Arthroscopic-Assisted Lower Trapezius Tendon Transfer for Irreparable Posterosuperior Rotator Cuff Tears Using a Quadricipital Tendon Allograft and a Double-Row Construct

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2025 Mar 5

PMID 40041352

Authors

Caio Santos Checchia

Renato Miyadahira

Eduardo Angeli Malavolta

Jorge Henrique Assuncao

Sergio Luiz Checchia

Alberto de Castro Pochini

Carlos Vicente Andreoli

Benno Ejnisman

Affiliations

Soon will be listed here.

Abstract

Lower trapezius transfer is a joint salvage treatment option for irreparable posterosuperior rotator cuff tears in relatively young patients. It requires the use of a tendinous graft to bridge the gap between the lower trapezius and the greater tuberosity. Inlay fixation of hamstring autografts and onlay single-row fixation of Achilles allografts have been described in the literature. This technical note describes an arthroscopic-assisted lower trapezius transfer using a quadricipital tendon allograft fixed with an onlay knotless double-row construct.

References

Kany J, Sekaran P, Grimberg J, Amavarathi R, Valenti P, Elhassan B . Risk of latissimus dorsi tendon rupture after arthroscopic transfer for posterior superior rotator cuff tear: a comparative analysis of 3 humeral head fixation techniques. J Shoulder Elbow Surg. 2019; 29(2):282-290. DOI: 10.1016/j.jse.2019.06.019. View

Elhassan B, Wagner E, Werthel J . Outcome of lower trapezius transfer to reconstruct massive irreparable posterior-superior rotator cuff tear. J Shoulder Elbow Surg. 2016; 25(8):1346-53. DOI: 10.1016/j.jse.2015.12.006. View

Farago D, Kozma B, Kiss R . Different sterilization and disinfection methods used for human tendons - a systematic review using mechanical properties to evaluate tendon allografts. BMC Musculoskelet Disord. 2021; 22(1):404. PMC: 8091719. DOI: 10.1186/s12891-021-04296-4. View

Belk J, Littlefield C, Smith J, McCulloch P, McCarty E, Frank R . Autograft Demonstrates Superior Outcomes for Revision Anterior Cruciate Ligament Reconstruction When Compared With Allograft: A Systematic Review. Am J Sports Med. 2023; 52(3):859-867. DOI: 10.1177/03635465231152232. View

Hohmann E, Konig A, Kat C, Glatt V, Tetsworth K, Keough N . Single- versus double-row repair for full-thickness rotator cuff tears using suture anchors. A systematic review and meta-analysis of basic biomechanical studies. Eur J Orthop Surg Traumatol. 2017; 28(5):859-868. DOI: 10.1007/s00590-017-2114-6. View

Baek C, Lee D, Kim J . Latissimus dorsi transfer vs. lower trapezius transfer for posterosuperior irreparable rotator cuff tears. J Shoulder Elbow Surg. 2022; 31(9):1810-1822. DOI: 10.1016/j.jse.2022.02.020. View

Conforto Gracitelli M, Assuncao J, Malavolta E, Sakane D, de Rezende M, Amado Ferreira Neto A . Trapezius muscle transfer for external shoulder rotation: anatomical study. Acta Ortop Bras. 2014; 22(6):304-7. PMC: 4273954. DOI: 10.1590/1413-78522014220600931. View

Cartaya M, Canales P, Werthel J, Hovsepian J, Valenti P . Feasibility of lower trapezius and rhomboid minor transfer for irreparable subscapularis tears: an anatomic cadaveric study. JSES Int. 2021; 5(3):447-453. PMC: 8178634. DOI: 10.1016/j.jseint.2021.01.007. View

Saccomanno M, Colosio A, De Filippo F, Adriani M, Motta M, Cattaneo S . Combined Arthroscopic-Assisted Lower Trapezius Tendon Transfer and Superior Capsule Reconstruction for Massive Irreparable Posterior-Superior Rotator Cuff Tears: Surgical Technique. Arthrosc Tech. 2023; 12(6):e823-e830. PMC: 10323695. DOI: 10.1016/j.eats.2023.02.014. View

10.

Clouette J, Leroux T, Shanmugaraj A, Khan M, Gohal C, Veillette C . The lower trapezius transfer: a systematic review of biomechanical data, techniques, and clinical outcomes. J Shoulder Elbow Surg. 2020; 29(7):1505-1512. DOI: 10.1016/j.jse.2019.12.019. View

11.

Muench L, Berthold D, Kia C, Obopilwe E, Cote M, Imhoff A . Biomechanical comparison of lower trapezius and latissimus dorsi transfer for irreparable posterosuperior rotator cuff tears using a dynamic shoulder model. J Shoulder Elbow Surg. 2022; 31(11):2392-2401. DOI: 10.1016/j.jse.2022.05.003. View

12.

Diop A, Maurel N, Chang V, Kany J, Duranthon L, Grimberg J . Tendon fixation in arthroscopic latissimus dorsi transfer for irreparable posterosuperior cuff tears: an in vitro biomechanical comparison of interference screw and suture anchors. Clin Biomech (Bristol). 2011; 26(9):904-9. DOI: 10.1016/j.clinbiomech.2011.05.011. View

13.

Velasquez Garcia A, Nieboer M, de Marinis R, Morrey M, Valenti P, Sanchez-Sotelo J . Mid- to long-term outcomes of latissimus dorsi tendon transfer for massive irreparable posterosuperior rotator cuff tears: a systematic review and meta-analysis. J Shoulder Elbow Surg. 2023; 33(4):959-974. DOI: 10.1016/j.jse.2023.10.002. View

14.

Checchia C, Domos P, Grimberg J, Kany J . Current Options in Tendon Transfers for Irreparable Rotator Cuff Tears. JBJS Rev. 2019; 7(2):e6. DOI: 10.2106/JBJS.RVW.18.00044. View

15.

Checchia C, Silva L, Sella G, Checchia S, Fucs P, Miyazaki A . Allograft-enhanced latissimus dorsi transfer is better than the conventional technique for irreparable posterosuperior rotator cuff tears. A retrospective matched cohort. Int Orthop. 2023; 47(6):1527-1534. DOI: 10.1007/s00264-023-05775-0. View