ArticleArthroscopy techniques2025
Technical Guide and Tips to Arthroscopic Trans-scapular Transfer of Lower Trapezius for Irreparable Subscapularis Tears.
Article in Arthroscopy techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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1 citing paper in PubMed.
- A historical review: Surgical management of massive irreparable rotator cuff tears.Shoulder & elbow · 2025Review
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
The efficacy of tendon transfers in the treatment of irreparable subscapularis tears has been inconsistent, with frequently unsatisfactory outcomes. We describe a technique for transfer of the lower trapezius tendon to the lesser tuberosity using an Achilles tendon allograft through a trans-scapular route after a scapular osteotomy. The surgical procedure begins with the preparation of the lower trapezius tendon via an open posterior incision. After splitting the infraspinatus muscle, the osteotomy of the scapular body is performed inferior to the scapular spine and medial to the glenoid vault. Then, the arthroscopic dissection of the anterior space of the glenohumeral joint and subscapular fossa is performed. The axillary and radial nerves are visualized and protected. The anterior dissection is completed by debridement of the subscapularis remnant as well as the subscapular fossa. A shuttle relay is placed, and the allograft is shuttled from the posterior scapula to the anterior compartment of the glenohumeral joint following the subscapular fossa. After debridement of the lesser tuberosity, the graft is fixed with 2 lateral anchors and 1 medial anchor. The shoulder is immobilized in internal rotation for a period of 6 weeks, after which physiotherapy can be started.
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