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Updated: Sep 18, 2025

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
04:01

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair

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Arthroscopic Pectoralis Minor Release

Jarod A Richards1,2, Muhammad-Amin H Munshi1, David R Woodard1

  • 1Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A.

Arthroscopy Techniques
|June 23, 2025
PubMed

Insights

Pathologic shortening of the pectoralis minor (PM) muscle can cause shoulder pain and scapular dyskinesis in athletes. Isolated PM release surgery effectively reduces pain and improves function in cases unresponsive to conservative treatment.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Pathologic shortening of the pectoralis minor (PM) muscle is common in overhead athletes.
  • Shortened PM can lead to scapular dyskinesis, internal rotation of the scapula, and anterior shoulder pain.
  • Conservative treatments like physical therapy may not resolve symptoms in all cases.

Purpose of the Study:

  • To describe the arthroscopic pectoralis minor release procedure.
  • To evaluate the efficacy of isolated PM release in athletes with recalcitrant shoulder pain and scapular dyskinesia.

Main Methods:

  • Arthroscopic pectoralis minor release performed in the beach-chair position.
  • Focus on athletes with persistent shoulder pain and scapular dyskinesia unresponsive to conservative management.

Main Results:

  • The procedure is safe and effective for reducing self-reported pain.
  • Significant decrease in activity limitations was observed post-procedure.
  • Successful management of recalcitrant shoulder pain and scapular dyskinesia.

Conclusions:

  • Isolated arthroscopic pectoralis minor release is a viable treatment option.
  • The procedure effectively addresses pain and functional deficits associated with PM shortening.
  • This technique offers a solution for athletes with refractory shoulder pathologies.

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