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Related Experiment Video

Updated: May 9, 2025

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
06:36

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Pectoralis Major Tendon Repair: Transosseous Suture Technique.

John W Belk1, Jonathan T Bravman1, Rachel M Frank1

  • 1University of Colorado, Aurora, Colorado, USA.

Video Journal of Sports Medicine
|May 1, 2025
PubMed
Summary

Pectoralis major tendon tears can be effectively repaired using a transosseous suture technique. This method restores near-complete functionality and strength in young, active patients.

Keywords:
pectoralis majorrepairrupturetendontransosseous suture

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Pectoralis major ruptures are rare injuries in young men (20-40 years) during resistance training.
  • Incidence increases with activity levels and anabolic steroid use.
  • Understanding effective repair techniques is crucial.

Purpose of the Study:

  • To describe the transosseous suture technique for pectoralis major tendon repair.
  • To evaluate its effectiveness in restoring function and strength.

Main Methods:

  • Identification of pectoralis major tendon insertion site.
  • Creation of a vertical bone trough and pilot holes.
  • Suturing the tendon using a Krackow technique.
  • Securing the tendon into the bone trough with sutures.

Main Results:

  • Transosseous suture technique allows adequate tissue-to-bone healing.
  • Near-complete restoration of patient functionality and strength achieved.
  • High patient satisfaction reported post-operatively.

Conclusions:

  • Acute repair of pectoralis major tendon tears via transosseous suture technique is effective.
  • Restores upper extremity strength and functionality.
  • Associated with high patient satisfaction.