Dual Reconstruction, Combined Anterior Latissimus Dorsi with Teres Major and Middle Trapezius Tendon Transfer, Reduces Anterior Superior Humeral Subluxation: Case Report

Introduction: Anterior superior irreparable rotator cuff tears (ASIRCTs) are a challenging clinical condition, especially in younger patients and those with high functional demands. Various surgical options, including tendon transfers, aim to restore shoulder stability and function in the absence of a viable rotator cuff. Case Report: A 54-year-old male fisherman with a history of failed rotator cuff repair presented with persistent shoulder pain and significantly limited range of motion (ROM). Radiographic and magnetic resonance imaging findings confirmed ASIRCT with anterior superior subluxation of the humeral head. The patient underwent a combined latissimus dorsi and teres major transfer along with an arthroscopically assisted middle trapezius tendon transfer. Conclusion: The patient demonstrated substantial functional improvement at 1 year, with increased ROM, strength, and patient-reported outcomes. Radiographic evaluation showed reduced humeral subluxation and stable transferred tendon integration. This dual tendon transfer approach offers a viable surgical option for restoring shoulder function in patients with severe ASIRCTs.