Management of irreparable posterior and posterosuperior rotator cuff tears is very challenging, particularly in younger or higher demand patients. Suggested treatment options include partial rotator cuff repair, superior capsular reconstruction, and reverse shoulder arthroplasty. However, those procedures may not be optimal for patients who have significant external rotation strength deficits and minimal glenohumeral arthritis.

This procedure provides surgeons with additional treatment options and should be included in a surgeon’s armamentarium for the management of complex rotator cuff pathology.