Evidence map›Paper›PMID 40727317›Full record

ArticleOrthopedic reviews2025

Evaluating the Efficacy of Trapezius Transfer in the Management of Massive Rotator Cuff Tears: A Systematic Review of Clinical Outcomes.

Suhas Rao Velichala, Kush Savsani, Chase Nelson, Matthew Smith, James Satalich, Connor O'Neill, Jennifer Vanderbeck, Douglas Boardman

Abstract read
In one paragraph

Article in Orthopedic reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Suhas Rao VelichalaVirginia Commonwealth University.ORCID https://orcid.org/0000-0002-3270-338X
Kush SavsaniVirginia Commonwealth University.
Chase NelsonVirginia Commonwealth University.
Matthew SmithOrthopaedics Virginia Commonwealth University.
James SatalichOrthopaedics Virginia Commonwealth University.
Connor O'NeillOrthopaedics Virginia Commonwealth University.
Jennifer VanderbeckOrthopaedics Virginia Commonwealth University.
Douglas BoardmanOrthopaedics Virginia Commonwealth University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Massive irreparable rotator cuff tears are a significant challenge for shoulder function, with tendon transfers emerging as potential solutions. Objective: This systematic review aims to comprehensively evaluate the current evidence on the outcomes of lower trapezius transfer for the treatment of massive rotator cuff tears. Methods: This systematic review examines the use of trapezius transfer in managing these tears. Following PRISMA guidelines, a search of Medline, Embase, and Cochrane was conducted through March 2024 for studies on trapezius tendon transfer. Results: The review analyzed data from 214 patients (161 males, 53 females) with an average age of 58 years (range: 31-73 years), focusing on surgical technique, complications, follow-up duration, and outcomes. Most procedures utilized an Achilles allograft, with reported complications including retear rates of 7.5% and surgical infections in 2.3% of cases. The average follow-up was 38.4 months, with 80% to 100% of patients returning to previous activity levels. Conclusion: This review highlights the effectiveness of lower trapezius tendon transfer, particularly using an Achilles allograft, in enhancing pain relief, shoulder mobility, and overall function. Despite some complications, the high return-to-activity rate underscores the procedure's utility in restoring normalcy and productivity for patients with massive rotator cuff tears. Future research should aim to standardize operative and postoperative protocols to optimize outcomes and reduce complications.

Indexed as

CuffMassiveReviewRotatorTearTransferTrapezius

Identifiers

PMID40727317
PMCPMC12301094

What OpenQuestion holds

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Registered trials

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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.