title: Arthroscopic-Assisted Lower Trapezius Tendon Transfer for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique.
abstract: Tendon transfer options to reconstruct a massive irreparable posterior-superior rotator cuff tear include latissimus dorsi, teres major, or lower trapezius transfer. We previously described the lower trapezius transfer using a 2-incision approach, which includes a medial incision to harvest the lower trapezius and lateral transacromial incision to expose the rotator cuff and then perform the transfer through a deep tunnel connecting these 2 sites. In this report, we describe an arthroscopic-assisted technique of lower trapezius transfer augmented with an Achilles tendon allograft to reconstruct an irreparable posterior-superior rotator cuff tear.
authors.affiliation: Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
authors.forename: Bassem T
authors.initials: BT
authors.lastname: Elhassan
authors.affiliation: Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
authors.forename: Eduard
authors.initials: E
authors.lastname: Alentorn-Geli
authors.affiliation: Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
authors.forename: Andrew T
authors.initials: AT
authors.lastname: Assenmacher
authors.affiliation: Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
authors.forename: Eric R
authors.initials: ER
authors.lastname: Wagner