Arthroscopy-Assisted Combined Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction Using Single...

Massive irreparable posterosuperior rotator cuff tears in relatively younger, active patients pose a significant clinical challenge. Superior capsular reconstruction (SCR) restores superior stability as a static stabilizer, whereas lower trapezius tendon transfer reestablishes external rotation and transverse plane balance as a dynamic stabilizer. We describe a simplified arthroscopy-assisted technique combining lower trapezius tendon transfer and superior capsular reconstruction using a single allogenic Achilles tendon graft to achieve simultaneous restoration of static and dynamic stabilizers, and external rotation strength of the shoulder.