title: Teres major tendon transfer for patients with massive irreparable posterosuperior rotator cuff tears: Short-term clinical results.
abstract: Surgical repair of posterosuperior rotator cuff tears has a poorer outcome and a higher rate of failure compared with repairs of supraspinatus tears. In this prospective cohort study 28 consecutive patients with an irreparable posterosuperior rotator cuff tear after failed conservative or surgical treatment underwent teres major tendon transfer. Their mean age was 60 years (48 to 71) and the mean follow-up was 25 months (12 to 80). The mean active abduction improved from 79° (0° to 150°) pre-operatively to 105° (20° to 180°) post-operatively (p = 0.011). The mean active external rotation in 90° abduction improved from 25° (0° to 70°) pre-operatively to 55° (0° to 90°) post-operatively (p < 0.001). The mean Constant score improved from 43 (18 to 78) pre-operatively to 65 (30 to 86) post-operatively (p < 0.001). The median post-operative VAS (0 to 100) for pain decreased from 63 (0 to 96) pre-operatively to 5 (0 to 56) post-operatively (p < 0.001). In conclusion, teres major transfer effectively restores function and relieves pain in patients with irreparable posterosuperior rotator cuff tears and leads to an overall clinical improvement in a relatively young and active patient group with limited treatment options.
authors.affiliation: Leiden University Medical Center, Department of Orthopaedics, Postzone J-11-R, Postbus 9600, 2300 RC Leiden, the Netherlands. j.f.henseler@lumc.nl
authors.forename: J F
authors.initials: JF
authors.lastname: Henseler
authors.forename: J
authors.initials: J
authors.lastname: Nagels
authors.forename: P
authors.initials: P
authors.lastname: van der Zwaal
authors.forename: R G H H
authors.initials: RG
authors.lastname: Nelissen
mesh_terms: D000368:Aged; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D013708:Tendon Injuries / Q000601:surgery*; D013709:Tendon Transfer; D016896:Treatment Outcome