This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
A young patient is diagnosed to have irreparable tear of the rotator cuff. Treatment of choice will be: 
Select and explain. 
A. Tendon transfer, B. Total shoulder replacement, C. Reverse c shoulder replacement, D. Acromioplasty
A: Tendon transfer
Answer: A: Tendon transfer 
Explanation: Ans: A. Tendon transfer(Ref Apley 9/e p347,348)Treatment of choice for irreparable tear of rotator cuff in young patient = Tendon transfer.Subacromial decompression and debridement of degenerate cuff tissue:Useful for irreparable massive full thickness tears.Pain relief allows reasonable shoulder abduction by remaining muscles.Other methods:Supraspinatus advancement.Latissimus dorsi transfer.Rotator cuff transposition.Fascia Iota autogruit.Synthetic tendon graft.