Arthroscopic-Assisted Lower Trapezius Tendon Transfer for Irreparable Posterosuperior Rotator Cuff Tears Using a Quadricipital Tendon Allograft and a Double-Row Construct.

Checchia, Caio Santos; Miyadahira, Renato; Malavolta, Eduardo Angeli; Assunção, Jorge Henrique; Checchia, Sergio Luiz; de Castro Pochini, Alberto; Andreoli, Carlos Vicente; Ejnisman, Benno · Arthrosc Tech · 2025

case_report · Level V

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Abstract

Lower trapezius transfer is a joint salvage treatment option for irreparable posterosuperior rotator cuff tears in relatively young patients. It requires the use of a tendinous graft to bridge the gap between the lower trapezius and the greater tuberosity. Inlay fixation of hamstring autografts and onlay single-row fixation of Achilles allografts have been described in the literature. This technical note describes an arthroscopic-assisted lower trapezius transfer using a quadricipital tendon allograft fixed with an onlay knotless double-row construct.

Anatomy