Pectoralis Major Tendon Transfer for Irreparable Subscapularis Tears

  • Rafael Peçanha Pitta
  • Jonas Pogorzelski
  • Burak Altintas
  • Erik M. Fritz
  • Peter J. Millett


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 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Rafael Peçanha Pitta
    • 1
  • Jonas Pogorzelski
    • 2
  • Burak Altintas
    • 3
  • Erik M. Fritz
    • 4
  • Peter J. Millett
    • 5
  1. 1.Department of Orthopedic and Traumatology DepartmentHFAG (Galeão Brazilian Air Force Hospital)Rio de JaneiroBrazil
  2. 2.Department of Orthopaedic Sports MedicineTechnical University of MunichMunichGermany
  3. 3.Department of Orthopeadic Surgery and Sports MedicineUniversity of KentuckyLexingtonUSA
  4. 4.Department of Orthopaedic SurgeryUniversity of MinnesotaMinneapolisUSA
  5. 5.Shoulder, Knee, Elbow and Sports Medicine, Orthopaedic SurgeryThe Steadman ClinicVailUSA

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