Latissimus dorsi tendon transfer for treatment of irreparable superior-posterior rotator cuff tears and evaluation by isokinetic dynamometer

Restoring shoulder function in patients with irreparable rotator cuff tears (RCTs) is difficult. We performed a latissimus dorsi tendon transfer in a patient with massive RCTs to improve his shoulder function using a technique described by Gerber et al in 1988. After 1 year, his shoulder function was evaluated with an isokinetic dynamometer, and the results suggested better improvements in external rotation than abduction. Overall, the pain associated with daily activities was also reduced. The latissimus dorsi tendon transfer technique appears to be a good therapeutic choice for young and active patients with irreparable RCTs.