Pectoralis Major Transfer: Technique Variations

Authors

  • Fabiano Rebouças Ribeiro Instituto De Assistencia Medica Ao Servidor Público Do Estado De São Paulo (Iamspe), Brazil
  • Gabriel Assumpção Sanchez Monteiro Instituto De Assistencia Medica Ao Servidor Público Do Estado De São Paulo (Iamspe), Brazil
  • Camila Maribondo Medeiros Ramos Instituto De Assistencia Medica Ao Servidor Público Do Estado De São Paulo (Iamspe), Brazil
  • Antonio Carlos Tenor Junior Instituto De Assistencia Medica Ao Servidor Público Do Estado De São Paulo (Iamspe), Brazil
  • Miguel Pereira Costa Instituto De Assistencia Medica Ao Servidor Público Do Estado De São Paulo (Iamspe), Brazil

DOI:

https://doi.org/10.12974/2313-0954.2017.04.01.1

Keywords:

Rotator Cuff, Pectoralis Muscles, Tendon Transfer, Shoulder Impingement Syndrome.

Abstract

Subscapularis tears are commonly seen in orthopedic practice and, of all lesions of the rotator cuff these can cause the worst functional deficit of the shoulder. These tears can become surgically irreparable, especially in chronic traumatic cases. The most commonly used surgical procedure to restore horizontal stability is the pectoralis major transfer. Surgical variations for this procedure in the literature include total or partial muscle transfer, transfer above or underneath the conjoint tendon, and the muscle portion to be transferred (clavicular or sternal). The objective of this study was to review the orthopedic literature, to evaluate the most widely utilized surgical technique variations and their results. 

References

Nelson GN, Namdari S, Galatz L and Keener JD. Pectoralis major tendon transfer for irreparable subscapularis tears. J Shoulder Elbow Surg 2014; 23(6): 909-18. https://doi.org/10.1016/j.jse.2013.12.035

Omid R and Lee B. Tendon transfers for irreparable rotator cuff tears. J Am Acad Orthop Surg 2013; 21(8): 492-501. https://doi.org/10.5435/JAAOS-21-08-492

Ejnisman B, Carrera EF, Abdalla RJ, Cohen M, Andreoli CV, et al. Ruptura do músculo peitoral maior em atletas. Rev Bras Ortop 2002; 37(11-12): 482-488.

Figueiredo EATB, Cohen C, Monteiro GC, Pochini AC, Andreoli CV, Cohen M, et al. Footprint do tendon do pectoral major: study anatomic. Rev Bras Ortop 2013; 48(6): 519-23. https://doi.org/10.1016/j.rbo.2013.02.001

Godinho GG, França FO, Freita JMA, Santos FML, Santos RBM, et al. Resultados do reparo artroscópico das roturas isoladas do tendão do músculo subescapular. Rev Bras Ortop 2012; 47(3): 330-336 https://doi.org/10.1590/S0102-36162012000300009

Hackl W, Wambacher M, Kralinger F and Smekal V.

[Pectoralis major transfer in the treatment of chronic subscapularis insufficiency]. Oper Orthop Traumatol 2007; 19(5-6): 433-41. https://doi.org/10.1007/s00064-007-1026-5

Resch H, Povacz P, Ritter E and Matschi W. Transfer of the pectoralis major muscle for the treatment of irreparable rupture of the subscapularis tendon. J Bone Joint Surg Am 2000; 82(3): 372-82. https://doi.org/10.2106/00004623-200003000-00008

Gavriilidis I, Kircher J, Magosch P, Lichtenberg S and Habermeyer P. Pectoralis major transfer for the treatment of irreparable anterosuperior rotator cuff tears. Int Orthop 2010; 34(5): 689-94. https://doi.org/10.1007/s00264-009-0799-9

Wirth MA and Rockwood CA. Operative Treatment of Irreparable Rupture of the Subscapularis. J Bone Joint Surg Am 1997; 79(5): 722-31. https://doi.org/10.2106/00004623-199705000-00012

Warner JJP. Management of Massive Irreparable Rotator Cuff Tears: The Role of Tendon Transfer. J Bone Joint Surg Am 2000; 82(6): 878. https://doi.org/10.2106/00004623-200006000-00019

Valenti P, Boughebri O, Moraiti C, Dib C, Maqdes A, Amouyel T, et al. Transfer of the clavicular or sternocostal portion of the pectoralis major muscle for irreparable tears of the subscapularis. Technique and clinical results. Int Orthop 2015; 39(3): 477-83. https://doi.org/10.1007/s00264-014-2566-9

Vidil A and Augereau B. Transfer of the clavicular portion of the pectoralis major muscle in the treatment of irreparable tears of the subscapularis muscle. Rev Chir Orthop Reparatrice Appar Mot 2000; 86(8): 835-43.

Jost B, Puskas GJ, Lustenberger A and Gerber C. Outcome of pectoralis major transfer for the treatment of irreparable subscapularis tears. The J Bone Joint Surg Am 2003; 85- A(10): 1944-51. https://doi.org/10.2106/00004623-200310000-00012

Jennings GJ, Keereweer S, Buijze GA, De Beer J and DuToit D. Transfer of segmentally split pectoralis major for the treatment of irreparable rupture of the subscapularis tendon. J Shoulder Elbow Surg 2007; 16(6): 837-42. https://doi.org/10.1016/j.jse.2007.03.030

Elhassan B, Ozbaydar M, Massimini D, Diller D, Higgins L, et al. Transfer of pectoralis major for the treatment of irreparable tears of subscapularis: does it work?. J Bone Joint Surg Br 2008; 90(8): 1059-65. https://doi.org/10.1302/0301-620X.90B8.20659

Gibon E, El Hajj F and Ouaknine M. Arthroscopic transfer of the pectoralis major for irreparable tear of the subscapularis: a preliminary report. Arthrosc Tech 2014; 3(1): e61-4. https://doi.org/10.1016/j.eats.2013.08.012

Shin JJ, Saccomanno MF, Cole BJ, Romeo AA, Nicholson GP, et al. Pectoralis major transfer for treatment of irreparable subscapularis tear: a systematic review. Knee Surg Sports Traumatol Arthrosc 2016; 24(6): 1951-60. https://doi.org/10.1007/s00167-014-3229-5

Lederer S, Auffarth A, Bogner R, Tauber M, Mayer M, et al. Magnetic resonance imaging-controlled results of the pectoralis major tendon transfer for irreparable anterosuperior rotator cuff tears performed with standard and modified fixation techniques. J Shoulder Elbow Surg 2011; 20(7): 1155-62. https://doi.org/10.1016/j.jse.2011.01.023

Ruiz-Iban MA, Murillo-Gonzalez JA, Diaz-Heredia J, Avila- Lafuente JL and Cuellar R. Pectoralis major transfer for subscapular deficiency: anatomical study of the relationship between the transferred muscle and the musculocutaneous nerve. Knee Surg Sports Traumatol Arthrosc 2013; 21(9): 2177-83. https://doi.org/10.1007/s00167-013-2432-0

Konrad GG, Sudkamp NP, Kreuz PC, Jolly JT, McMahon PJ, et al. Pectoralis major tendon transfers above or underneath the conjoint tendon in subscapularis-deficient shoulders. An in vitro biomechanical analysis. J Bone Joint Surg Am 2007; 89(11): 2477-84. https://doi.org/10.2106/JBJS.F.00811

Downloads

Published

2017-02-27

How to Cite

Ribeiro, F. R., Sanchez Monteiro, G. A. ., Medeiros Ramos, C. M. ., Tenor Junior, A. C. ., & Costa, M. P. (2017). Pectoralis Major Transfer: Technique Variations. International Journal of Orthopedics and Rehabilitation, 4(1), 1–5. https://doi.org/10.12974/2313-0954.2017.04.01.1

Issue

Section

Articles