Arthroscopic-Assisted Pectoralis Minor Transfer for Irreparable Tears of the Upper Two-thirds of the Subscapularis Tendon: Surgical Technique

Open transfer of the pectoralis minor through a deltopectoral approach has been described to treat irreparable tears of the upper two-thirds of the subscapularis. We present a less invasive arthroscopic-assisted technique for this transfer. Atraumatic dissection of the pectoralis minor and harvesting of the tendon with a bone chip from the coracoid process allow strong fixation with a double-button device on the lesser tuberosity. This arthroscopic technique allows assessment and treatment of associated intra- or extra-articular lesions and represents a promising option for the management of irreparable tears of the subscapularis.