title: Transfer of teres minor with bone pedicle for irreparable posterior-superior rotator cuff tears.
abstract: BACKGROUND
  The objectives of this study are to evaluate the clinical and radiographic mid- to long-term outcomes of patients treated by teres minor with bone pedicle transfer for irreparable massive rotator cuff tear and to investigate the limitations of this procedure.
  
  
  METHODS
  Clinical outcomes were assessed by quantifying: the range of shoulder motion; a visual analog pain scale; the University of California, Los Angeles Shoulder Score (UCLA score); and the Disability of the Arm, Shoulder, and Hand (DASH) score. Radiographs were assessed for deterioration of the glenohumeral joint and upper migration of the humeral head.
  
  
  RESULTS
  Eighteen patients with mean age of 66.9 years and mean follow-up of 74.4 months were included. The technique resulted in significant decrease in shoulder pain. The mean UCLA score improved from 10.3 points initially to 24.1 points at time of final follow-up. However, the postoperative results were classified as poor in 11 shoulders. The mean postoperative DASH score was 27.6 points. The mean active forward elevation significantly improved from 75.9° initially to 121.6° at time of final follow-up. In radiographic assessment, osteoarthritis of the glenohumeral joint progressed in 15 shoulders, and the upper migration of humeral head progressed in 14 shoulders.
  
  
  CONCLUSIONS
  Aggravation of the glenohumeral joint and upper migration of the humeral head both progressed postoperatively at a high rate. Therefore, we conclude that this procedure should no longer be performed despite its relative simplicity.
authors: Department of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan. matsu88820012001@yahoo.co.jp
authors: Tomoya
authors: T
authors: Matsuhashi
authors: Naoki
authors: N
authors: Suenaga
authors: Naomi
authors: N
authors: Oizumi
authors: Tadanao
authors: T
authors: Funakoshi
authors: Norimasa
authors: N
authors: Iwasaki
authors: Akio
authors: A
authors: Minami
mesh_terms: D000368:Aged; D016025:Bone Transplantation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries