This chapter discusses the indications and techniques for arthrodesis of the shoulder and elbow joints as well as the most common tendon transfers performed around the shoulder. Because of the limited function and morbidity after shoulder and elbow arthrodesis, as well as the development of more reliable alternatives, the indications for arthrodesis are becoming increasingly rare. Unlike arthrodesis, tendon transfers around the shoulder continue to be viable alternatives in young, high-demand patients with irreparable rotator cuff tears for which arthroplasty may not be an option.
