In patients with irreparable tears of the subscapularis tendon, the transfer of the pectoralis major tendon is a viable treatment option. The transfer of the upper 2/3 of the pectoralis major tendon to the humeral head is used for irreparable tears of the upper part of the subscapularis tendon and recreates the balance of the shoulder force couple, thus mimicking the natural function of the subscapularis and promoting pain relief. In case of a complete and irreparable rupture of the subscapularis tendon, the pectoralis major transfer can be combined with an additional transfer of the teres major tendon.
Pectoralis major Tendon transfer Subscapularis tear
This is a preview of subscription content, log in to check access.
Wirth MA, Rockwood CA Jr. Operative treatment of irreparable rupture of the subscapularis. J Bone Joint Surg Am. 1997;79(5):722–31.CrossRefGoogle Scholar
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.CrossRefGoogle Scholar
Galatz LM, Connor PM, Calfee RP, Hsu JC, Yamaguchi K. Pectoralis major transfer for anterior-superior subluxation in massive rotator cuff insufficiency. J Shoulder Elbow Surg. 2003;12(1):1–5.CrossRefGoogle Scholar
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.CrossRefGoogle Scholar
Gerber A, Clavert P, Millett PJ, Holovacs TF, Warner JJ. Split pectoralis major and teres major tendon transfers for reconstruction of irreparable tears of the subscapularis. Tech Shoulder Elbow Surg. 2004;5(1):5–12.CrossRefGoogle Scholar