If you have good motion and pain-----it may be worth an arthroscopic evaluation. Indeed, a tendon transfer is probably not the ideal option in this case. The objective of an arthroscopic procedure would be two-fold: to perform a repair if possible, even if partial, and to decompress the suprascapular nerve. With chronic irreparable cuff tears, the suprascapular nerve can become tethered, if you will, and so a "release" may provide some pain relief that could be caused by this.
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