RT Journal Article
SR Electronic
T1 Chronic Pectoralis Major Rupture Reconstruction With Interpositional Acellular Dermal Allograft
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 217
OP 223
DO 10.31486/toj.20.0003
VO 21
IS 2
A1 Conor J. C. Gouk
A1 Ryan M. Shulman
A1 Christine Lowe
A1 Craig Buchan
A1 Michael J. E. Thomas
A1 Fraser J. Taylor
YR 2021
UL http://www.ochsnerjournal.org/content/21/2/217.abstract
AB Background: Pectoralis major tendon (PMT) rupture commonly occurs in males 20 to 39 years of age. PMT rupture is most often associated with gym-based exercise, with attempted bench press being the most common causative event, but it is also associated with contact or impact sports. Delayed presentation, misdiagnoses, and chronic PMT rupture can result in a therapeutic dilemma.Case Series: We present 2 cases of chronic PMT rupture that were operatively managed using acellular dermal allograft as an interposition graft. Patients’ final follow-ups were at 20 and 30 months, respectively. Strength in their pectoralis major muscle was well preserved on the contralateral side: 88% for patient 1 and 110% for patient 2.Conclusion: Our reported technique using an interpositional acellular dermal allograft is a good option to treat chronic PMT rupture.