ArticleJournal of orthopaedic case reports2025
Arthroscopy-Assisted Lower Trapezius Tendon Transfer Combined with Superior Capsular Reconstruction in Posterosuperior Irreparable Rotator Cuff Tears: A Case Report.
Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Introduction: Given the distinct biomechanical advantages of superior capsular reconstruction (SCR) and arthroscopy-assisted lower trapezius tendon transfer (aLTT), aLTT combined with SCR may synergistically restore both static and dynamic stability of the glenohumeral joint, leading to superior functional outcomes compared to either procedure alone. This case report demonstrated the clinical and radiologic outcomes of aLTT combined with SCR in patients with posterosuperior irreparable rotator cuff tears (PSIRCTs). Case Report: A total of three patients with PSIRCTS were treated with aLTT combined with SCR. The mean age was 58.0 ± 6.1 years, and all patients were male. Mean follow-up periods were 66.0 ± 5.0 months. Three patients showed improvement in clinical outcomes, including Visual Analog Scale score, patient-reported outcome measurements, and active range of motion. However, progression to Hamada grade 4 arthritic changes was observed in one patient, and SCR graft rupture was confirmed in all three patients. Conclusion: aLTT combined with SCR in patients with PSIRCTs resulted in clinical improvement at the 5-year follow-up; however, SCR graft rupture was observed. This may be due to stress concentration on the graft, which could have contributed to the failure. Therefore, the risk of SCR graft rupture should be carefully considered when performing this combined procedure.
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