CASE REPORT


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


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Creative Commons License
© Prabhu et al.; Licensee Bentham Open

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* 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: drjagsortho@gmail.com, drjags@rediffmail.com


Abstract

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.

Keywords: Pectoralis Major Repair, Bicortical Endobutton, Tendon Sliding Technique, Endobuttons, Weightlifting.