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Forschungsdatenbank PMU-SQQUID

Reverse shoulder arthroplasty after failed pectoralis major tendon transfer with a minimum follow-up of 5 years. A case series.
Ortmaier, R; Plachel, F; Lederer, S; Hitzl, W; Auffarth, A; Matis, N; Resch, H;
J Orthop Sci. 2016; 21(5):591-595
Originalarbeiten (Zeitschrift)


Auffarth, MSc Alexander
Hitzl Wolfgang
Lederer Stefan
Matis Nicholas
Ortmaier Reinhold
Plachel Fabian
Resch Herbert


Treatment strategies after failed pectoralis major tendon transfer (PMTT) are scarce in literature and no information is available for patients treated with reverse shoulder arthroplasty (RSA) for failed PMTT.
We performed a retrospective outcome study of all patients who underwent revision with RSA after failed PMTT at our institution. From 1999 to 2009 we included 8 patients (8 shoulders). The minimum follow-up was 5 years with a mean follow-up time of 97 months (range, 64-134). Clinical and radiological evaluation comprised range of motion, Constant Murley score (CMS), Simple Shoulder Test (SST) as well as standard X-rays in 2 planes. Pain was measured using VAS pain scale. The patients were asked to rate their satisfaction at final follow-up.
All outcome measures improved significantly post-surgical compared to pre-surgical, including the CMS (17.8-62.8), SST (1.8-7.3) and VAS (7.1-1). Active abduction and anterior flexion improved significantly (p < .001) from 65.6° to 125° and from 62.5° to 136.3°, respectively. There were 2 complications. One patient sustained transient musculocutaneous nerve palsy that resolved completely after 5 months and one patient sustained postoperative hematoma and had to be revised 4 days after surgery. 4 (50%) patients rated their results as excellent and 4 (50%) rated them as good.
RSA is a good option for treating patients after failed pectoralis major tendon transfer. After a minimum follow-up of 5 years, functional outcome is good and patient satisfaction is high.
Level IV, Case series, Treatment study.

Useful keywords (using NLM MeSH Indexing)



Arthroplasty, Replacement/methods*

Cohort Studies


Follow-Up Studies



Middle Aged

Pain Measurement

Patient Satisfaction/statistics*

numerical data

Pectoralis Muscles/surgery*

Range of Motion, Articular/physiology*

Recovery of Function


Retrospective Studies

Rotator Cuff/physiopathology

Rotator Cuff/surgery

Shoulder Impingement Syndrome/surgery

Tendon Transfer/adverse effects*

Tendon Transfer/methods

Treatment Failure

Treatment Outcome