Simultaneous repair of bilateral pectoralis major tendons: A case report

Figure 1 Photographs of patient four weeks since initial injury, demonstrating loss of axillary fold on the right side and on the left side. A: Right side; B: Left side.

Figure 2  Photograph of patient four weeks since initial injury, demonstrating medial retraction of pectoralis major muscle while isometrically contracting in the prayer position.

Figure 3 Magnetic resonance imaging of pectoralis major tear. A: 7 cm of retraction on the right pectoralis major tendon; B: 5 cm of retraction on the left pectoralis major tendon.

Figure 4  Photograph demonstrating patient in the beach chair position with both upper extremities draped.

Figure 5  Photograph of anatomical landmarks used to perform a deltopectoral approach

Figure 6  Photograph of a tag stitch that was place through the pectoralis major tendon.

Figure 7  Photograph of the pectoralis major insertion was site with the burr that was used to debride the site and create a bleeding bony bed.

Figure 8  Photograph of the three 2. 8 Q fix all suture anchors that were place with one proximally, one in the middle, and one distally.

Figure 9 Photograph of sutures being passed through the tendon and all sutures being tied from proximal to distal. A: Sutures being passed through the tendon; B: All sutures being tied from proximal to distal.

Figure 10  Photograph of patient at 6 months post-operatively in abduction internal rotation of shoulder, abduction external rotation of the shoulder, forward flexion of the shoulder, and abduction of the shoulder. A: Abduction internal rotation of shoulder; B: Abduction external rotation of the shoulder; C: Forward flexion of the shoulder; D: Abduction of the shoulder.