ReviewOperative Orthopadie und Traumatologie2022
Pectoralis major and pectoralis minor transfer for irreparable subscapularis tendon tears.
Review in Operative Orthopadie und Traumatologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- A Systematic Review of Shoulder Joint Surgeries to Solve Instability and Pain Due to Irreparable Tears of Subscapularis and Supraspinatus Without Arthritis.Journal of clinical medicine · 2026Review
- Anterior Latissimus Dorsi and Teres Major Tendon Transfer with Total Shoulder Arthroplasty in the Setting of Subscapularis Insufficiency: A Case Report.Journal of orthopaedic case reports · 2026Article
- The Evolution of Arthroscopic Shoulder Surgery: Current Trends and Future Perspectives.Journal of clinical medicine · 2025Review
- Comparison of clinical outcomes of anterior combined latissimus dorsi and teres major tendon transfer for anterior superior irreparable rotator cuff tear between young and elderly patients.Clinics in shoulder and elbow · 2024Article
- Joint-preserving treatment for global irreparable rotator cuff tears: combined anterior Latissimus dorsi and Teres major tendon transfer.Archives of orthopaedic and trauma surgery · 2024Article
- Increased latissimus dorsi and teres major muscle volume after anterior transfer for irreparable anterior superior rotator cuff tear: correlation with improved internal rotation strength.Archives of orthopaedic and trauma surgery · 2024Article
- Irreparable Subscapularis Tears: Current Tendon Transfer Options.Current reviews in musculoskeletal medicine · 2024Review
- Fully Arthroscopic Pectoralis Minor Tendon Transfer with Bone Fragment for Irreparable Subscapularis Tears.Arthroscopy techniques · 2023Article
- Tendon transfers for massive rotator cuff tears.EFORT open reviews · 2022Review
- Combined Anterior Latissimus Dorsi and Teres Major Tendon Transfer (aLDTM) for Irreparable Anterosuperior Rotator Cuff Tears.JBJS essential surgical techniquesArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIrreparable rotator cuff injuries in young patients with moderate to high levels of physical activity remain a challenging pathology for shoulder surgeons. Irreparable anterior rotator cuff injuries require treatment that seeks to restore the dynamic anterior forces of the glenohumeral joint. Among surgical treatment options, transfer of the pectoralis major and minor muscle, have shown good functional outcomes. This technique attempts to reproduce the vector of the subscapular muscle in cases with irreparable tear. Restoration of the dynamic external and internal couple forces to maintain the humeral head in the center of rotation. INDICATIONS: Pectoralis major transfer (PMa): Irreparable subscapularis tendon (SSC) tear in active patients without osteoarthritis. Pectoralis minor transfer (PMi): Irreparable superior SSC tear with concomitant irreparable supraspinatus tendon (SSP) tear in active patients with no osteoarthritis. CONTRAINDICATIONS: Primary osteoarthritis Samilson grade C, cuff tear arthropathy Hamada III-V, infection, axillary nerve palsy, older patients with low physical demand, combination with irreparable SSP/infraspinatus tendon (ISP) tear for PMa or combination with irreparable ISP tear for PMi. SURGICAL TECHNIQUE: General anesthesia and beach-chair position with the arm freely mobile in an arm holder. Deltopectoral approach. Exposure of the humeral head and confirmation of the irreparability of the subscapularis tendon. PMa: Detachment of the tendon to be transferred from the humeral insertion, blunt anatomic dissection medially. Exposure of the conjoined tendon and coracoid process. PMi: Detachment of the tendon with an osteotomy at the coracoid process. Passing the PMa or PMi tendon under the conjoined tendon. The PMa tendon is fixed in a 2-row configuration, the PMi in a single row with suture anchors to the lesser tuberosity. POSTOPERATIVE MANAGEMENT: Shoulder abduction sling (30°) for 6 weeks. Assisted range-of-motion (ROM) exercises with abduction/adduction 60-0-0°, internal/external rotation free-0-0° for 6 weeks. Free active ROM exercises after 6 weeks, muscle strengthening after 12 weeks.
resultsThe pectoralis major and minor transfer shows an improvement in strength and range of motion in young active patients and an improved Constant score (CS) in long-term follow-up examinations.
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