Abstract
The most common described tendon transfer for irreparable subscapularis tendon tears is the pectoralis major tendon transfer. However, the reported outcomes of this transfer have not been uniformly successful. In particular, patients with anterior glenohumeral instability are more likely to have poor functional results. Because of the similarities of the posterior origin of the subscapularis and the latissimus dorsi muscles, and the similar line of pull of their muscle fibers, transfer of the latissimus dorsi tendon to reconstruct an irreparable subscapularis tendon is considered better anatomically and biomechanically. We present an open surgical technique for transfer of the latissimus dorsi tendon for irreparable subscapularis tendon lesions.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Aldridge JM 3rd, Atkinson TS, Mallon WJ. Combined pectoralis major and latissimus dorsi tendon transfer for massive rotator cuff deficiency. J Shoulder Elb Surg. 2004;13(6):621–9.
Elhassan B, Christensen TJ, Wagner ER. Feasibility of latissimus and teres major transfer to reconstruct irreparable subscapularis tendon tear: an anatomic study. J Shoulder Elb Surg. 2014;23(4):492–9.
Elhassan B, Ozbaydar M, Massimini D, Diller D, Higgins L, Warner JJ. Transfer of pectoralis major for the treatment of irreparable tears of subscapularis: does it work? J Bone Joint Surg Br. 2008;90(8):1059–65.
Galatz LM, Connor PM, Calfee RP, Hsu JC, Yamaguchi K. Pectoralis major transfer for anterior-superior subluxation in massive rotator cuff insufficiency. J Shoulder Elb Surg. 2003;12(1):1–5.
Jost B, Puskas GJ, Lustenberger A, Gerber C. Outcome of pectoralis major transfer for the treatment of irreparable subscapularis tears. J Bone Joint Surg Am. 2003;85-A(10):1944–51.
Paladini P, Campi F, Merolla G, Pellegrini A, Porcellini G. Pectoralis minor tendon transfer for irreparable anterosuperior cuff tears. J Shoulder Elb Surg. 2013;22(6):e1–5.
Resch H, Povacz P, Ritter E, Matschi W. Transfer of the pectoralis major muscle for the treatment of irreparable rupture of the subscapularis tendon. J Bone Joint Surg Am. 2000;82(3):372–82.
Wirth MA, Rockwood CA Jr. Operative treatment of irreparable rupture of the subscapularis. J Bone Joint Surg Am. 1997;79(5):722–31.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Aibinder, W.R., Elhassan, B.T. (2017). Transfer in Subscapularis Lesions: Open Surgical Technique. In: Paribelli, G. (eds) Latissimus Dorsi Transfer. Springer, Cham. https://doi.org/10.1007/978-3-319-61946-0_6
Download citation
DOI: https://doi.org/10.1007/978-3-319-61946-0_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-61945-3
Online ISBN: 978-3-319-61946-0
eBook Packages: MedicineMedicine (R0)