Fig. 1

demonstrates technical principle of currently reported technique of middle trapezius tendon transfer for reproduction of supraspinatus function in the right shoulder. In this technique, the middle trapezius tendon is partially (medially) released (i.e. from medial half of the scapular spine), augmented/lengthened by an interposition fashioned sheet of hamstring tendon autograft using non-absorbable sutures (marked in white circle), and transferred in a sub-trapezius/sub-acromial corridor to the humeral head where it is re-attached in double-row suture configuration (marked in blue circle) to the footprint of supraspinatus tendon for management of rotator cuff irreparability/re-tear; A, acromion; C, coracoid; Cl, clavicle (lateral end); G, glenoid, HH, humeral head; HS, hamstring sheet; LT, lower trapezius; MT, middle trapezius; MT-L, middle trapezius (lateral insertion); MT-M, middle trapezius (medial insertion); SS, scapular spine; SSP, supraspinatus muscle (atrophied)