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

Samitier GS, Marcano AI, Farmer KW - Int J Shoulder Surg (2015 Jan-Mar)

Bottom Line: 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.To describe a variation of repair using knotless suture anchors and a burred trough to dock the tendon into its anatomic insertion.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus

Final result of the pectoralis major repair. The anatomic insertion site was recreated, lateral to the bicipital groove which is shown in the picture
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Figure 3: Final result of the pectoralis major repair. The anatomic insertion site was recreated, lateral to the bicipital groove which is shown in the picture

Mentions: Each suture from the tendon is tied to the corresponding eyelet suture in the anchor. The sutures from the superior anchor can then be tied to the sutures from the inferior anchor creating a fixed unit and increasing the pull-out strength [Figure 3]. At this point, it is advisable to test the external rotation and stability of the construct. Finally, the deltopectoral interval is closed with absorbable sutures and nonabsorbable subcuticular sutures are used for the skin.


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

Samitier GS, Marcano AI, Farmer KW - Int J Shoulder Surg (2015 Jan-Mar)

Final result of the pectoralis major repair. The anatomic insertion site was recreated, lateral to the bicipital groove which is shown in the picture
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4325386&req=5

Figure 3: Final result of the pectoralis major repair. The anatomic insertion site was recreated, lateral to the bicipital groove which is shown in the picture
Mentions: Each suture from the tendon is tied to the corresponding eyelet suture in the anchor. The sutures from the superior anchor can then be tied to the sutures from the inferior anchor creating a fixed unit and increasing the pull-out strength [Figure 3]. At this point, it is advisable to test the external rotation and stability of the construct. Finally, the deltopectoral interval is closed with absorbable sutures and nonabsorbable subcuticular sutures are used for the skin.

Bottom Line: 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.To describe a variation of repair using knotless suture anchors and a burred trough to dock the tendon into its anatomic insertion.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus