Abstract Background: Superior capsular reconstruction (SCR), latissimus dorsi tendon transfer (LDT), and lower trapezius tendon transfer (LTT) can be used to manage posterosuperior irreparable rotator cuff tears (PSIRTCs) with nonarthritic pseudoparalysis. However, no study has compared SCR, LDT, and LTT as joint-preserving treatment options for PSIRCTs with pseudoparalysis.