Related Experiment Video
Updated: Jun 7, 2026

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
Published on: May 9, 2025
Latissimus Dorsi Transfer and Anterior Capsular Reconstruction for Subscapularis and Pectoralis Major Tears: A Case
Joanne Y Zhou1, Sameer R Khawaja2, Nicole L Greene3
1Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, McGovern Medical School and Memorial Hermann Medical Center, Houston, Texas.
Case:
A 48-year-old right-hand dominant man presented with a 3-year history of right pectoralis major (PM) and subscapularis tears and failed arthroscopic subscapularis repair 1 year prior. He endured pain, weakness in internal rotation, and limited motion. Owing to marked anterior soft tissue deficiency, he underwent open chronic subscapularis reconstruction with latissimus dorsi (LD) tendon transfer, anterior capsular reconstruction (ACR), and PM reconstruction with Achilles tendon allograft. At 1 year postoperative, he reported no pain, good functional improvement, and excellent satisfaction.
Conclusion:
LD tendon transfer and ACR are useful augments in repairing chronic subscapularis tears with anterior soft tissue insufficiency.
Level Of Evidence:
V.
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