Table of Contents
ISRN Orthopedics
Volume 2013, Article ID 646598, 4 pages
Clinical Study

Infraspinatus/Teres Minor Transfer Biceps In Situ Tenodesis Procedure: Initial Results of a Technique for Massive Cuff Tears

Department of Orthopaedics, Dawson Creek & District Hospital, 11100-13th Street, Dawson Creek, BC, Canada V1G 3W8

Received 4 September 2013; Accepted 29 September 2013

Academic Editors: J. Dubousset, P. Gerbino, and G. Papachristou

Copyright © 2013 Matt D. A. Fletcher. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Massive rotator cuff tears may not be primarily repairable with salvage options not necessarily providing acceptable results. Extrinsic tendon transfer is a significant undertaking with prolonged rehabilitation and variable outcome. A novel technique for the reconstruction of massive tears, not amenable to primary repair, by performing a transfer of the intrinsic posterior rotator cuff onto an intact, tenodesed long head of biceps tendon acting as a scaffold for the intrinsic transfer is described. The clinical results at short to medium term in 17 initial patients are presented. Encouraging results from this study suggest that this is a viable option for the management of massive rotator cuff tears with an intact posterior cuff with results equal or superior to other reconstructive techniques.