Ehlers-Danlos Syndrome (EDS) is a family of connective tissue disorders resulting from a collagen formation defect. The prevalence of EDS is between 0.2/1,000 to 10/1000 people, with the hypermobile type accounting for up to 80-90% of EDS patients.48Tinkle B. Castori M. Berglund B. Cohen H. Grahame R. Kazkaz H. et al.Hypermobile Ehlers-Danlos syndrome (a.k.a. Ehlers-Danlos syndrome Type III and Ehlers-Danlos syndrome hypermobility type): Clinical description and natural history.Am J Med Genet C Semin Med Genet. 2017; 175: 48-69https://doi.org/10.1002/ajmg.c.31538Crossref PubMed Scopus (290) Google Scholar The most common manifestations of hypermobile EDS (hEDS) include generalized ligamentous hyperlaxity, recurrent symptomatic subluxations/dislocations, tendon ruptures, chronic musculoskeletal pain (including fibromyalgia), and functional impairment.48Tinkle B. Castori M. Berglund B. Cohen H. Grahame R. Kazkaz H. et al.Hypermobile Ehlers-Danlos syndrome (a.k.a. Ehlers-Danlos syndrome Type III and Ehlers-Danlos syndrome hypermobility type): Clinical description and natural history.Am J Med Genet C Semin Med Genet. 2017; 175: 48-69https://doi.org/10.1002/ajmg.c.31538Crossref PubMed Scopus (290) Google Scholar,49Tinkle B.T. Levy H.P. Symptomatic Joint Hypermobility: The Hypermobile Type of Ehlers-Danlos Syndrome and the Hypermobility Spectrum Disorders.Med Clin North Am. 2019; 103: 1021-1033https://doi.org/10.1016/j.mcna.2019.08.002Abstract Full Text Full Text PDF PubMed Scopus (22) Google Scholar hEDS can be described by its three chronological phases: the “hypermobility” phase, “pain” phase that begins during adolescence, and “stiffness” phase, appearing in adulthood and characterized by progressive limitations in joint motion.16Castori M. Camerota F. Celletti C. Danese C. Santilli V. Saraceni V.M. et al.Natural history and manifestations of the hypermobility type Ehlers-Danlos syndrome: a pilot study on 21 patients.Am J Med Genet A. 2010; 152A: 556-564https://doi.org/10.1002/ajmg.a.33231Crossref PubMed Scopus (157) Google Scholar Joint hypermobility can be quantified using the Beighton score (Table 1).4Alter M. Science of Flexibility. 3 ed. Champaign, IL: Human Kinetics Publisher, Inc.; 2004. (ISBN No. 0-7360-4898-7)Google Scholar,9Beighton P. Solomon L. Soskolne C.L. Articular mobility in an African population.Ann Rheum Dis. 1973; 32: 413-418Crossref PubMed Google Scholar,21Colombi M. Dordoni C. Chiarelli N. Ritelli M. Differential diagnosis and diagnostic flow chart of joint hypermobility syndrome/ehlers-danlos syndrome hypermobility type compared to other heritable connective tissue disorders.Am J Med Genet C Semin Med Genet. 2015; 169C: 6-22https://doi.org/10.1002/ajmg.c.31429Crossref PubMed Scopus (80) Google Scholar The shoulder is among the most commonly affected joints,17Castori M. Camerota F. Celletti C. Grammatico P. Padua L. Ehlers-Danlos syndrome hypermobility type and the excess of affected females: possible mechanisms and perspectives.Am J Med Genet A. 2010; 152A: 2406-2408https://doi.org/10.1002/ajmg.a.33585Crossref PubMed Scopus (81) Google Scholar,43Schwartz D.G. Goebel S. Piper K. Kordasiewicz B. Boyle S. Lafosse L. Arthroscopic posterior bone block augmentation in posterior shoulder instability.J Shoulder Elbow Surg. 2013; 22: 1092-1101https://doi.org/10.1016/j.jse.2012.09.011Abstract Full Text Full Text PDF PubMed Scopus (67) Google Scholar due to its reliance on static and dynamic soft tissue stabilizers and lack of inherent bony stability. This also makes management challenging, as stabilization of pathologic recurrent shoulder instability with lax soft tissues increases the risk of recurrence.Table 1Beighton Score for Joint HypermobilityBeighton ScaleLeftRightPassive dorsiflexion and hyperextension of 5th MCP Joint beyond 90º11Passive apposition of the thumb to flexor aspect of forearm11Passive hyperextension of elbow beyond 10º11Passive hyperextension of knee beyond 10º11Active forward flexion of trunk with knees fully extended so palms of hands rest flat1Total/9 Open table in a new tab Although posterior shoulder instability accounts for <10% of all cases of shoulder instability,6Antosh I.J. Tokish J.M. Owens B.D. Posterior Shoulder Instability.Sports Health. 