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Pectoralis Major Rupture in Athletes: Footprint Technique and Results

Shah, Nasir H. FRCS (T&O); Talwalker, Sumedh FRCS (T&O); Badge, Ravi MRCS; Funk, Lennard FRCS (T&O), FFSEM (UK)

Techniques in Shoulder and Elbow Surgery: March 2010 - Volume 11 - Issue 1 - p 4-7
doi: 10.1097/BTE.0b013e3181c99156
Techniques
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Over a 2-year period, 10 male athletes underwent repair of the pectoralis major tendon using a double-row surgical technique using 3 bone anchors to produce a foot print repair of the pectoralis major tendon. The mean patient age was 33.9 years (23 to 46 y). The mean time between surgery and the original injury was 11.6 weeks (1 to 48 wk). Outcome measures included patient satisfaction, bench press strength, pain, and cosmesis. The average follow-up was 20.3 months (12 to 39 mo). Eight patients had pain before surgery and all patients were not satisfied with the appearance of their chest. The average loss of bench press strength was 75% preoperatively. At the final follow-up, none of the patients complained of any pain while pushing objects away from their body; 9 patients had no pain on moving their arm across the chest whiereas 1 patient reported mild pain. Nine patients were satisfied with the appearance. The average improvement in bench press strength was 90%. One patient developed a deep infection requiring a further washout and antibiotics. No rerupture was seen among any of 4 patients. There was no difference in outcomes between the early and late repairs in all the criteria. In conclusion, satisfactory results can be achieved with a suture-anchor footprint repair technique of the pectoralis major strength athletes with return to earlier sports and strength.

Upper Limb Unit, Wrightington Hospital, Lancashire, UK

Reprints: Lennard Funk, FRCS (T&O), FFSEM (UK), 120 Princess Road, Manchester, M15 5AT, UK (e-mail: lenfunk@shoulderdoc.co.uk).

© 2010 Lippincott Williams & Wilkins, Inc.