Reverse Shoulder Arthroplasty With or Without Concomitant Latissimus and Teres Major Transfer for Shoulder Pseudoparalysis With Teres Minor Dysfunction

Inclusion Criteria: * Shoulder pseudoparalysis due to chronic rotator cuff dysfunction with or without glenohumeral arthritis. * Chronic rotator cuff tear with severe retraction, atrophy, fatty infiltration. * Active forward elevation of less than 90 degrees * Teres minor dysfunction * Positive lag and hornblower sign * Grade 2 or greater fatty infiltration of the teres minor and infraspinatous seen on MRI * Able to attend scheduled office visits * Meet all criteria to have a latissimus and teres major transfer Exclusion Criteria: * Revision arthroplasty * Previous shoulder infection * Neuro-muscular disorder (ie: Parkinson's) * Advanced dementia