2016; 8: 520-526https://doi.org/10.1177/1941738116672446Crossref PubMed Scopus (62) Google Scholar,11Bradley J.P. McClincy M.P. Arner J.W. Tejwani S.G. Arthroscopic capsulolabral reconstruction for posterior instability of the shoulder: a prospective study of 200 shoulders.Am J Sports Med. 2013; 41: 2005-2014https://doi.org/10.1177/0363546513493599Crossref PubMed Scopus (136) Google Scholar,23DiMaria S. Bokshan S.L. Nacca C. Owens B. History of surgical stabilization for posterior shoulder instability.JSES Open Access. 2019; 3: 350-356https://doi.org/10.1016/j.jses.2019.08.008Abstract Full Text Full Text PDF Scopus (21) Google Scholar patients with hEDS are predisposed to both posterior and multidirectional shoulder instability.33Homere A. Bolia I.K. Juhan T. Weber A.E. Hatch G.F. Surgical Management of Shoulder and Knee Instability in Patients with Ehlers-Danlos Syndrome: Joint Hypermobility Syndrome.Clin Orthop Surg. 2020; 12: 279-285https://doi.org/10.4055/cios20103Crossref PubMed Scopus (7) Google Scholar,37Johnson S.M. Robinson C.M. Shoulder instability in patients with joint hyperlaxity.J Bone Joint Surg Am. 2010; 92: 1545-1557https://doi.org/10.2106/JBJS.H.00078Crossref PubMed Scopus (96) Google Scholar,43Schwartz D.G. Goebel S. Piper K. Kordasiewicz B. Boyle S. Lafosse L. Arthroscopic posterior bone block augmentation in posterior shoulder instability.J Shoulder Elbow Surg. 2013; 22: 1092-1101https://doi.org/10.1016/j.jse.2012.09.011Abstract Full Text Full Text PDF PubMed Scopus (67) Google Scholar While the failure rate of arthroscopic capsulorrhaphy and posterior labral repairs is less than 10% in patients without hEDS,11Bradley J.P. McClincy M.P. Arner J.W. Tejwani S.G. Arthroscopic capsulolabral reconstruction for posterior instability of the shoulder: a prospective study of 200 shoulders.Am J Sports Med. 2013; 41: 2005-2014https://doi.org/10.1177/0363546513493599Crossref PubMed Scopus (136) Google Scholar these procedures are not as effective in EDS where the tissue structural integrity is poor.33Homere A. Bolia I.K. Juhan T. Weber A.E. Hatch G.F. Surgical Management of Shoulder and Knee Instability in Patients with Ehlers-Danlos Syndrome: Joint Hypermobility Syndrome.Clin Orthop Surg. 2020; 12: 279-285https://doi.org/10.4055/cios20103Crossref PubMed Scopus (7) Google Scholar When these procedures fail, the patient is left with limited options.51Wagner E.R. Gottschalk M.B. Editorial Commentary: Open Posterior Shoulder Stabilization-When Is It Needed? Glenoid Bone Loss Patterns Are Not Created Equal.Arthroscopy. 2019; 35: 2785-2787https://doi.org/10.1016/j.arthro.2019.06.007Abstract Full Text Full Text PDF Scopus (3) Google Scholar The joint preservation options include arthroscopic or open posterior bone blocks,15Camenzind R.S. Martin Becerra J. Gossing L. Serane-Fresnel J. Wagner E.R. Lafosse L. Acceptable Long-Term Outcomes of Arthroscopic Bone Grafting for Recurrent Posterior Shoulder Instability: Minimum Follow-Up of 5 Years.Arthroscopy. 2021; 37: 816-823https://doi.org/10.1016/j.arthro.2020.10.052Abstract Full Text Full Text PDF Scopus (12) Google Scholar,20Cognetti D.J. Hughes J.D. Kay J. Chasteen J. Fox M.A. Hartzler R.U. et al.Bone Block Augmentation of the Posterior Glenoid for Recurrent Posterior Shoulder Instability Is Associated With High Rates of Clinical Failure: A Systematic Review.Arthroscopy. 