Combined Arthroscopic-Assisted Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique

Primary or revision irreparable rotator cuff tears remain a challenge. Clear algorithms do not exist. Several joint-preserving options are available, but no technique has been definitely proven to be better than another. Although superior capsule reconstruction has been shown to be effective in rest...

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Main Authors: Maristella F. Saccomanno, M.D., Ph.D., Alessandro Colosio, M.D., Francesco De Filippo, M.D., Marco Adriani, M.D., Marcello Motta, M.D., Stefano Cattaneo, M.D., Giuseppe Milano, M.D.
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628723000397
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author Maristella F. Saccomanno, M.D., Ph.D.
Alessandro Colosio, M.D.
Francesco De Filippo, M.D.
Marco Adriani, M.D.
Marcello Motta, M.D.
Stefano Cattaneo, M.D.
Giuseppe Milano, M.D.
author_facet Maristella F. Saccomanno, M.D., Ph.D.
Alessandro Colosio, M.D.
Francesco De Filippo, M.D.
Marco Adriani, M.D.
Marcello Motta, M.D.
Stefano Cattaneo, M.D.
Giuseppe Milano, M.D.
author_sort Maristella F. Saccomanno, M.D., Ph.D.
collection DOAJ
description Primary or revision irreparable rotator cuff tears remain a challenge. Clear algorithms do not exist. Several joint-preserving options are available, but no technique has been definitely proven to be better than another. Although superior capsule reconstruction has been shown to be effective in restoring motion, lower trapezius transfer can provide strong external rotation and abduction moment. The aim of the present article was to describe an easy and reliable technique to combine both options in 1 surgery, aiming to maximize the functional outcome by getting motion and strength back.
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spelling doaj.art-d168e109e1a54feeb241dfd78f45a6302023-06-23T04:42:58ZengElsevierArthroscopy Techniques2212-62872023-06-01126e823e830Combined Arthroscopic-Assisted Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical TechniqueMaristella F. Saccomanno, M.D., Ph.D.0Alessandro Colosio, M.D.1Francesco De Filippo, M.D.2Marco Adriani, M.D.3Marcello Motta, M.D.4Stefano Cattaneo, M.D.5Giuseppe Milano, M.D.6Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy; Department of Bone and Joint Surgery, Spedali Civili, Brescia, Italy; Address correspondence to Maristella F. Saccomanno, M.D., Ph.D., Ortopedia e Traumatologia 2, Spedali Civili, Largo Spedali Civili 1, 25123 Brescia (BS), Italy.Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, ItalyDepartment of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, ItalyDepartment of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, ItalyDepartment of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, ItalyDepartment of Bone and Joint Surgery, Spedali Civili, Brescia, ItalyDepartment of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy; Department of Bone and Joint Surgery, Spedali Civili, Brescia, ItalyPrimary or revision irreparable rotator cuff tears remain a challenge. Clear algorithms do not exist. Several joint-preserving options are available, but no technique has been definitely proven to be better than another. Although superior capsule reconstruction has been shown to be effective in restoring motion, lower trapezius transfer can provide strong external rotation and abduction moment. The aim of the present article was to describe an easy and reliable technique to combine both options in 1 surgery, aiming to maximize the functional outcome by getting motion and strength back.http://www.sciencedirect.com/science/article/pii/S2212628723000397
spellingShingle Maristella F. Saccomanno, M.D., Ph.D.
Alessandro Colosio, M.D.
Francesco De Filippo, M.D.
Marco Adriani, M.D.
Marcello Motta, M.D.
Stefano Cattaneo, M.D.
Giuseppe Milano, M.D.
Combined Arthroscopic-Assisted Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique
Arthroscopy Techniques
title Combined Arthroscopic-Assisted Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique
title_full Combined Arthroscopic-Assisted Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique
title_fullStr Combined Arthroscopic-Assisted Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique
title_full_unstemmed Combined Arthroscopic-Assisted Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique
title_short Combined Arthroscopic-Assisted Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique
title_sort combined arthroscopic assisted lower trapezius tendon transfer and superior capsule reconstruction for massive irreparable posterior superior rotator cuff tears surgical technique
url http://www.sciencedirect.com/science/article/pii/S2212628723000397
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