Letter to the editor “Middle trapezius transfer for treatment of irreparable supraspinatus tendon tears-anatomical feasibility study”

Kapıcıoğlu, Mehmet; Aliyev, Orkhan; Bilsel, Kerem

doi:10.1186/s40634-021-00355-w

Cited by 4 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is not the case in the current technique as the transferred portion has a force vector of relatively more horizontal/medial direction; therefore, it might offer a solution to overcome this block. Figure 14A, −B demonstrate direction of force vector of transferred medial portion of the middle trapezius of the current technique compared to that of Moroder et al [11, 13] Effective action of MTTT necessitates stabilized GH fulcrum; the latter can be achieved via sound force couple mechanism (in the transverse plane) of intact/repaired ISP and SSC (i.e. needed to compress/centralize the humeral head over the glenoid and to counteract deltoid shear force). Current tendon transfer might act as a humeral head depressor via its sub‐acromial spacer effect; and additionally, via its tension (i.e.…”

Section: Discussionmentioning

confidence: 99%

Rotator cuff irreparability or failure of repair (re-tear): technical note on middle trapezius tendon transfer for reproduction of supraspinatus function

Kandeel

2021

J EXP ORTOP

View full text Add to dashboard Cite

Purpose Based on its close anatomic features and nearly-collinear force vector to those of supraspinatus muscle, the current article describes a technique of middle trapezius tendon transfer for reproduction of supraspinatus function in the context of rotator cuff irreparability/re-tear management. Methods While seating the patient in beach-chair position, arthroscopic gleno-humeral examination and sub-acromial decompression are initially performed. Hamstring tendons are harvested and fashioned as flattened quadruple sheet. Through McKenzie approach, infraspinatus and subscapularis tendons are repaired. Then, medial half of middle trapezius insertion tendon is harvested from most medial 5-6 cm of the scapular spine. Through McKenzie approach, hamstring sheet is retrieved via a sub-trapezius/sub-acromial corridor from the scapular wound. Hamstring sheet is re-attached to cuff footprint by double row/suture bridge repair configuration. While retracting the scapula and placing gleno-humeral joint in 45O-abduction/45O-external rotation, hamstring sheet is re-attached to released middle trapezius tendon by non-absorbable sutures. Finally, tendon reconstruct is dynamically-tested in different positions of range of motion. Results Transfer of medial portion of middle trapezius insertion tendon (lengthened by interposition hamstring tendon sheet) to cuff footprint was technically feasible. Dynamic testing showed smooth sub-acromial gliding motion of the tendon reconstruct. Conclusion For reproduction of supraspinatus function, hamstring tendon augmented-middle trapezius tendon transfer to cuff footprint heralds a number of technical and biomechanical advantages; thus offering a potential effective modality of cuff irreparability/re-tear management in relatively young patients of high functional demands. However, current description should be investigated in further biomechanical and clinical studies to validate its long-term outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Rotator cuff irreparability or failure of repair (re-tear): technical note on middle trapezius tendon transfer for reproduction of supraspinatus function

Kandeel

2021

J EXP ORTOP

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…Those anatomic features in conjunction with a horizontally oriented force vector of the medial portion of MTT can overcome the possibility of subacromial block of the transferred tendon, which was reported by Moroder et al 24 in a cadaveric description of transferring the lateral portion of the MTT. 15,16 As a third point, transfer of the medial portion of the MTT offers considerable safety, as it does not violate the acromioclavicular joint. In addition, use of an intervening hamstring sheet (to lengthen the released medial MTT) minimizes subperiosteal dissection of the trapezius, tension across interfaces of the tendon construct, and displacement of trapezius-related neurovasculature.…”

Section: Discussionmentioning

confidence: 99%

Middle Trapezius Tendon Transfer for Augmentation of In Situ Superior Capsular Reconstruction–Reinforced Partial Rotator Cuff Repair: Short-term Outcomes of a Prospective Cohort Study

Kandeel

2023

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Middle trapezius tendon (MTT) transfer has been described for dynamic reproduction of supraspinatus function. For management of irreparable rotator cuff (RC) tears, this procedure can be coupled with in situ (long head of the biceps tendon–based) superior capsular reconstruction (SCR) and partial RC repair. Purpose: To investigate the functional outcomes of augmentation of in situ SCR–reinforced partial RC repair with MTT transfer for the management of irreparable posterosuperior RC tears. Study Design: Cohort study; Level of evidence, 3. Methods: Conducted between September 2014 and March 2022, this study included 24 patients with irreparable posterosuperior RC tears who were allocated into 2 groups: patients managed with 2-layer tendon construct (in situ SCR–reinforced partial RC repair) (group A; n = 15) and patients managed with 3-layer tendon construct (MTT transfer–augmented, in situ SCR–reinforced partial RC repair) (group B; n = 9). Outcome measures included 2-year postoperative pain, range of motion (ROM) in forward flexion and external rotation, and the American Shoulder and Elbow Surgeons (ASES) and the shortened version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores. For data comparison, independent and paired t tests were used for parametric quantitative variables, and Mann-Whitney and Wilcoxon signed-rank tests were used for nonparametric quantitative variables; Fisher exact and McNemar tests were used for qualitative variables. Results: The mean age of the patients was 58.40 ± 4.54 years in group A and 59.22 ± 4.46 years in group B; there were no between-group differences in baseline patient characteristics. Patients in both groups had significant preoperative to postoperative improvement on all outcome measures ( P < .05 for all). Group B had a significantly higher magnitude of postoperative improvement compared with group A in forward flexion ROM (88.88° ± 29.34° vs 46.66° ± 20.93°; P = .001), external rotation ROM (32.22° ± 14.81° vs 16.0° ± 9.10°; P = .002), ASES score (71.07 ± 8.26 vs 57.87 ± 8.39; P = .001), and QuickDASH score (–70.20 ± 6.95 vs –58.34 ± 12.52; P = .007). Conclusion: Augmentation of in situ SCR–reinforced partial RC repair with MTT transfer in a 3-layer tendon construct led to significantly greater improvement in postoperative ROM and functional scores compared with a 2-layer construct.

show abstract

Outcomes of arthroscopic-assisted middle trapezius tendon transfer for isolated irreparable supraspinatus tendon tears: minimum 2-year follow-up

Baek

Kim

2022

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

Letter to the editor “Middle trapezius transfer for treatment of irreparable supraspinatus tendon tears-anatomical feasibility study”

Cited by 4 publications

References 3 publications

Rotator cuff irreparability or failure of repair (re-tear): technical note on middle trapezius tendon transfer for reproduction of supraspinatus function

Rotator cuff irreparability or failure of repair (re-tear): technical note on middle trapezius tendon transfer for reproduction of supraspinatus function

Middle Trapezius Tendon Transfer for Augmentation of In Situ Superior Capsular Reconstruction–Reinforced Partial Rotator Cuff Repair: Short-term Outcomes of a Prospective Cohort Study

Outcomes of arthroscopic-assisted middle trapezius tendon transfer for isolated irreparable supraspinatus tendon tears: minimum 2-year follow-up

Contact Info

Product

Resources

About