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Tendon Transfer for Massive Rotator Cuff Tear

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Advances in Shoulder Surgery

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Abstract

Tendon transfer is one of the useful procedures in patients with massive rotator cuff tears with or without arthritis of shoulder joint. When the case with tearing of two tendons of the rotator cuff has hypertrophied teres minor and subscapularis muscles without arthritis of the shoulder joint, partial subscapularis transfer, as reported by Cofield, would be a useful technique. If a case having tearing of three tendons of the rotator cuff has only hypertrophied teres minor muscle without arthritis of the shoulder joint, pectoralis major transfer underneath the conjoined tendon could obtain a good outcome. Cases with tears of three tendons of the rotator cuff having only hypertrophied subscapularis muscle, the so-called posterosuperior tear of the rotator cuff, without arthritis of the shoulder joint, need latissimus dorsi and teres major transfer. Furthermore, it is necessary to replace the humeral head by shoulder arthroplasty with using a smaller size of humeral head prosthesis in patients with shoulder arthropathy because of the reduced size of the original humeral head. In this chapter, Dr. Oizumi describes the so-called Cofield procedure, such as a partial subscapularis transfer, Dr. Yamaguchi explains the technique of pectoralis major muscle transfer, and Dr. Matsuhashi introduces the so-called Paavoleinen technique and the latissimus dorsi and teres major transfer from anterior approach. Finally, Dr. Taniguchi described the concept and technique of a smaller humeral head replacement with cuff reconstruction using muscle transfer in patients with cuff tear arthropathy.

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Authors and Affiliations

  1. The Upper Extremity Center of Joint Replacement and Endoscopic Surgery, Hokushin Orthopedic Hospital, 3 jou 3 chome, Kikusuimotomachi, Shiroishi-ku, Sapporo, Hokkaido, 080-8638, Japan

    Naoki Suenaga & Naomi Oizumi

  2. Rehabilitation Clinic Yamaguchi, Okinawa, Japan

    Hiroshi Yamaguchi

  3. Department of Orthopaedic Surgery, NTT East Sapporo Hospital, Hokkaido, Japan

    Tomoya Matsuhashi

  4. Department of Orthopaedic Surgery, University of Miyazaki, Miyazaki, Japan

    Noboru Taniguchi

Authors
  1. Naoki Suenaga
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  2. Naomi Oizumi
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  3. Hiroshi Yamaguchi
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  4. Tomoya Matsuhashi
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  5. Noboru Taniguchi
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Corresponding author

Correspondence to Naoki Suenaga .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Dokkyo Medical University School of MEdicine, Mibu, Tochigi, Japan

    Kazuya Tamai

  2. Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Miyagi, Japan

    Eiji Itoi

  3. Department of Orthopaedic Surgery, Gunma University School of Medicine, Maebashi, Gunma, Japan

    Kenji Takagishi

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Suenaga, N., Oizumi, N., Yamaguchi, H., Matsuhashi, T., Taniguchi, N. (2016). Tendon Transfer for Massive Rotator Cuff Tear. In: Tamai, K., Itoi, E., Takagishi, K. (eds) Advances in Shoulder Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55988-7_12

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  • DOI: https://doi.org/10.1007/978-4-431-55988-7_12

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55986-3

  • Online ISBN: 978-4-431-55988-7

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