Transferencia de trapecio inferior con injerto autólogo de semitendinoso y recto interno

Abstract

In massive irreparable posterosuperior rotator cuff ruptures, there are several options for treatment. We will describe the transfer of the lower trapezius muscle tendon augmented with semitendinosus and gracillis tendons autologous, under arthroscopic assistance. In this way, muscular balance is restored for correct shoulder mobility. This technique is performed with two incisions and three arthroscopic portals, the first for haverst of the gracillis and semitendinosus tendons, in the knee on the same side of the affected shoulder  (augmentation) and the second in the scapula for the haverst of the lower trapezius muscle tendon, and for passage to the subacromial, and fixation with knotless anchors