Abstract
Introduction: Rotator cuff injuries account for up to 70% of painful shoulder complaints and can cause limb dysfunction. There are different forms of classification for the rotator cuff lesions, among them, the Cofield classification that evaluates according to the extent of the lesion as: small, moderate, large and massive. In addition, some massive lesions can be classified as irreparable. Thus, the transfer of the latissimus dorsi through the arthroscopic route is a surgical option for patients with irreparable damage, as it provides relief of pain and recovery of part of the functionality, in addition to less tissue damage and fewer postoperative complications. Case report: This case report discuss a 61-year-old patient, retired by the civil construction, who, after being run over, initiated severe pain and limiting the range of motion of the right shoulder, being diagnosed with rupture of the rotator cuff. The treatment used was the transfer of the latissimus dorsi assisted by arthroscopy. A preoperative and postoperative functional evaluation was performed through the UCLA and ASES scales, thus obtaining a good prognosis of the clinical picture of the patient. Discussion: During the research, the indications for choosing the procedure were highlighted and the clinical outcome was evaluated when compared to the current literature.