Anatomic Pectoralis Major Repair With Intramedullary Anchor Fixation

Although previously described as a rare injury, pectoralis major tendon rupture has shown increased reports in recent years. This injury can be managed conservatively; however, given the propensity for young, physically active male individuals, surgical repair is often preferred. Definitive surgical repair can be performed through various techniques such as bone trough, transosseous fixation, suture anchor, and cortical button techniques. This technique guide describes surgical repair through intramedullary anchor fixation with a unique pull-through method using taped suture to secure the tendon repair to its anatomic footprint. We believe this method is biomechanically advantageous, reduces bone loss that may lead to postoperative fractures, and re-creates the anatomic footprint of the torn tendon.