Combined anterior latissimus dorsi and teres major transfer and superior capsular reconstruction using autogenous biceps tendon for anterosuperior irreparable rotator cuff tears: technical note

This technical note describes the surgical technique of combining anterior latissimus dorsi and teres major (LDTM) tendon transfer with biceps superior capsular reconstruction (SCR) for the treatment of anterosuperior irreparable rotator cuff tears (AIRCTs). Anterosuperior irreparable rotator cuff tears, characterized by irreparable tears in the subscapularis and supraspinatus tendons, can lead to significant shoulder dysfunction. The described procedure aims to restore glenohumeral stability, prevent humeral head migration, and optimize shoulder mechanics. The LDTM tendon transfer replicates the function of the subscapularis, while the biceps SCR helps prevent superior humeral head migration. This technical note provides a comprehensive, reproducible, and effective surgical approach for managing AIRCTs.

Cite this article as: Baek CH, Kim BT, Kim JG, Lim C. Combined anterior latissimus dorsi and teres major transfer and superior capsular reconstruction using autogenous biceps tendon for anterosuperior irreparable rotator cuff tears: technical note. Acta Orthop Traumatol Turc., 2026; 60(3), 0643, doi: 10.5152/j.aott.2026.25643.