2023 Specialty Day Access Pass-Lower Trapezius Tendon Transfer

Video Transcription

Video Summary

Dr. Michael Amini explains the lower trapezius transfer for treating posterior rotator cuff defects, highlighting its advantages over latissimus dorsi transfers due to better anatomic alignment for external rotation. He outlines the surgical approach, emphasizing careful dissection at the scapular spine to access the lower trapezius tendon and graft preparation using Achilles tendon allografts. Postoperative improvements focus on external rotation, with better outcomes in patients with good preoperative function. He advises against this procedure in advanced arthritis or stiff shoulders and underscores the importance of patient selection and adhering to tendon transfer principles. The technique, while initially intimidating, is accessible with proper understanding.

Asset Caption

Michael H. Amini, M.D.

Keywords

Lower trapezius transfer

Posterior rotator cuff defects

External rotation improvement

Achilles tendon allograft

Surgical technique and patient selection