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Analysis of institutional authors

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Lower trapezius transfer for massive posterosuperior rotator cuff defects

Publicated to:Operative Orthopadie und Traumatologie. 34 (1): 34-44 - 2022-02-01 34(1), DOI: 10.1007/s00064-021-00756-1

Authors: Rodriguez-Vaquero, Gia; Lopez-Fernandez, Vanesa; Calvo, Emilio;

Affiliations

Hosp Univ Gen Villalba, Dept Orthoped Surg & Traumatol, Upper Extrem Surg Unit, Madrid, Spain - Author
Univ Autonoma, Dept Orthoped Surg & Traumatol, Shoulder & Elbow Reconstruct Surg Unit, Fdn Jimenez Diaz, Avda Reyes Catolicos 2, Madrid 28040, Spain - Author

Abstract

Objective To present the arthroscopically assisted lower trapezius transfer technique that restores shoulder external rotation and forward elevation, with low complication rates and fast recovery. Indications Massive irreparable posterosuperior rotator cuff tears in active young patients with fatty infiltration >= III, osteoarthrosis Hamada <= 3, normal function of lower trapezius, and without glenohumeral stiffness. Contraindications Absolute: Active soft tissue infection and trapezius muscle paralysis. Relative: medical comorbidities, inability to follow postoperative recommendations, advanced age, advanced degenerative changes (Hamada > 3), deltoid deficiency, and forward elevation Surgical technique Beach chair position. Lower trapezius harvesting, allograft preparation, arthroscopic evaluation and rotator cuff partial repair, allograft passage, allograft intraarticular arthroscopic attachment, lower trapezius-allograft open attachment and wound closure. Postoperative management Avoidance of internal rotation with an external rotation brace for 6 weeks. At 6 weeks progressively appropriate physical therapy. Unrestricted activity at 6 months. Results At mean follow-up of 14 months, good results were reported (pain, range of motion, and Subjective Shoulder Value and Disabilities of the Arm and Shoulder and Hand scores). Long-term symptoms, Hamada 3 rotator cuff arthropathy, and true pseudo paralysis were associated with negative clinical outcomes, but subscapularis pathology and teres minor fatty atrophy were not. A low complication rate was described. Arthroscopically assisted lower trapezius transfer may restore motion and strength in external rotation. Good results with low complication rates have been reported. It has become the authors' procedure of choice in young active patients with irreparable massive rotator cuff tears.

Keywords
arthroscopic lower trapezius transferirreparable rotator cuff tearslower trapeziusmassive rotator cuff tearshoulder reconstructionArthroscopic lower trapezius transferIrreparable rotator cuff tearsLower trapeziusMassive rotator cuff tearRepairShoulder girdleShoulder reconstructionShoulder tendon transferTearsTendon transfer options

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Operative Orthopadie und Traumatologie, and although the journal is classified in the quartile Q4 (Agencia WoS (JCR)), its regional focus and specialization in Orthopedics, give it significant recognition in a specific niche of scientific knowledge at an international level.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations from Scopus Elsevier, it yields a value for the Field-Weighted Citation Impact from the Scopus agency: 2.95, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 6.17 (source consulted: Dimensions May 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-05-02, the following number of citations:

  • WoS: 1
  • Scopus: 13
  • OpenCitations: 9
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-02:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 55 (PlumX).
Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (CALVO CRESPO, EMILIO).

the author responsible for correspondence tasks has been CALVO CRESPO, EMILIO.