Current Options in Tendon Transfers for Irreparable Posterosuperior Rotator Cuff Tears^[*]

Abstract

Massive irreparable posterosuperior rotator-cuff tears are debilitating lesions that usually require surgical treatment. Even though there is no consensus regarding the best surgical technique, tendinous transfers around the shoulder are the most commonly performed procedures. The latissimus dorsi tendon remains the most commonly used, but different modifications to the original technique have been shown to minimize complications and to improve functional results and satisfaction. Other techniques, such as the transfer of the lower trapezius tendon, are promising and should be considered, especially for patients with isolated loss of external rotation. The present paper is a literary review regarding tendon transfers for irreparable posterosuperior rotator-cuff tears.

Keywords

shoulder - rotator cuff injuries - tendon transfers - review

^* Work developed at the Department of Orthopedics and Traumatology, Faculdade de Ciências Médicas, Santa Casa de São Paulo, Pavilhão “Fernandinho Simonsen”. Director: professor doctor Ivan Chakkour – São Paulo (SP), Brazil.

Publication History

Received: 07 July 2019

Accepted: 10 January 2020

Article published online:
29 May 2020

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