Scope Essentials 2024-Lower Trapezius Tendon Transfer for irreparable posterosuperior rotator cuff tear

Lower Trapezius Tendon Transfer for irreparable posterosuperior rotator cuff tear

Video Transcription

Video Summary

Dr. Joe Eichinger discusses lower trapezius tendon transfer as a treatment for irreparable posterior superior rotator cuff tears, highlighting its benefits over traditional latissimus dorsi transfers. Using a case of a 55-year-old machinist with shoulder pain and weakness, he explains that tendon transfers can restore external rotation and improve function while preserving shoulder biomechanics. Arthroscopic techniques have evolved to reduce complications like acromiolosteotomy non-union. Proper patient selection is crucial: they must have intact subscapularis, minimal arthritis, preserved motion, and motivation. Lower trapezius transfer offers a viable option for younger patients needing shoulder function restoration without reverse total shoulder arthroplasty.

Asset Caption

Josef Eichinger, M.D.

Keywords

lower trapezius tendon transfer

irreparable rotator cuff tear

posterior superior rotator cuff

shoulder external rotation restoration

arthroscopic tendon transfer