Teres Major Tendon Transfer For Irreparable Postero-Superior Rotator Cuff Tears

Description

The webinar presented by Andrea Celli, guided by Daniel Moya, focuses on the surgical technique of teres major tendon transfer for patients with unrepairable posterior superior rotator cuff tears. Andrea honors the anniversary of the hosting society and introduces the concept of tendon transfer as a surgical method to restore lost motor function and improve shoulder joint stability, essential for daily living.



Andrea discusses the relevance of scapulohumeral muscles in maintaining shoulder movements and describes the surgical procedures utilized over the years, including classic techniques and recent arthroscopy methods.



The procedure is thoroughly outlined step-by-step, detailing patient positioning, skin incision strategies, identification of relevant anatomical structures, and careful handling of nerves to ensure surgical safety. Andrea emphasizes the importance of correctly tensioning the tendon during the transfer to minimize the risk of secondary ruptures while ensuring effective rehabilitation. The surgical video highlights key points within the procedure, and Andrea presents findings from a follow-up study of 24 patients to underscore the long-term results of teres major transfer, including significant improvements in various scoring systems and patient satisfaction.



The session concludes with a discussion on the rationale for using teres major over latissimus dorsi for this procedure, highlighting the importance of tension management in tendon transfer surgeries.

Specialties