Arthroscopic‐Assisted Lower Trapezius Tendon Transfer for Massive Irreparable Posterosuperior Rotator Cuff Tears Using an Achilles Tendon‐Bone Allograft
Eugene T. Ek, Timothy Lording, Andrew McBride
Abstract
The lower trapezius tendon (LTT) transfer has been described for the management of irreparable posterosuperior rotator cuff tears. Here we describe our technique of an arthroscopic-assisted LTT transfer using an Achilles tendon-bone allograft. This technique allows for augmentation of the tendon transfer using an Achilles tendon allograft while also keeping the calcaneal bone insertion, which allows for added bony fixation into the humerus and also minimizing the risk of the "killer turn" phenomenon at the aperture of fixation.
Topics & Concepts
MedicineRotator cuffAchilles tendonSurgeryTearsTendon transferTendonFixation (population genetics)PopulationEnvironmental healthShoulder Injury and TreatmentShoulder and Clavicle InjuriesElbow and Forearm Trauma Treatment