2022; 38: 551-563 e5https://doi.org/10.1016/j.arthro.2021.07.018Abstract Full Text Full Text PDF PubMed Scopus (23) Google Scholar capsular reconstructions with allograft,30Gallagher F. Wong I.H. Anterior Capsule Augmentation and Posterior Glenohumeral Capsular Reconstruction With Human Dermal Allograft for Multidirectional Shoulder Instability.Arthrosc Tech. 2020; 9: e657-e662https://doi.org/10.1016/j.eats.2020.01.020Abstract Full Text Full Text PDF Scopus (4) Google Scholar glenoid osteotomy if there is concomitant severe glenoid retroversion,57Waltenspul M. Haller T. Ernstbrunner L. Wyss S. Wieser K. Gerber C. Long-term results after posterior open glenoid wedge osteotomy for posterior shoulder instability associated with excessive glenoid retroversion.J Shoulder Elbow Surg. 2022; 31: 81-89https://doi.org/10.1016/j.jse.2021.05.028Abstract Full Text Full Text PDF PubMed Scopus (18) Google Scholar with salvage reconstruction options such as arthrodesis or arthroplasty as a last resort.6Antosh I.J. Tokish J.M. Owens B.D. Posterior Shoulder Instability.Sports Health. 2016; 8: 520-526https://doi.org/10.1177/1941738116672446Crossref PubMed Scopus (62) Google Scholar,51Wagner E.R. Gottschalk M.B. Editorial Commentary: Open Posterior Shoulder Stabilization-When Is It Needed? Glenoid Bone Loss Patterns Are Not Created Equal.Arthroscopy. 2019; 35: 2785-2787https://doi.org/10.1016/j.arthro.2019.06.007Abstract Full Text Full Text PDF Scopus (3) Google Scholar Rebalancing the dynamic soft tissue stabilizers and deforming forces in patients with hEDS may represent an alternative approach. The latissimus dorsi (LD) originates on the posterior aspect of the hemithorax and inserts anteriorly in the floor of the bicipital groove. This functions not only as a humerothoracic internal rotator and adductor but it also pulls the humeral head posteriorly and inferiorly, making it a significant contributor to posterior instability when overactive.41Saha A.K. Bhadra N. Dutta S.K. Latissimus dorsi transfer for recurrent dislocation of the shoulder.Acta Orthop Scand. 1986; 57: 539-541Crossref Scopus (6) Google Scholar Although LD tendon transfer has been described extensively for irreparable rotator cuff tears,5Anastasopoulos P.P. Alexiadis G. Spyridonos S. Fandridis E. Latissimus Dorsi Transfer in Posterior Irreparable Rotator Cuff Tears.Open Orthop J. 2017; 11: 77-94https://doi.org/10.2174/1874325001711010077Crossref PubMed Google Scholar,14Broida S.E. Sweeney A.P. Gottschalk M.B. Woodmass J.M. Wagner E.R. Clinical outcomes of latissimus dorsi tendon transfer and superior capsular reconstruction for irreparable rotator cuff tears: a systematic review.Eur J Orthop Surg Traumatol. 2022; 32: 1023-1043https://doi.org/10.1007/s00590-021-03046-5Crossref PubMed Scopus (8) Google Scholar,26Elhassan B.T. Wagner E.R. Kany J. Latissimus dorsi transfer for irreparable subscapularis tear.J Shoulder Elbow Surg. 2020; 29: 2128-2134https://doi.org/10.1016/j.jse.2020.02.019Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar,39Leivadiotou D. Ahrens P. Arthroscopic treatment of posterior shoulder instability: a systematic review.Arthroscopy. 2015; 31: 555-560https://doi.org/10.1016/j.arthro.2014.11.009Abstract Full Text Full Text PDF PubMed Scopus (37) Google Scholar,44Shi L.L. Cahill K.E. Ek E.T. Tompson J.D. Higgins L.D. Warner J.J. Latissimus Dorsi and Teres Major Transfer With Reverse Shoulder Arthroplasty Restores Active Motion and Reduces Pain for Posterosuperior Cuff Dysfunction.Clin Orthop Relat Res. 2015; 473: 3212-3217https://doi.org/10.1007/s11999-015-4433-4Crossref PubMed Scopus (46) Google Scholar,56Wagner E.R. Woodmass J.M. Welp K.M. Chang M.J. Elhassan B.T. Higgins L.D. et al.Novel Arthroscopic Tendon Transfers for Posterosuperior Rotator Cuff Tears: Latissimus Dorsi and Lower Trapezius Transfers.JBJS Essent Surg. Tech 2018; 8e12https://doi.org/10.2106/JBJS.ST.17.00062Crossref Scopus (27) Google Scholar,60Woodmass J.M. Wagner E.R. Chang M.J. Welp K.M. Elhassan B.T. Higgins L.D. et al.Arthroscopic Treatment of Massive Posterosuperior Rotator Cuff Tears: A Critical Analysis Review.JBJS reviews. 