Transfer of the clavicular or sternocostal portion of the pectoralis major muscle for irreparable tears of the subscapularis. Technique and clinical results

Purpose The transfer of the pectoralis major in cases of irreparable rupture of the subscapularis has been described through different techniques. The aim of this prospective study was to compare the clinical results of transferring the clavicular or the sternal head of the pectoralis major tendon u...

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Bibliographic Details
Published in:International orthopaedics 2015-03, Vol.39 (3), p.477-483
Main Authors: Valenti, Philippe, Boughebri, Omar, Moraiti, Constantina, Dib, Choukry, Maqdes, Ali, Amouyel, Thomas, Ciais, Grégoire, Kany, Jean
Format: Article
Language:English
Subjects:
Adult
Aged
Female
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Orthopedics
Patient Satisfaction
Pectoralis Muscles - surgery
Prospective Studies
Rotator Cuff - surgery
Rotator Cuff Injuries
Rupture - surgery
Shoulder Joint - surgery
Tendon Transfer - adverse effects
Tendon Transfer - methods
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Purpose The transfer of the pectoralis major in cases of irreparable rupture of the subscapularis has been described through different techniques. The aim of this prospective study was to compare the clinical results of transferring the clavicular or the sternal head of the pectoralis major tendon underneath the conjoint tendon. Methods Fifteen patients underwent the procedure, including eight clavicular head of the pectoralis major tendon transfers and seven sternal head transfers. The mean age at the time of surgery was 57 years (range, 37–66). Each patient had pre-operative MRI and CT scan. The criteria for an irreparable subscapularis tear were retraction at the level of the glenoid and fatty infiltration of the muscle graded III or IV. Pre-operative and postoperative functions were assessed by the Constant score. Patients were finally asked if they were very satisfied, satisfied or unhappy with the functional outcome. Results The average follow-up was 24 months (range, 12–50). The mean absolute Constant score of the entire series increased significantly from 36 preoperatively to 69 at the latest follow up ( p  
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-014-2566-9