PMC5303850_01
MRI axial T1 showing full-thickness PM tear at the humeral tendon-bone junction.
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fig1
MRI identified (1) full-thickness PM tear at the humeral tendon-bone junction including both pectoral heads (Figure 1), (2) tendon retracted medial to the anterior chest wall (Figure 2), (3) absence of any muscle fatty infiltration, and (4) a calcification inside the conjoint tendon immediately under its coracoid insertion (Figure 3).
MRI axial T1 showing tendon retracted medial to the anterior chest wall and absence of any muscle fatty infiltration.
CRIOR2017-2095407.002.jpg
PMC5303850_01_CRIOR2017-2095407.002.jpg
fig2
MRI identified (1) full-thickness PM tear at the humeral tendon-bone junction including both pectoral heads (Figure 1), (2) tendon retracted medial to the anterior chest wall (Figure 2), (3) absence of any muscle fatty infiltration, and (4) a calcification inside the conjoint tendon immediately under its coracoid insertion (Figure 3).
MRI axial T1 showing calcification inside the conjoint tendon immediately under its coracoid insertion.
CRIOR2017-2095407.003.jpg
PMC5303850_01_CRIOR2017-2095407.003.jpg
fig3
MRI identified (1) full-thickness PM tear at the humeral tendon-bone junction including both pectoral heads (Figure 1), (2) tendon retracted medial to the anterior chest wall (Figure 2), (3) absence of any muscle fatty infiltration, and (4) a calcification inside the conjoint tendon immediately under its coracoid insertion (Figure 3).
Intraoperative photograph demonstrating the gap between the footprint and the stump.
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fig4
The gap between the footprint and the stump was more than 5 cm (Figure 4).
Intraoperative photograph, with the free border of the graft sutured at the PM.
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fig5
The fan-shaped free border of the graft was sutured into the muscle belly with Mason-Allen and Krachow stitches using nonabsorbable suture (Ultrabraid, Smith & Nephew) arm in neutral rotation (Figure 5).
Intraoperative photograph with Vicryl plate wrapped around the graft.
CRIOR2017-2095407.006.jpg
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fig6
A Vicryl plate (Ethicon) was wrapped around the graft, in order to secure the sutures (Figure 6).