Pectoralis major transfer for anterior-superior subluxation in massive rotator cuff insufficiency

Leesa M. Galatz, Patrick M. Connor, Ryan P. Calfee, Jim C. Hsu, Ken Yamaguchi

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95 Scopus citations

Abstract

The purpose of this study was to evaluate the outcome after subcoracoid pectoralis major transfer for anterior-superior shoulder instability in massive rotator cuff insufficiency. Fourteen patients underwent subcoracoid pectoralis major transfer for this debilitating surgical complication. At a mean 17. 5-month follow-up, there were 11 satisfactory and 3 unsatisfactory results. Nine of the patients were satisfied with the procedure and would repeat the operation under similar circumstances. Pain scores, as measured on a visual analog scale, decreased from 6.9 to 3.2 postoperatively. Mean forward flexion increased from 24.4° to 60.8°. American Shoulder and Elbow Society functional outcome score increased from 27.2 preoperatively to 47.7 postoperatively. Thirteen of the fourteen patients had improved humeral head containment and improved ability to perform activities of daily living at waist level. A subcoracoid pectoralis major muscle transfer has a low complication rate and is a viable option in this difficult patient population, with better results than those previously reported.

Original languageEnglish
Pages (from-to)1-5
Number of pages5
JournalJournal of Shoulder and Elbow Surgery
Volume12
Issue number1
DOIs
StatePublished - Jan 2003
Externally publishedYes

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