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June 13, 2026Journal of Orthopaedic Case ReportsOpen Access

Anterior Latissimus Dorsi and Teres Major Tendon Transfer with Total Shoulder Arthroplasty in the Setting of Subscapularis Insufficiency: A Case Report

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Authors

CBChang Hee BaekBKBo Taek KimJKJung Gon Kim

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Overview

Case report shows improved outcomes after combined tendon transfer and total shoulder arthroplasty in a specific patient group, indicating new alternatives.

Key Points

  • To assess the outcomes of anatomic total shoulder arthroplasty with tendon transfer in a patient with irreparable subscapularis tear.
  • 69-year-old female with shoulder pain underwent anatomic TSA with anterior LDTM tendon transfer and subscapularis repair.
  • Imaging confirmed irreparable subscapularis tear and intact rotator cuff.
  • Follow-up at 4 years included pain, functional, and radiographic assessments.
  • Visual Analog Scale improved from 5 to 1, indicating reduced pain.
  • Constant score increased from 59 to 82, and American Shoulder and Elbow Surgeons score rose from 56 to 81, showing enhanced function.
  • Radiographs indicated stable implant fixation without complications, and sonography confirmed intact tendon transfer.

Cite This Study

Baek et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf2a9faef96ed7f055668https://doi.org/10.13107/jocr.2026.v16.i06.7462
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Dual reconstruction, combined anterior latissimus dorsi with teres major and posterior lower trapezius tendon transfer, for massive irreparable rotator cuff tears: a case report2024 · 2 citations
  2. 2Combined Anterior Latissimus Dorsi and Teres Major Tendon Transfer (aLDTM) for Irreparable Anterosuperior Rotator Cuff Tears2024 · 4 citations
  3. 3The Impact of Lesser Tuberosity Osteotomy Repair After Reverse Total Shoulder Arthroplasty2026
  4. 4Strength Recovery with Lateralized Reverse Total Shoulder Arthroplasty Combined with Pectoralis Major Transfer for Rotator Cuff Arthropathy with Internal Rotational Deficiency: A Case Report2026
  5. 5Mid-term outcomes of combined anterior latissimus dorsi and teres major tendon transfer for irreparable anterosuperior rotator cuff tears2025 · 1 citations