AANA Shoulder Arthroscopy - August 2024-Tendon Transfer for the irreparable Subscapularis Tear-Part 1

Tendon Transfer for the irreparable Subscapularis Tear-Part 1

Video Transcription

Video Summary

Dr. from Bell University presents on managing irreparable subscapularis tears, focusing on the pectoralis major tendon transfer technique. Irreparable tears, characterized by significant fatty infiltration, cannot heal properly, necessitating alternative approaches. Originating over 20 years ago by Prof. Herbert Resch, this transfer repositions the pectoralis major tendon to the lesser tuberosity, restoring function. Variations include transfers of part or all of the pectoralis, done openly or arthroscopically, and adaptable to arthroplasty cases. The procedure leverages familiar anatomy, is technically straightforward, and shows consistently favorable outcomes. The technique offers a reliable solution for irreparable subscapularis tears.

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Sumant Krishnan, MD

Keywords

irreparable subscapularis tear

pectoralis major tendon transfer

fatty infiltration

lesser tuberosity

arthroscopic tendon transfer