Kim Bo Taek, Miranda Luis Alfredo, Baek Chang Hee, Kany Jean
Department of Orthopaedic Surgery, Yeosu Baek Hospital, Yeosu, Republic of Korea.
Department of Orthopaedic Surgery, Hospital Cima Hermosillo, Sonora, México.
Arthrosc Tech. 2025 May 31;14(8):103665. doi: 10.1016/j.eats.2025.103665. eCollection 2025 Aug.
A variety of treatment options have been proposed for patients with anterosuperior irreparable rotator cuff tears (ASIRCTs). The anterior latissimus dorsi (LD) tendon transfer has proven to be a viable option, because it serves as an internal rotator and mimics the line of pull of the subscapularis, which originates from the back of the chest wall. Incorporating the teres major (TM) tendon, which exhibits similar scapulohumeral kinematics to the subscapularis, strengthens the transfer, enhancing the shoulder's force couple restoration. In this Technical Note, we present a fully arthroscopic approach for anterior LDTM tendon transfer, performed without open or axillary arthroscopic incisions, to treat patients with ASIRCTs. This fully arthroscopic anterior LDTM tendon transfer is a reproducible and effective option for patients with ASIRCTs.
对于患有前上盂唇不可修复性肩袖撕裂（ASIRCTs）的患者，已经提出了多种治疗选择。背阔肌（LD）肌腱前转位已被证明是一种可行的选择，因为它可作为内旋肌，模仿肩胛下肌的拉力线，肩胛下肌起自胸壁后部。合并大圆肌（TM）肌腱可加强转位，该肌腱与肩胛下肌具有相似的肩胛肱运动学，从而增强肩部力偶的恢复。在本技术说明中，我们介绍了一种完全关节镜下的前LD-TM肌腱转位方法，该方法无需开放或腋窝关节镜切口即可进行，用于治疗ASIRCTs患者。这种完全关节镜下的前LD-TM肌腱转位对于ASIRCTs患者是一种可重复且有效的选择。
