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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(03): 281-290
DOI: 10.1055/s-0040-1709988
Artigo de Atualização
Ombro e Cotovelo

Current Options in Tendon Transfers for Irreparable Posterosuperior Rotator Cuff Tears[*]

Article in several languages: português | English
Caio Santos Checchia 
1   Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brasil
,
Luciana Andrade da Silva
1   Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brasil
,
Guilherme do Val Sella
1   Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brasil
,
Marcelo Fregoneze
1   Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brasil
,
Alberto Naoki Miyazaki
1   Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brasil
› Author Affiliations
› Further Information
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Abstract

Massive irreparable posterosuperior rotator-cuff tears are debilitating lesions that usually require surgical treatment. Even though there is no consensus regarding the best surgical technique, tendinous transfers around the shoulder are the most commonly performed procedures. The latissimus dorsi tendon remains the most commonly used, but different modifications to the original technique have been shown to minimize complications and to improve functional results and satisfaction. Other techniques, such as the transfer of the lower trapezius tendon, are promising and should be considered, especially for patients with isolated loss of external rotation. The present paper is a literary review regarding tendon transfers for irreparable posterosuperior rotator-cuff tears.

Keywords

shoulder - rotator cuff injuries - tendon transfers - review

* Work developed at the Department of Orthopedics and Traumatology, Faculdade de Ciências Médicas, Santa Casa de São Paulo, Pavilhão “Fernandinho Simonsen”. Director: professor doctor Ivan Chakkour – São Paulo (SP), Brazil.




Publication History

Received: 07 July 2019

Accepted: 10 January 2020

Article published online:
29 May 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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