Tendon Transfer for Anterosuperior Cuff: The Pectoralis Major Transfer

Isolated ruptures of the subscapularis or combined with a supraspinatus tear are not as numerous as posterosuperior rotator cuff tears. Reconstruction of the anterosuperior tendons may not always be possible because of fatty infiltration or poor tendon quality. Tendon transfer may represent a surgical option for treatment. The pectoralis major tendon transfer is not the best biomechanical one to supply the deficient subscapularis, but it can be an acceptable salvage option to decrease pain even beyond a 10-year postoperative period but with limited function.