Rotator Cuff Reconstruction & Tendon Transfers

Overview

Some rotator cuff tears are too large, too retracted or too long-standing to be repaired directly; the tendon may have pulled back and the muscle may have turned to fat. Tears can also fail to heal after a previous repair. When this happens, the goal is to relieve pain and restore as much strength and motion as possible.

Tendon transfers move a healthy tendon from a nearby muscle, such as the lower trapezius or latissimus dorsi, to take over the job of the torn rotator cuff. Superior capsular reconstruction uses a graft to rebuild the top of the joint capsule and help keep the ball centered. Partial repair and debridement can relieve pain in selected patients. In older patients, or when arthritis is present, reverse shoulder replacement is often the most reliable option.

Dr. Joshi reviews your MRI, strength, motion, age and goals to recommend the option that best fits your shoulder.

Benefits

• Options for tears that cannot be repaired directly
• Joint-preserving choices for younger, active patients
• Improved strength and function when the rotator cuff is deficient
• Pain relief

Who is a Candidate?

Rotator Cuff Reconstruction & Tendon Transfers may be appropriate for patients who meet certain criteria. Ideal candidates include:

• Massive or irreparable rotator cuff tears
• Failed prior rotator cuff repair
• Younger or active patients without significant arthritis
• Patients with weakness lifting or rotating the arm outward

Recovery & Rehabilitation

Tendon transfers and reconstructions require a protected recovery. Patients usually wear a sling or brace for about six weeks, then follow a structured therapy program to retrain the transferred muscle. Full recovery commonly takes 6 to 12 months.