Fig. 7From: Rotator cuff irreparability or failure of repair (re-tear): technical note on middle trapezius tendon transfer for reproduction of supraspinatus functionA, −B, −C, −D, −E, −F demonstrate release of medial portion (marked in yellow circle) of the middle trapezius insertion tendon in the right shoulder. A and B, identification of the tendon insertion into the scapular spine; C, suture tagging of the tendon to facilitate next steps of tendon release and excursion testing; D, tendon release in a lateral-to-medial direction up to the medial scapular border; E, blunt dissection of the released tendon from underlying atrophied supraspinatus muscle; F, testing the released tendon for free and adequate excursion; SS, scapular spine; SSP, supraspinatus muscleBack to article page