control assessment. LDBR-procedure individuals-when compared to healthy controls-exhibited a decrease in physical aspects of quality of life, shoulder area postural alterations, limitations in shoulder mobility and decrease in shoulder motor control. LDBR procedure may have an influence on limiting shoulder active mobility, as well as on decrease of shoulder motor and postural control. Standard functional assessment diversified on motor control assessment of post-mastectomy patients qualified for the LDBR procedure seems to be necessary.
PubMed Central
2020-04-21