{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:22:28Z","timestamp":1770754948767,"version":"3.50.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Reverse total shoulder arthroplasty (RTSA) has shown promise as a solution for individuals with rotator cuff tear arthropathy (CTA). However, RTSA has demonstrated limited improvement in internal rotation (IR) range of motion (ROM) and strength, potentially affecting patients\u2019 ability to perform essential daily tasks such as toileting, a crucial factor that significantly influences overall patient satisfaction\n\nCase Report: A 69-year-old female patient presented with a complaint of chronic pain and weakness in her right shoulder. The patient exhibited rotator CTA with irreparable subscapularis. As the owner of a fish restaurant, the patient underwent lateralized RTSA combined with pectoralis tendon transfer. By the post-operative 1 year 6 months, the patient\u2019s strengths of forward elevation (FE) and IR had improved from 14.2N to 20.2N and from 15.4 to 26.2N, respectively. The ROM increased from 80\u00b0 to 150\u00b0 for FE, from 70\u00b0 to 150\u00b0 for abduction, from 25\u00b0 to 35\u00b0 for external rotation, and from L5 to L1 for IR at the back. With no significant complications, the patient was able to return to her workplace.\n\nConclusion: Primary RTSA combined with pectoralis major tendon transfer could be a viable option for restoring both ROM and strength in FE and IR, particularly in cases of rotator CTA with irreparable subscapularis tears.\n\nKeywords: Pectoralis Major transfer, reverse total shoulder arthroplasty, irreparable subscapularis tear, rotator cuff arthropathy.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i02.6758","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T14:48:19Z","timestamp":1770734899000},"page":"97-103","source":"Crossref","is-referenced-by-count":0,"title":["Strength Recovery with Lateralized Reverse Total Shoulder Arthroplasty Combined with Pectoralis Major Transfer for Rotator Cuff Arthropathy with Internal Rotational Deficiency: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"name":"Department of Orthopaedic Surgery, Yeosu Baek Hospital, Jeollanam-do, Republic of Korea.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang Hee","family":"Baek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo Taek","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedic Surgery, Yeosu Baek Hospital, Jeollanam-do, Republic of Korea.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung Gon","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedic Surgery, Yeosu Baek Hospital, Jeollanam-do, Republic of Korea.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T14:48:21Z","timestamp":1770734901000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/02\/strength-recovery-with-lateralized-reverse-total-shoulder-arthroplasty-combined-with-pectoralis-major-transfer-for-rotator-cuff-arthropathy-with-internal-rotational-deficiency-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i02.6758","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}