Self-reported shoulder function following massive rotator cuff tear reconstruction using a triceps brachii interposition flap

This retrospective study evaluated patient shoulder function and general health at a minimum of two-years following massive rotator cuff reconstruction using the long head of the triceps brachii muscle. Fourteen patients completed the Disabilities of the Arm, Shoulder, and Hand scale (DASH), the Shoulder Pain and Disability Index (SPADI), and Medical Outcomes Survey Short Form 36 (SF-36). Five others provided shoulder function and pain relief satisfaction data. Mean DASH score was 15.6 (SD : 12.1). Greatest disability was with placing an object on an overhead shelf, heavy household chores, carrying an object > 4.54 kg (10 lbs), and recreational activities with upper extremity impact or free movements. Mean SPADI disability score was 15.7 (SD : 16.3). Greatest disability was with placing an object on a high shelf, carrying a 4.54 kg (10 lb) object, and washing the back. Patients were satisfied, but disability remained with overhead tasks, carrying heavy objects, sudden upper extremity movements and impact forces.