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There are multiple benefits of incorporating the LHB tendon autograft in difficult\u2010to\u2010repair massive rotator cuff tears. First, by maintaining the glenoid origin, the tendon likely retains a significant native blood supply, as well as tenocytes, which may support the healing process. In addition, there are several biomechanical benefits. The LHB may act as a dynamic humeral head depressor since it is still attached to the muscular unit distally. The tendon could also serve as a convergence post, while proving robust tissue for the repair. Also, the LHB tendon may decrease undue tension on the repair, bringing us closer to a tension\u2010free repair. Finally, this may be a cost\u2010conscious technique. One concern, requiring additional investigation, is that some surgeons believe the LHB may be a pain generator in patients with rotator cuff tears. One surgeon\u2019s trash is another surgeon\u2019s treasure.<\/jats:p>","DOI":"10.1016\/j.arthro.2023.07.022","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T15:04:57Z","timestamp":1702911897000},"page":"55-57","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Editorial Commentary:<\/i>\n                    Shoulder Long Head of the Biceps Tendon Transposition Without Tenotomy May Be a Beneficial Augment for Massive Rotator Cuff Tear Repair"],"prefix":"10.1002","volume":"40","author":[{"given":"Nicholas P.J.","family":"Perry","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Massachusetts General Hospital Harvard Medical School Boston Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Naval Medical Center 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