2018; 6e3https://doi.org/10.2106/JBJS.RVW.17.00199Crossref Scopus (8) Google Scholar its use to treat posterior shoulder instability has not been reported. Furthermore, many patients with hEDS have scapular dyskinesia due to pectoralis minor (PM) overactivity, leading to an increased risk of in the posterior S. Sweeney A. Gottschalk M. Management of shoulder instability in Ehlers-Danlos Tech. 2021; Full Text Full Text PDF PubMed Scopus Google E.R. Warner Elhassan B.T. J. The The of Shoulder E.R. Warner Elhassan B.T. J. to Scholar a to surgical management of recurrent posterior shoulder instability in hEDS using an LD transfer with an arthroscopic and with dynamic A with hEDS with a history of recurrent left shoulder and history significant for and instability and shoulder posterior instability with arthroscopic the an arthroscopic posterior capsulorrhaphy with been 3 and with posterior instability a arthroscopic and posterior capsular and rotator This on of the with a recurrent posterior dislocation of on and rotator cuff and or severe and on chronic for the 3 pain with most of with limitations in of in flexion and internal to pain shoulder score and Shoulder and Elbow score multidirectional instability with a Beighton Score posterior the E.R. Woodmass J.M. Welp K.M. Chang M.J. Elhassan B.T. Higgins L.D. et al.Novel Arthroscopic Tendon Transfers for Posterosuperior Rotator Cuff Tears: Latissimus Dorsi and Lower Trapezius Transfers.JBJS Essent Surg. Tech 2018; 8e12https://doi.org/10.2106/JBJS.ST.17.00062Crossref Scopus (27) Google Scholar and J.J. Latissimus dorsi tendon a of and salvage reconstruction of irreparable rotator cuff Shoulder Elbow Surg. Full Text Full Text PDF PubMed Scopus Google Scholar with 3 posterior of humeral head to the a and only Furthermore, significant LD rest and with or also to the on to the with a and scapular dyskinesia associated with a of on the compared to on the severe posterior humeral head on the a and glenoid with posterior capsulolabral and and a Furthermore, glenoid of using The use of in the of glenoid Bone Joint Surg Am. PubMed Google Scholar with associated posterior of the humeral head to the glenoid 3 and reconstruction of the shoulder joint posterior glenoid bone the LD on a dynamic that LD rest and humerothoracic these for to the LD shoulder pain and for of left shoulder in and severe glenoid and with posterior capsulolabral and soft tissue in the joint humeral head in of in the glenoid from capsulolabral and a of left shoulder in and posterior of glenoid from capsulolabral of left joint type glenoid with of and significant posterior humeral head in the of capsulolabral reconstruction of left and glenoid and Posterior glenoid bone is when dynamic as latissimus dorsi on the of compared to the latissimus dorsi the of scapular dyskinesia and posterior shoulder instability after a to with surgical The patient an LD tendon transfer from its anteriorly in the floor of the bicipital to the shoulder posteriorly and the aspect of the This to the posterior shoulder instability and the from posterior to and posterior Furthermore, an arthroscopic pectoralis minor to the scapular dyskinesia and the shoulder and of the latissimus dorsi (LD) are from the LD tendon and The tendon is for transfer with and a and are to the LD tendon tendon without augmentation is of the for transfer is the and minor with the of a is and The tendon are the aspect of the to the bicipital and the and a S.M. et minor syndrome of and