The Role of Tendon Transfers for Irreparable Rotator Cuff Tears.

Abstract

PURPOSE OF REVIEW:

This review aims to describe the tendon transfer options for treating irreparable rotator cuff tears (RCTs). Options for transfer include latissimus dorsi and lower trapezius transfers for posterior-superior RCTs and pectoralis major and latissimus dorsi transfer for anterior-superior RCTs.

RECENT FINDINGS:

While the latissimus dorsi tendon transfer has historically been performed for posterosuperior RCTs, the lower trapezius transfer is a more anatomic option and has demonstrated promising results in recent studies. Similarly, the pectoralis major transfer has historically been the tendon transfer of choice for anterosuperior RCTs. However, the latissimus dorsi tendon transfer has recently been shown to be a safe and anatomic tendon transfer for subscapularis insufficiency. The treatment of irreparable RCTs involves complex decision making. Tendon transfer procedures can restore the glenohumeral joint force couples, allowing restoration of near-normal shoulder kinematics. Benefits include reliable pain relief, increased function, and increased strength. Proper selection of donor tendon is crucial, and the principles of tendon transfer procedures must be adhered to for maximal benefit.

• Authors: Nicholas J Clark, Bassem T Elhassan
• Journal: Current reviews in musculoskeletal medicine (Curr Rev Musculoskelet Med) Vol. 11 Issue 1 Pg. 141-149 (Mar 2018) ISSN: 1935-973X [Print] United States
• PMID: 29411320 (Publication Type: Journal Article, Review)