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Updated: Nov 7, 2025
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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
278
Tendon transfers for irreparable rotator cuff tears.
John R Adam1, Shashi K T Nanjayan1, Melissa Johnson1
1The James Cook University Hospital, Middlesbrough, UK.
Journal of Clinical Orthopaedics and Trauma
|May 3, 2021
Summary
For irreparable rotator cuff tears, tendon transfers offer a joint-preserving option for younger patients. However, current evidence is limited, necessitating further comparative studies to confirm effectiveness.
Area of Science:
- Orthopedic Surgery
- Shoulder Reconstruction
- Musculoskeletal Research
Background:
- Symptomatic irreparable rotator cuff tears present a significant surgical challenge.
- Reverse polarity shoulder arthroplasty is suitable for elderly patients, but optimal treatment for younger individuals is debated.
Purpose of the Study:
- To review tendon transfer options for irreparable rotator cuff tears in younger patients.
- To discuss anatomical considerations, indications, contraindications, surgical techniques, and complications.
- To evaluate the existing evidence for tendon transfer effectiveness.
Main Methods:
- Literature review of tendon transfer procedures for rotator cuff tears.
- Analysis of anatomical factors influencing surgical outcomes.
- Synthesis of clinical evidence and complication data.
Main Results:
- Tendon transfers represent a joint-preserving alternative to arthroplasty.
- The current evidence base for tendon transfers is limited.
- Well-designed comparative studies are needed to establish efficacy.
Conclusions:
- Tendon transfers are a viable option for younger patients with irreparable rotator cuff tears.
- Further research is required to validate the effectiveness and long-term outcomes of these procedures.
