Magnetic resonance imaging-controlled results of the pectoralis major tendon transfer for irreparable anterosuperior rotator cuff tears performed with standard and modified fixation techniques

Lederer, Stefan; Auffarth, Alexander; Bogner, Robert; Tauber, Mark; Michael, Mayer; Karpik, Stefanie; Matis, Nicholas; Resch, Herbert

doi:10.1016/j.jse.2011.01.023

Cited by 23 publications

(40 citation statements)

References 31 publications

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“…13,14,16,19,34,49,70,71 The other 4 studies stated that ISScT was attributed to severe muscle retraction and fatty infiltration. 18,40,60,73 Additional indications were utilized in some studies, such as other intact or reparable rotator cuff tears, intact deltoid function, pain and limitations in shoulder function (internal rotation), a chief symptom of weakness, normal function of the LD/PM, anterosuperior instability, anterior subluxation, and superior migration of the humeral head upon attempted elevation.…”

Section: Indications and Contradictionsmentioning

confidence: 99%

“…5 LDT was originally performed to restore external rotation strength after a massive rotator cuff, 44 but it was recently performed for ISScT 34,49,73 because the LD had a similar pull line with the subscapularis muscle. 73 Although PMT and LDT in ISScT yield good clinical outcomes, 14,16,19,40,49,70 it remains unknown which technique is better. This review aims to evaluate and compare the clinical outcomes, complications, and failure rates of PMT and LDT.…”

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confidence: 99%

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Outcome Comparison of Latissimus Dorsi Transfer and Pectoralis Major Transfer for Irreparable Subscapularis Tendon Tear: A Systematic Review

et al. 2021

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Background: Latissimus dorsi transfer (LDT) and pectoralis major transfer (PMT) were developed to treat an irreparable subscapularis tendon tear (ISScT); however, the difference in their outcomes remains unclear. Purpose: To systematically review and compare the outcomes of LDT and PMT for ISScT. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed through a comprehensive search of Embase, PubMed, and the Cochrane Library. Studies of LDT or PMT were included according to the inclusion and exclusion criteria. The primary outcome was the Constant-Murley score (CMS) at the final follow-up. Secondary outcomes included the subjective shoulder value (SSV), visual analog scale (VAS) score for pain, active shoulder range of motion, and the belly-press and lift-off tests. Postoperative failure and complication rates were the safety outcome measures. Outcomes were summarized into the LDT and PMT groups, and results were compared statistically ( P < .05). Results: Twelve studies were included in this review: 184 shoulders from 9 studies for the PMT group and 85 shoulders from 3 studies for the LDT group. For the PMT and LDT groups, the mean ages were 58.9 and 55.1 years, respectively, and the mean follow-up was 66.9 and 17.4 months, respectively. Overall, the LDT and PMT groups improved in the primary outcome (CMS) and secondary outcomes (SSV, VAS, ROM, and belly-press and lift-off tests), with low rates of failure and complication. When compared with the PMT group, the LDT group showed more significant improvements in CMS (35.2 vs 24.7; P < .001), active forward flexion (44.3° vs 14.7°; P < .001), abduction (35.0° vs 17.6°; P < .002), and positive belly-press test rate (45% vs 27%; P < .001). No statistically significant difference was seen between the groups in postoperative failure rate, complication rate, mean improvement of active internal rotation, VAS, or SSV. Conclusion: In general, LDT showed significantly better clinical outcomes postoperatively than did PMT. The available fair-quality evidence suggested that LDT might be a better choice for ISScT. Further evaluations on the relative benefits of the 2 surgical approaches are required, with more high-quality randomized controlled studies.

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Section: Indications and Contradictionsmentioning

confidence: 99%

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confidence: 99%

Outcome Comparison of Latissimus Dorsi Transfer and Pectoralis Major Transfer for Irreparable Subscapularis Tendon Tear: A Systematic Review

et al. 2021

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“…Of these seven [12,13,18,22,27,32] studies, six [13,18,22,27,32] used Constant outcome scores and reported weighted average preoperative scores of 38.8 ± 8.4 in the subcoracoid transfer group and 38.2 ± 5.4 in the supracoracoid transfer group (p = 0.581). Frequency-weighted mean postoperative Constant score of 63.0 ± 4.0 in the under group was significantly higher than the over group score of 57.3 ± 7.0 (p < 0.001), although given the small difference, clinical significance is not likely.…”

Section: Functional Outcomes: Pectoralis Major Transfer Over Versus Umentioning

confidence: 99%

Pectoralis major transfer for treatment of irreparable subscapularis tear: a systematic review

Shin

Saccomanno

Cole

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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“…In addition, Bartl et al 2 showed that open repair of the combined tears of the subscapularis and supraspinatus tendons can achieve good postoperative outcomes with a very low subscapularis retear rate of 4%. Furthermore, several authors 22,39 suggested pectoralis major transfer as a salvage option for irreparable subscapularis tears and reported successful results. Reverse total shoulder arthroplasty could be another option if the retear of the subscapularis is foreseen in the case of a severely retracted tendon.…”

Section: Discussionmentioning

confidence: 99%

Combined Subscapularis Tears in Massive Posterosuperior Rotator Cuff Tears

Park¹,

Chung

Lee

et al. 2015

Am J Sports Med

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The arthroscopic repair of massive tears results in substantial improvements in shoulder function, regardless of the presence of combined subscapularis tears. However, this study showed a trend toward a high failure rate for the repair of massive posterosuperior rotator cuff tears extending over half of the subscapularis tendon. Therefore, other treatment options should also be considered for this type of rotator cuff tear.

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Magnetic resonance imaging-controlled results of the pectoralis major tendon transfer for irreparable anterosuperior rotator cuff tears performed with standard and modified fixation techniques

Cited by 23 publications

References 31 publications

Outcome Comparison of Latissimus Dorsi Transfer and Pectoralis Major Transfer for Irreparable Subscapularis Tendon Tear: A Systematic Review

Outcome Comparison of Latissimus Dorsi Transfer and Pectoralis Major Transfer for Irreparable Subscapularis Tendon Tear: A Systematic Review

Pectoralis major transfer for treatment of irreparable subscapularis tear: a systematic review

Combined Subscapularis Tears in Massive Posterosuperior Rotator Cuff Tears

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