Tendon Transfer for Irreparable Rotator Cuff Tears

Tendon transfer procedures provide treatment options for younger patients without significant glenohumeral arthritis with irreparable rotator cuff tears (RCT). These interventions can restore the glenohumeral joint force couple, allowing restoration of near-normal shoulder kinematics. Benefits include reliable pain relief, increased function, and increased strength. Proper selection of donor tendon is crucial, and the principles of tendon transfer procedures must be adhered to for maximal benefit. The purpose of this article is to provide evidence-based techniques to reconstruct massive, irreparable rotator cuff tears.