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Insertion anatomy of the pectoralis major tendon

Institution:	1. Department of Trauma and Handsurgery, Heinrich Heine University Duesseldorf, Moorenstr. 5, 40225, Duesseldorf, Germany;2. Department of Orthopaedic Surgery, Krankenhaus der Augustinerinnen, Jakobstraße 27-31, 50678, Cologne, Germany;1. Department of Orthopaedics, Apollo Hospital, Navi Mumbai, India;2. Department of Orthopaedics, Ranjana Hospital, Allahabad, India;1. Department of Trauma & Orthopaedics, King''s College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS, UK;2. Department of Trauma & Orthopaedics, Medway NHS Foundation Trust, Windmill Road, Gillingham, Kent, ME7 5NY, UK;3. Department of Trauma & Orthopaedics, Lewisham & Greenwich NHS Trust, Lewisham High St, London, SE13 6LH, UK;1. University Orthopaedics, Hand and Reconstructive Microsurgery Cluster, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 11, 119228, Singapore;2. Department of Orthopaedics and Trauma, Edinburgh Royal Infirmary, 51 Little France Crescent, EH16 4SA, Edinburgh, United Kingdom;1. OrthoDirect, Weteringschans 72, 1017 XR, Amsterdam, The Netherlands;2. Nottingham Shoulder & Elbow Unit, Nottingham City Hospital Campus, Nottingham University Hospitals, Nottingham, NG5 1PB, United Kingdom;3. Academic Orthopaedics, Trauma and Sports Medicine, School of Medicine, University of Nottingham, Queens Medical Centre, Nottingham, NG7 2UH, United Kingdom;4. NMC Royal Hospital, Abu Dhabi, United Arab Emirates

Abstract:	BackgroundPectoralis major tendon tears are encountered in young active patients.MethodsIn 10 fresh cadaveric shoulders we measured-1. Proximal to distal insertion width of the pectoralis major tendon.2. The distance of the superior border of the tendon from the supero-medial tip of the greater tuberosity (GT).ResultsThe average insertion width was 46 mm. The average distance between the superior border of the tendon and the tip of the GT was 48.5 mm.ConclusionThe superior border of the tendon should be repaired with two anchors at a distance of 48.5 mm from the tip of the GT so as to cover a width of 46 mm.

Keywords:	Pectoralis major tendon anatomy Tip of the greater tuberosity to pectoralis major distance Pectoralis major tendon tear Pectoralis major tendon repair
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