management of the of Tech. 2022; Full Text Full Text PDF PubMed Scopus (4) Google Lafosse T. Gottschalk M.B. Wagner E.R. Treatment of Syndrome: and Arthroscopic Surgical Surg Full Text Full Text PDF Scopus Google E. S. et al.Arthroscopic Reverse Shoulder A for Scopus Google E.R. Gottschalk M.B. and Treatment for Surg. Scopus Google Scholar the pectoralis minor (PM) and from the its and to the scapular an and the of the latissimus dorsi The tendon and from the an open using a in the posterior the aspect of the LD The LD tendon from the and The to the of the scapular it to be up to the superior aspect of the A by a to on of the tendon a to an on the for the latissimus The between the and minor A from the the The the of the tendon and the tendon the of the The tendon with on the and superior to the in a by on and The patient with pain score of and and shoulder score to and and and and forward flexion and internal has dislocation or on that most with shoulder and has without with a score of and of A of and in the a latissimus dorsi static of the surgical the patient a humeral head without of posterior have been to have in dynamic shoulder Gottschalk M.B. Wagner E.R. dynamic diagnostic for posterior shoulder instability: a Full Text Full Text PDF Scopus Google J.M. Gottschalk M.B. Wagner E.R. as a dynamic for diagnosis and treatment 8: Full Text Full Text PDF Scopus Google E. S. et al.Arthroscopic Reverse Shoulder A for Scopus Google et in on in A Shoulder Elbow Surg. 32: Full Text Full Text PDF Scopus (4) Google Scholar humeral head and Gottschalk M.B. Wagner E.R. dynamic diagnostic for posterior shoulder instability: a Full Text Full Text PDF Scopus Google Scholar on the shoulder static dynamic and posterior associated with glenoid and and of the shoulder a posterior of the shoulder with glenoid to the of the left hEDS is a common of characterized by of patients instability all surgical S. Sweeney A. Gottschalk M. Management of shoulder instability in Ehlers-Danlos Tech. 2021; Full Text Full Text PDF PubMed Scopus Google B. Castori M. Berglund B. Cohen H. Grahame R. Kazkaz H. et al.Hypermobile Ehlers-Danlos syndrome (a.k.a. Ehlers-Danlos syndrome Type III and Ehlers-Danlos syndrome hypermobility type): Clinical description and natural history.Am J Med Genet C Semin Med Genet. 2017; 175: 48-69https://doi.org/10.1002/ajmg.c.31538Crossref PubMed Scopus (290) Google Scholar The reliance on dynamic and static soft tissue stabilizers without the bony the joint patients risk of posterior dislocation and in S. Sweeney A. Gottschalk M. Management of shoulder instability in Ehlers-Danlos Tech. 2021; Full Text Full Text PDF PubMed Scopus Google Scholar When arthroscopic stabilization procedures to shoulder bone block and arthrodesis are salvage I.J. Tokish J.M. Owens B.D. Posterior Shoulder Instability.Sports Health. 2016; 8: 520-526https://doi.org/10.1177/1941738116672446Crossref PubMed Scopus (62) Google S. Sweeney A. Gottschalk M. Management of shoulder instability in Ehlers-Danlos Tech. 2021; Full Text Full Text PDF PubMed Scopus Google Scholar,23DiMaria S. Bokshan S.L. Nacca C. Owens B. History of surgical stabilization for posterior shoulder instability.JSES Open Access. 2019; 3: 350-356https://doi.org/10.1016/j.jses.2019.08.008Abstract Full Text Full Text PDF Scopus (21) Google Scholar,43Schwartz D.G. Goebel S. Piper K. Kordasiewicz B. Boyle S. Lafosse L. Arthroscopic posterior bone block augmentation in posterior shoulder instability.J Shoulder Elbow Surg. 2013; 22: 1092-1101https://doi.org/10.1016/j.jse.2012.09.011Abstract Full Text Full Text PDF PubMed Scopus (67) Google Scholar the patient shoulder instability after stabilization arthroscopic a capsular and a rotator to pain and posterior humeral head with leading to scapular dyskinesia and a of the a to LD