What Is Arthroscopic-Assisted Shoulder Tendon Transfer?
Arthroscopic-assisted shoulder tendon transfer is a specialized surgical procedure used to restore function in patients with irreparable rotator cuff tears. When a torn tendon cannot be repaired due to severe damage or retraction, a healthy tendon is repositioned to take over its function. The arthroscopic-assisted technique uses small incisions and a camera to improve visualization and minimize tissue disruption.
When Is Arthroscopic-Assisted Shoulder Tendon Transfer Recommended?
This procedure may be recommended in the following situations:
- Irreparable rotator cuff tears
- Persistent pain and weakness despite non-surgical treatment
- Minimal or no advanced shoulder arthritis
- Younger or active patients seeking to preserve their native joint
What Does Preparation for Arthroscopic-Assisted Shoulder Tendon Transfer Involve?
Preparation includes a detailed physical examination, imaging such as MRI to evaluate tendon quality, and medical clearance. Patients may be instructed to modify medications and begin prehabilitation exercises to optimize shoulder strength before surgery.
How Is Arthroscopic-Assisted Shoulder Tendon Transfer Performed?
The surgeon uses arthroscopy to assess the joint and address any additional damage. A healthy tendon, commonly the latissimus dorsi or lower trapezius, is carefully mobilized and transferred to the humeral head. It is secured with sutures or anchors to restore balance and improve shoulder mechanics.
What to Expect During Recovery After Arthroscopic-Assisted Shoulder Tendon Transfer?
The arm is typically immobilized in a sling for several weeks to allow healing. Physical therapy progresses gradually from passive motion to strengthening exercises. Rehabilitation is essential because the transferred tendon must adapt to its new function.
What Are the Risks of Arthroscopic-Assisted Shoulder Tendon Transfer?
As with any surgery, risks may include:
- Infection
- Nerve injury
- Failure of tendon healing
- Persistent weakness
- Stiffness
What Are the Benefits of Arthroscopic-Assisted Shoulder Tendon Transfer?
Potential benefits include:
- Improved shoulder stability and strength
- Reduced pain
- Preservation of the natural joint
- Restoration of meaningful arm function
For more information about our services or to schedule an appointment, call us at or click here to request an appointment online. We’ll respond to you as soon as possible.