Mastering the Lower Trap Transfer: 14 Reps to Greatness

For shoulder surgeons facing the daunting challenge of massive irreparable cuff tears, the arthroscopically assisted lower trapezius transfer (aLTT) has emerged as a promising, muscle-sparing solution. But let’s be honest—this isn’t your average Tuesday in the OR. It’s complex, delicate, and not exactly beginner-friendly.