Dr. Grant Garcia specializes in latissimus dorsi transfer, an advanced reconstructive procedure used to restore shoulder function in patients with massive, irreparable rotator cuff tears. By transferring the latissimus dorsi tendon to compensate for damaged shoulder muscles, this technique can improve strength, stability, and range of motion. Patients in Seattle, Bellevue, Everett, and Kirkland, WA, receive personalized care focused on restoring function and reducing pain.

Massive tears of the posterosuperior rotator cuff (infraspinatus and posteriorsupraspinatus) leads to weakness and pain on overhead activities, such as lifting overhead, throwing, climbing and hammering. This is often disabling for heavy manual workers and active people. These movements are known as 'external rotation and abduction' and are controlled by the infraspinatus and posterior supraspinatus tendons, as well as the teres minor tendon.

Two large muscles attach to the humerus below the teres minor. These are Latissimus dorsi and Teres Major. Both can be used for transfer - either together or individually, depending on the surgeon preferences, muscle quality and excursion.