Tendon Transfer for Irreparable Massive Rotator Cuff Tear

Yum,  Jae K; Lee,  Hee Sung; Park,  Sung Bum

doi:2010.13.1.161

Clin Shoulder Elb > Volume 13(1); 2010 > Article

Review

Journal of the Korean Shoulder and Elbow Society 2010;13(1):161-166.
DOI: https://doi.org/10.5397/CiSE.2010.13.1.161 Published online June 30, 2010.

Tendon Transfer for Irreparable Massive Rotator Cuff Tear

Jae K Yum, Hee Sung Lee, Sung Bum Park

Department of Orthopaedic Surgery, Sang-gye Paik Hospital, Inje university, Seoul, South Korea. npy71@hanmail.net

봉합이 불가능한 회전근 개 광범위 파열에 대한 건 이전 수술

염재광·이희성·박성범

인제대학교 상계백병원 정형외과학교실

Abstract

PURPOSE
Irreparable massive rotator cuff tears pose a distinct clinical challenge for the orthopaedist and non-surgical treatment has had inconsistent results and proven unsuccessful for chronic symptoms, while surgery, including debridement and partial and complete repairs have had varying degrees of success. MATERIALS AND METHODS: For rotator cuff tears that are deemed irreparable, treatment options are limited.
RESULTS
AND CONCLUSION: The use of tendon transfers (latissimus dorsi for posterosuperior type cuff defects and pectoralis major for subscapularis defects) in younger patients to reconstruct rotator cuffs and re-establish function and restore shoulder kinematics can be useful in solving this difficult problem.

Key Words: Shoulder; Irreparable rotator cuff tear; Tendon transfer; Latissimus dorsi; Pectoralis major