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 Pectoralis major transosseous equivalent repair with knotless anchors: Technical note and literature review

Gonzalo S Samitier, Alejandro I Marcano, Kevin W Farmer
Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA

Correspondence Address:
Kevin W Farmer
Orthopaedics and Sports Medicine Institute, 3450 Hull Road, University of Florida, Gainesville, FL 32607
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.150219

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Year : 2015  |  Volume : 9  |  Issue : 1  |  Page : 20-23

 
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Introduction: Rupture of the pectoralis major (PM) tendon was initially described almost 2 centuries ago, but most of the reported injuries have occurred within the last 30 years. Options for repair have varied widely. The most common methods for repair depend on either transosseous sutures or suture anchors for fixation. Transosseous suture repair allows for docking the tendon into a trough at its anatomic insertion, but risks cortical breakage during suture passing. Our experience has confirmed the value and potential advantages of anchors for a secure fixation. Aims: To describe a variation of repair using knotless suture anchors and a burred trough to dock the tendon into its anatomic insertion. Conclusion: We describe a technique of a transosseous equivalent PM repair technique. To our knowledge, this is the first paper describing such a repair technique for PM rupture.






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© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06

 

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Gonzalo S Samitier, Alejandro I Marcano, Kevin W Farmer
Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA

Correspondence Address:
Kevin W Farmer
Orthopaedics and Sports Medicine Institute, 3450 Hull Road, University of Florida, Gainesville, FL 32607
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.150219

Rights and Permissions

Introduction: Rupture of the pectoralis major (PM) tendon was initially described almost 2 centuries ago, but most of the reported injuries have occurred within the last 30 years. Options for repair have varied widely. The most common methods for repair depend on either transosseous sutures or suture anchors for fixation. Transosseous suture repair allows for docking the tendon into a trough at its anatomic insertion, but risks cortical breakage during suture passing. Our experience has confirmed the value and potential advantages of anchors for a secure fixation. Aims: To describe a variation of repair using knotless suture anchors and a burred trough to dock the tendon into its anatomic insertion. Conclusion: We describe a technique of a transosseous equivalent PM repair technique. To our knowledge, this is the first paper describing such a repair technique for PM rupture.






[FULL TEXT] [PDF]*


        
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Sitemap | What's New | Copyright and Disclaimer
© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06