APEX Shoulder Mastering Surgical Techniques for Clinical Success-Tendon Transfer for the Irreparable Subscapularis Tear-Part 2

Tendon Transfer for the Irreparable Subscapularis Tear-Part 2

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Video Summary

Dr. Krishnan presents an alternative surgical technique for irreparable subscapularis tendon repair using latissimus dorsi tendon transfer. The latissimus dorsi muscle shares a similar biomechanical function and line of pull with the subscapularis, making it suitable for restoration. The procedure involves detaching and repositioning the latissimus tendon to the lesser tuberosity, avoiding nerve injury risks. Compared to the traditional pectoralis major transfer, the latissimus transfer better replicates subscapularis biomechanics and shows promising clinical outcomes, including improved range of motion and muscle function. The method is technically straightforward and anatomically favorable, offering a viable alternative for tendon repair.

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Eddie Y. Lo, MD

Keywords

latissimus dorsi tendon transfer

irreparable subscapularis repair

shoulder tendon reconstruction

biomechanical restoration

alternative surgical technique