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Related Experiment Video

Updated: May 1, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
05:25

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears

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Pectoralis major repair with cortical button technique.

Richard W Kang1, Gregory T Mahony1, Frank A Cordasco1

  • 1Hospital for Special Surgery, New York, New York, U.S.A.

Arthroscopy Techniques
|April 22, 2014
PubMed
Summary

Pectoralis major tendon ruptures significantly impact athletes. A novel tension button fixation technique offers excellent results, enabling most patients to return to preinjury athletic levels safely and efficiently.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanical Engineering

Background:

  • Pectoralis major tendon ruptures cause functional deficits, impacting athletic and labor-intensive activities.
  • Operative repair is generally favored over nonoperative treatment for active individuals.

Purpose of the Study:

  • To introduce and evaluate a novel surgical technique for pectoralis major tendon repair using tension button fixation.
  • To assess the functional and strength outcomes of this new technique in athletes.

Main Methods:

  • A cohort of 12 recreational and 2 professional athletes underwent pectoralis major repair with tension button fixation.
  • Outcomes were assessed using subjective scores (Single Assessment Numeric Evaluation, American Shoulder and Elbow Surgeons) and objective strength testing (resisted horizontal adduction).

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  • Return to sport at preinjury level was a key outcome measure.

    • Main Results:

    • 8 of 12 recreational athletes and 2 professional athletes returned to their sport at preinjury levels.
    • High subjective scores were reported: mean Single Assessment Numeric Evaluation of 87 and mean American Shoulder and Elbow Surgeons scores of 99.
    • Isokinetic strength testing revealed no significant differences between repaired and contralateral sides.

    Conclusions:

    • The novel tension button fixation technique for pectoralis major tendon repair yields excellent outcomes in athletes.
    • This method provides a reliable, efficient, and safe surgical option for restoring function after pectoralis major tendon rupture.