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Updated: Jan 25, 2026
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Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
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Lower Trapezius Tendon Transfer for Massive Irreparable Rotator Cuff Tears
Laura E Stoll1, Jason L Codding2
1Division of Orthopaedic Surgery and Sports Medicine, Virginia Mason Medical Center, 1100 Ninth Avenue, X6-ORT, Seattle, WA 98101, USA.
The Orthopedic Clinics of North America
|May 16, 2019
Summary
Massive irreparable rotator cuff tears are challenging. The lower trapezius tendon transfer, using an Achilles tendon allograft, effectively restores strength and function in patients with these tears.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Research
Background:
- Massive irreparable rotator cuff tears present significant treatment challenges.
- Tendon transfers are a viable option for irreparable posterosuperior rotator cuff tears.
Purpose of the Study:
- To evaluate the effectiveness of lower trapezius tendon transfer with Achilles tendon allograft for massive irreparable rotator cuff tears.
Main Methods:
- The study discusses both open and arthroscopic-assisted techniques for lower trapezius tendon transfer.
- Incorporation of an Achilles tendon allograft is a key component of the described procedure.
Main Results:
- The lower trapezius tendon transfer with Achilles tendon allograft has shown effectiveness in restoring strength and function.
- This technique is suitable for select patients with massive irreparable rotator cuff tears.
Conclusions:
- Lower trapezius tendon transfer with Achilles tendon allograft is an effective solution for specific patients with massive irreparable rotator cuff tears.
- Surgical techniques include both open and arthroscopic-assisted approaches.
Keywords:
Arthroscopic tendon transferIrreparable rotator cuff tearLower trapezius transferMassive posterosuperior rotator cuff tearShoulder external rotationMore Related Videos
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