Imaging and clinical outcomes of arthroscopically assisted lower trapezius tendon transfer using achilles allograft in the treatment of functional irreparable posterior-superior rotator cuff tears
Year: 2025
Type: article
Study design: Clinical Trial
Abstract: Background: To assess the imaging and clinical outcomes of the arthroscopy-assisted lower trapezius transfer (aaLTT) in the setting of irreparable or functionally irreparable rotator cuff tears. Methods: Bicentric prospective study of patients diagnosed of posterior-superior irreparable or functionally irreparable cuff tears treated with aaLTT and a minimum 2-year follow-up. Patient-reported outcomes, including pain level, range of motion, Constant-Murley Score, American Shoulder and Elbow Surgeons, and Subjective Shoulder Value scores, were recorded preoperatively and postoperatively. X-rays were obtained preoperatively and at the final follow-up to evaluate progression of arthropathy. Postoperative magnetic resonance imaging or ultrasound was utilized to assess integrity of the transferred tendon at the final follow-up. Results: < .001), respectively, were also obtained. External rotation lag sign and pseudoparalysis were reversed in 88.2% (15/17) and 100% (5/5) of patients, respectively. Postoperative imaging studies showed lateral avulsion of the graft in 6 (35.2%) cases. Conclusion: The aaLTT resulted in a significant decrease in pain and improvement in shoulder function with moderate healing rates of the transferred tendon in patients with functional irreparable rotator cuff tear at short-term follow-up.
Source: JSES International
Authors: Cristina Delgado, Gia Rodríguez, Vanesa López, Pablo Jiménez, Emilio Calvo
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,250
OpenAlex ID: W4413805204