Treatment Innovations for Massive & Irreparable Rotator Cuff Tears (AANA22)-Lower Trapezius Transfer

Video Transcription

Video Summary

In this video, the speaker discusses the technique of using a lower trapezius transfer for the reconstruction of a massive irreparable rotator cuff tear. He explains that the force couple in the shoulder joint is important for stabilization and function, and when the force couple is lost due to a tear, the patient can develop significant limitations. The speaker explores the anatomy and biomechanics of the shoulder to explain why the lower trapezius muscle is a good candidate for transfer. He describes the surgical technique for the transfer, either through an open or arthroscopic approach, and the use of an Achilles tendon allograft for augmentation. The speaker also presents the outcomes of the procedure and discusses the potential for using the lower trapezius transfer in cases of failed subscapularis tendon repair. The video concludes with the speaker expressing his gratitude for the invitation and wishing the audience a great day. No further credits are given.

Asset Caption

Bassem Elhassan, M.D.

Keywords

lower trapezius transfer

rotator cuff tear

force couple

shoulder joint

surgical technique

outcomes