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Rehabilitation Following Repair of a Torn Latissimus Dorsi Tendon

R Burks, PT, MPT, CHT, is Clinical Instructor, School of Biokinesiology and Physical Therapy, University of Southern California, and Physical Therapist, USC University Hospital
W Burke, PT, DPT, OCS, is Assistant Professor of Clinical Research, Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, and Department of Biokinesiology and Physical Therapy, University of Southern California
M Stevanovic, MD, PhD, is Professor of Orthopedic Surgery, Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California

(rburks{at}usc.edu). Address all correspondence to Mr Burks at USC University Hospital, 1520 San Pablo, Suite 2200, Los Angeles, CA 90033 (USA) The manuscript was written in partial completion of requirements for the Post-Professional Doctorate of Physical Therapy at the University of Southern California

Background and Purpose. This report describes the rehabilitation of a patient following surgical repair of a torn latissimus dorsi tendon. The scientific rationale for the treatment progression is discussed. Case Description. A 35-year-old man with a ruptured latissimus dorsi tendon 6 weeks following surgical repair was referred for physical therapy to recover range of motion and strength sufficient for return to work as a police officer on the SWAT team. A review of tendon healing in animal studies is presented and related to the development of the plan of care for this patient.

Outcomes. Latissimus dorsi muscle isometric force generation on the injured side was 92% of that of the uninjured side. The patient returned to work as a SWAT team member.

Discussion. No detailed reports of postoperative latissimus dorsi tendon rehabilitation are available. The program for this patient was based on research demonstrating the timeline for recovery of tensile strength in healing tendons. This approach can direct rehabilitation following repair of other tendons, especially in uncommon injuries where specific guidelines have not been developed. [Burks R, Burke W, Stevanovic M. Rehabilitation following repair of a torn latissimus dorsi tendon.

Key Words: Clinical decision making • Evidence-based practice • Guidelines • Rehabilitation • Rupture • Shoulder • Tendon injuries

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