TY - JOUR
T1 - Tendon transfers for irreparable rotator Cuff tears
AU - Neri, Brian R.
AU - Chan, Keith W.
AU - Kwon, Young W.
PY - 2009
Y1 - 2009
N2 - Irreparable rotator cuff tears are infrequent and can result in a debilitating loss of function for patients. These tears are classified as either anterosuperior or posterosuperior, each with its own unique frequency, clinical presentation, examination findings, and prognosis. Various tendon transfers have been described to improve function. Posterosuperior rotator cuff tears are best managed with a combined latissimus dorsi and teres major tendon transfer, as the teres major tendon has the best biomechanical profile to improve function, but is by itself too small, with poor excursion to accomplish an isolated transfer. For the anterosuperior tear, a pectoralis major transfer has been most widely utilized. Techniques transferring the sternal head in a subcoracoid fashion may improve results by closer mimicking the biomechanics of the subscapularis, reducing the bulk of the transfer and improving cosmesis. Multiple other transfers have been described with varying success and limited outcome data. Patient selection and adherence to postoperative rehabilitation remains crucial to the success of these procedures, as well as to deltoid integrity and tendon quality.
AB - Irreparable rotator cuff tears are infrequent and can result in a debilitating loss of function for patients. These tears are classified as either anterosuperior or posterosuperior, each with its own unique frequency, clinical presentation, examination findings, and prognosis. Various tendon transfers have been described to improve function. Posterosuperior rotator cuff tears are best managed with a combined latissimus dorsi and teres major tendon transfer, as the teres major tendon has the best biomechanical profile to improve function, but is by itself too small, with poor excursion to accomplish an isolated transfer. For the anterosuperior tear, a pectoralis major transfer has been most widely utilized. Techniques transferring the sternal head in a subcoracoid fashion may improve results by closer mimicking the biomechanics of the subscapularis, reducing the bulk of the transfer and improving cosmesis. Multiple other transfers have been described with varying success and limited outcome data. Patient selection and adherence to postoperative rehabilitation remains crucial to the success of these procedures, as well as to deltoid integrity and tendon quality.
UR - http://www.scopus.com/inward/record.url?scp=63449100785&partnerID=8YFLogxK
M3 - Article
C2 - 19302053
AN - SCOPUS:63449100785
SN - 1936-9719
VL - 67
SP - 15
EP - 21
JO - Bulletin of the NYU hospital for joint diseases
JF - Bulletin of the NYU hospital for joint diseases
IS - 1
ER -