Introduction
Irreparable rotator cuff tears are a challenging problem with few satisfactory treatment options. Simple subacromial decompression relieves the pain but with modest improvement in function. Reversed shoulder arthroplasty is another option for management. Latissimus dorsi transfer can help to both improve the pain and restore the function without the need for arthroplasty.
Patients and methods
This study was conducted on 12 patients with irreparable rotator cuff tears involving the supraspinatus and infraspinatus tendons and who failed to respond to subacromial decompression. The latissimus dorsi tendon was transferred to the anterior aspect of the greater tuberosity followed by programed rehabilitation.
Results
Both pain and active external rotation and abduction improved significantly at 6 and 12 months’ follow-up. The average constant score improved from 28 points preoperatively to 68 points postoperatively. All these improvements were significant ( < 0.001).
Conclusion
Latissimus dorsi transfer to the anterior aspect of the greater tuberosity helps to improve both active external rotation and abduction with pain relief in patients with irreparable rotator cuff tears.