Repair of Double Head Pectoralis Major Tendon Avulsion into its Native Footprint Using Bi-cortical EndoButtons and Tendon Sliding Technique
Jagadish Prabhu*, Mohammed Khalid Faqi, Fahad Alkhalifa, Bader Kamal Tayara, Rashad Khamis Awad
Department and Consultant Orthopedics and Trauma Surgeon, Department of Orthopedics, Bahrain Defence Force Hospital, Royal Medical Services, Kingdom of Bahrain
Injuries to the pectoralis major muscle are relatively infrequent. The mechanism of injury is usually an eccentric shortening of the pectoralis major under heavy load, such as when performing a bench press exercise. We report a case that presented to us with a history of sudden pain in the left pectoral region while doing heavy bench press exercise. The patient sustained a type III D pectoralis muscle –tendon avulsion. Surgical repair was done through a bi-cortical tendon sliding technique using two cortical buttons. In this article we describe our modifications to the previously described surgical technique for the pectoralis major tendon repair using the EndoButton and tension – slide technique, aiming to overcome the possible complications.
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* Address correspondence to this author at the Department of Orthopedics, Bahrain Defence Force Hospital, Royal Medical Services, Kingdom of Bahrain; Tel: +973-39150431; E-mails: email@example.com, firstname.lastname@example.org