SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Pectoralis major transfer for treatment of irreparable subscapularis tear: a systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 80 citations in OpenAlex.
- Outcome of Anterior Latissimus Dorsi with Teres Major and Posterior Lower Trapezius Tendon Transfer for Global Irreparable Rotator Cuff Tears.Indian journal of orthopaedics · 2025Article
- Tendon transfers in the setting of shoulder arthroplasty.JSES reviews, reports, and techniques · 2024Review
- Pectoralis major tendon transfer in reverse total shoulder arthroplasty with irreparable subscapularis: surgical technique and preliminary clinical and radiological results.JSES international · 2024Article
- Anterior capsular reconstruction with acellular dermal allograft for subscapularis deficiency: a report of two cases.Clinics in shoulder and elbow · 2024Article
- Irreparable Subscapularis Tears: Current Tendon Transfer Options.Current reviews in musculoskeletal medicine · 2024Review
- Anatomical and surgical considerations of the pectoralis muscle.Orthopedic reviews · 2024Article
- Arthroscopic superior capsular reconstruction combined with pectoralis minor transfer for irreparable anterosuperior rotator cuff tear: a case report.JSES reviews, reports, and techniques · 2023Article
- Pectoralis major tendon transfer for management of subscapularis failure after anatomic total shoulder arthroplasty: technique and results.JSES reviews, reports, and techniques · 2022Article
- The clinical outcomes of infraspinatus rotational transfer for irreparable posterosuperior rotator cuff tears: a preliminary report.Clinics in shoulder and elbow · 2022Article
- Open Anterior Capsular Reconstruction With a Dermal Allograft Is a Viable Nonarthroplasty Salvage Procedure for Irreparable Subscapularis Tears at a Minimum 2-Year Follow-up.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Pectoralis major and pectoralis minor transfer for irreparable subscapularis tendon tears.Operative Orthopadie und Traumatologie · 2022Review
- Arthroscopic Anterior Capsule Reconstruction Using Fascia Lata Autograft and Knotless Fibretak: A Case Report.Journal of orthopaedic case reports · 2022Article
- Treatment Options for Massive Irreparable Rotator Cuff Tears.Current reviews in musculoskeletal medicine · 2021Review
- Treatment options for massive rotator cuff tears: a narrative review.Acta bio-medica : Atenei Parmensis · 2021Review
- Tendon transfers for irreparable rotator cuff tears.Journal of clinical orthopaedics and trauma · 2021Article
- Feasibility of lower trapezius and rhomboid minor transfer for irreparable subscapularis tears: an anatomic cadaveric study.JSES international · 2021Article
- Pectoralis Major and Anterior Latissimus Dorsi Transfer for Subscapularis Tears.Current reviews in musculoskeletal medicine · 2020Review
- Pectoralis major tendon transfer for subscapularis deficiency following multiple failed instability surgeries: A case report.Acta orthopaedica et traumatologica turcica · 2020Article
- A Systematic Summary of Systematic Reviews on the Topic of the Rotator Cuff.Orthopaedic journal of sports medicine · 2018Review
- Arthroscopic-Assisted Pectoralis Minor Transfer for Irreparable Anterosuperior Massive Rotator Cuff Tear.Arthroscopy techniques · 2018Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIrreparable ruptures of the subscapularis tendon lead to impaired function of the shoulder and presents a surgically complex problem. Transfer of the pectoralis major tendon has been reported as a possible treatment option. The purpose of this systematic review is to critically examine the outcomes of pectoralis major transfers for the treatment of irreparable subscapularis tears.
methodsA systematic review of the literature was performed using search of electronic databases. No language restrictions were applied. Case reports, review articles, and operative techniques without outcome data were excluded. All the outcomes reported by each study were analyzed and when possible, data were pooled to generate frequency-weighted values to summarize outcomes.
resultsEight studies with a total 195 shoulders were included in this systematic review. The mean age of patients was 58.8 years (range 18-81 years) and the mean follow-up was 33.4 months (range 6-80 months). Constant scores improved from a mean pre-operative score of 37.8 ± 6.8, to a mean postoperative score of 61.3 ± 6.5 (p < 0.0001). Pain scores could not be pooled as different scales were used. Nevertheless, a trend in pain reduction was noted in all papers. Functional outcomes were less favorable in patients with massive rotator cuff tears or previous shoulder replacements. Moreover, the Constant scores were significantly higher in patients following subcoracoid transfer of the pectoralis major tendon compared to patients who received supracoracoid transfer (p < 0.001). The overall reported incidence of postoperative nerve palsy is low (one transient musculocutaneous nerve palsy and one axillary nerve dysfunction out of 195 cases).
conclusionsThe systematic review based on frequency-weighted means demonstrated improvement in shoulder function, strength and pain relief after pectoralis major transfer for irreparable subscapularis tear. LEVEL OF EVIDENCE: IV.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.