Related Experiment Video
Updated: Jun 10, 2026

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
Published on: May 9, 2025
[Traumatic rupture of the pectoralis major tendon--a case report]
A Kindt1, O Rott, U Irlenbusch
1Orthopädie, Orthopädische Klinik des Marienstifts Arnstadt, Wachsenburgallee 12, Arnstadt. a-kindt@web.de
Abstract:
A 49-year-old male athlete sustained a complete rupture of the pectoralis major muscle while bench pressing. The inferior and the superior border of the clavicular lamina and the sternal lamina were fixed with mattress sutures. After that transosseous reinsertion via drill holes (no suture anchors). The lateral rim of both tendons was fixed with Mason-Allen sutures. Final adaption of the distal tendon stump above the reinserted tendon (doubling). Postoperative immobilisation for 3 weeks in Gilchrists sling was followed by active-assistive step-by-step mobilisation. A speedy rehabilitation was planned after 6 weeks, but at this time the patient was doing strength training, swimming, pull-ups and press-ups at his own responsibility. Normal mobility and previous sports activity were achieved in spite of the early and extremely high stress. We assume that the very strong and secure reinsertion technique with 4 mattress sutures, Mason-Allen sutures and doubling of the tendon close to the foot print region may be the reason for the good result in spite of the massive and early loading.
Related Concept Videos
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax-II
Clinical Manifestations:
Pneumothorax II: Pathophysiology
Muscles of the Shoulder
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