the of an LD tendon transfer for recurrent posterior shoulder instability in patients with hEDS treatment begins with and by A. Posterior Shoulder Instability.Sports Med 2017; PubMed Scopus Google S. Sweeney A. Gottschalk M. Management of shoulder instability in Ehlers-Danlos Tech. 2021; Full Text Full Text PDF PubMed Scopus Google Scholar,49Tinkle B.T. Levy H.P. Symptomatic Joint Hypermobility: The Hypermobile Type of Ehlers-Danlos Syndrome and the Hypermobility Spectrum Disorders.Med Clin North Am. 2019; 103: 1021-1033https://doi.org/10.1016/j.mcna.2019.08.002Abstract Full Text Full Text PDF PubMed Scopus (22) Google Scholar are many possible surgical for shoulder but not all are in patients with hEDS and posterior P. Open capsular for multidirectional shoulder instability in with generalized ligamentous or Ehlers-Danlos Shoulder Elbow Surg. 2016; Full Text Full Text PDF PubMed Scopus Google Scholar and J.P. McClincy M.P. Arner J.W. Tejwani S.G. Arthroscopic capsulolabral reconstruction for posterior instability of the shoulder: a prospective study of 200 shoulders.Am J Sports Med. 2013; 41: 2005-2014https://doi.org/10.1177/0363546513493599Crossref PubMed Scopus (136) Google Scholar on soft tissue to the are associated with a risk of failure for patients with S. Sweeney A. Gottschalk M. Management of shoulder instability in Ehlers-Danlos Tech. 2021; Full Text Full Text PDF PubMed Scopus Google A. J. with augmentation for shoulder instability in patients with Ehlers-Danlos Shoulder Elbow Surg. 2021; Full Text Full Text PDF Scopus (7) Google Scholar bony glenoid osteotomy or a bone block for to the of the instability the soft S. Sweeney A. Gottschalk M. Management of shoulder instability in Ehlers-Danlos Tech. 2021; Full Text Full Text PDF PubMed Scopus Google A. J. with augmentation for shoulder instability in patients with Ehlers-Danlos Shoulder Elbow Surg. 2021; Full Text Full Text PDF Scopus (7) Google Scholar with augmentation has been to joint by or collagen the affected S. Sweeney A. Gottschalk M. Management of shoulder instability in Ehlers-Danlos Tech. 2021; Full Text Full Text PDF PubMed Scopus Google A. J. with augmentation for shoulder instability in patients with Ehlers-Danlos Shoulder Elbow Surg. 2021; Full Text Full Text PDF Scopus (7) Google Scholar When cases of shoulder instability to EDS with an tendon and A. J. with augmentation for shoulder instability in patients with Ehlers-Danlos Shoulder Elbow Surg. 2021; Full Text Full Text PDF Scopus (7) Google Scholar It be that these cases for shoulder but the of using a tendon for shoulder in patients with Arthroscopic augmentation of the posterior has also been described for patients without F. Wong I.H. Anterior Capsule Augmentation and Posterior Glenohumeral Capsular Reconstruction With Human Dermal Allograft for Multidirectional Shoulder Instability.Arthrosc Tech. 2020; 9: e657-e662https://doi.org/10.1016/j.eats.2020.01.020Abstract Full Text Full Text PDF Scopus (4) Google Scholar are many of the shoulder for subscapularis and rotator cuff and B.T. J. Wagner E.R. of transfer to irreparable rotator cuff Shoulder Elbow Surg. 2020; 29: Full Text Full Text PDF PubMed Scopus Google Scholar,26Elhassan B.T. Wagner E.R. Kany J. Latissimus dorsi transfer for irreparable subscapularis tear.J Shoulder Elbow Surg. 2020; 29: 2128-2134https://doi.org/10.1016/j.jse.2020.02.019Abstract Full Text Full Text PDF PubMed Scopus (35) Google B.T. Wagner E.R. J.D. M. J. of shoulder arthroplasty with pectoralis transfer in patients with Shoulder Elbow Surg. 2018; Full Text Full Text PDF PubMed Scopus Google J.W. 