Published online Nov 18, 2015. doi: 10.5312/wjo.v6.i10.770
Peer-review started: February 22, 2015
First decision: July 10, 2015
Revised: September 7, 2015
Accepted: September 25, 2015
Article in press: September 28, 2015
Published online: November 18, 2015
Core tip: Irreparable postero-superior cuff tears have been reported as frequent as 7% to 10% in the general population, and they are challenging, especially in young and active patients. In this patient population, the number of therapeutic options dramatically decreases. Several surgical procedures have been proposed for young patients with irreparable postero-superior rotator cuff tears, such as rotator cuff debridement, partial rotator cuff repair, biceps tenotomy/tenodesis, rotator cuff grafting, latissimus dorsi tendon transfer, and reverse total shoulder arthroplasty. Latissimus dorsi tendon transfer seems to be a viable option to restore function and decrease pain in young and active patients.