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Posterior dislocation of the Bone Joint Surg PubMed Scopus Google Scholar of the as by is associated with posterior shoulder A. A. A. J. S. in patients with recurrent shoulder J Shoulder Surg. PubMed Scopus Google Scholar to the pectoralis with shoulder with dislocation of the Shoulder Elbow Surg. Full Text PDF PubMed Google Scholar in patients with rotator cuff the LD tendon can be to the where it an rotator and M. K. S. T. T. of Bone and Joint Google Scholar,14Broida S.E. Sweeney A.P. Gottschalk M.B. Woodmass J.M. Wagner E.R. Clinical outcomes of latissimus dorsi tendon transfer and superior capsular reconstruction for irreparable rotator cuff tears: a systematic review.Eur J Orthop Surg Traumatol. 2022; 32: 1023-1043https://doi.org/10.1007/s00590-021-03046-5Crossref PubMed Scopus (8) Google P. J. F. Long-term outcomes of latissimus dorsi transfer for irreparable rotator cuff 2020; PubMed Scopus (12) Google P. L. of latissimus dorsi transfer for irreparable rotator cuff Orthop 2010; C. Latissimus dorsi transfer for the treatment of irreparable of the rotator Orthop Relat Res. PubMed Scopus Google C. G. N. Latissimus dorsi transfer for the treatment of irreparable rotator cuff Bone Joint Surg Am. PubMed Scopus Google Scholar,44Shi L.L. Cahill K.E. Ek E.T. Tompson J.D. Higgins L.D. Warner J.J. Latissimus Dorsi and Teres Major Transfer With Reverse Shoulder Arthroplasty Restores Active Motion and Reduces Pain for Posterosuperior Cuff Dysfunction.Clin Orthop Relat Res. 2015; 473: 3212-3217https://doi.org/10.1007/s11999-015-4433-4Crossref PubMed Scopus (46) Google Scholar,56Wagner E.R. Woodmass J.M. Welp K.M. Chang M.J. Elhassan B.T. Higgins L.D. et al.Novel Arthroscopic Tendon Transfers for Posterosuperior Rotator Cuff Tears: Latissimus Dorsi and Lower Trapezius Transfers.JBJS Essent Surg. Tech 2018; 8e12https://doi.org/10.2106/JBJS.ST.17.00062Crossref Scopus (27) Google J.J. Latissimus dorsi tendon a of and salvage reconstruction of irreparable rotator cuff Shoulder Elbow Surg. Full Text Full Text PDF PubMed Scopus Google Scholar While of the LD can be the most in shoulder transfer of the LD to the an augmentation of the shoulder to an in a shoulder with a posterior instability a LD not be the significant capsular with the posterior soft tissue Patients with hEDS of scapular by and or of other E.R. Warner Elhassan B.T. J. The The of Shoulder E.R. Warner Elhassan B.T. J. to Scholar The scapular dyskinesia begins as the to for the shoulder but only to the instability S. Sweeney A. Gottschalk M. Management of shoulder instability in Ehlers-Danlos Tech. 2021; Full Text Full Text PDF PubMed Scopus Google C.M. Shoulder Arthroplasty in a with Ehlers-Danlos 2015; Google Scholar scapular and dyskinesia during can to posterior patients with scapular are and for without the scapular S.M. et minor syndrome of and management of the of Tech. 2022; Full Text Full Text PDF Scopus (4) Google S. Sweeney A. Gottschalk M. Management of shoulder instability in Ehlers-Danlos Tech. 2021; Full Text Full Text PDF PubMed Scopus Google B.T. Wagner E.R. of transfer of the head of the pectoralis with its bone to the to scapular Shoulder Elbow Surg. 2015; Full Text Full Text PDF PubMed Scopus Google Higgins L.D. Warner J.J. A of Shoulder of bone and joint Google E. S. et al.Arthroscopic Reverse Shoulder A for Scopus Google E.R. Gottschalk M.B. and Treatment for Surg. 2022; Google Scholar as in it is to and treat scapular dyskinesia in the of shoulder such as with described in the posterior transfer of the LD tendon to the it an shoulder an This dynamic to shoulder instability is to the of the for shoulder where the is to the Outcomes of the With for Recurrent Anterior Shoulder 2018; Scopus Google Recurrent shoulder instability: a of the and its 2015; PubMed Scopus Google Scholar Furthermore, the of the to the scapular dyskinesia the posterior the use of the LD tendon transfer and for recurrent posterior instability in hEDS as a for