PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORS

Detalhes bibliográficos
Autor(a) principal: GARCIA JUNIOR,JOSÉ CARLOS
Data de Publicação: 2022
Outros Autores: CORDEIRO,EDUARDO FERREIRA, LUTFI,HILTON VARGAS, RAFFAELLI,MAURÍCIO DE PAIVA, FADEL,MAURÍCIO SALOMÃO, KOZONARA,MÁRCIO EDUARDO
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Acta Ortopédica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000200205
Resumo: ABSTRACT Objective: This study aims to assess a new technique used for pectoralis major reconstruction using bone tunnel and fixation with metallic anchors in the contralateral cortical bone. Methods: Patients who had undergone post-surgical reconstruction of the pectoralis major at least 24 months before were assessed by the UCLA Shoulder Score and the Simple Shoulder Test and compared with the contralateral side by manual goniometry. Subgroup analysis was also performed between grafted and non-grafted patients. Results: 13 patients fulfilled the inclusion criteria. The average UCLA score was 34.77 ± 0.12, compared with the standard 27 of good and excellent results p < 0.0001. The Simple Shoulder test mean was 11.92 ± 0.08. Grafted and non-grafted subgroups had no statistical differences for UCLA p = 0.58 and Simple Shoulder Test p = 1.00. Long term losses for elevation or external rotation were lower than 5º. No lesions recurred. All patients returned to their physical activities with no restrictions. Conclusion: The pectoralis major reconstruction technique using a bone tunnel and metallic anchors in the contralateral cortical bone was effective. However, its execution needs special care to avoid complications. Level of Evidence IV, Case Series.
id SBOT-1_a77d9a2f83bf07fb8179a31d8b752aec
oai_identifier_str oai:scielo:S1413-78522022000200205
network_acronym_str SBOT-1
network_name_str Acta Ortopédica Brasileira (Online)
repository_id_str
spelling PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORSPectoralis MusclesSuture AnchorsAthletic InjuriesABSTRACT Objective: This study aims to assess a new technique used for pectoralis major reconstruction using bone tunnel and fixation with metallic anchors in the contralateral cortical bone. Methods: Patients who had undergone post-surgical reconstruction of the pectoralis major at least 24 months before were assessed by the UCLA Shoulder Score and the Simple Shoulder Test and compared with the contralateral side by manual goniometry. Subgroup analysis was also performed between grafted and non-grafted patients. Results: 13 patients fulfilled the inclusion criteria. The average UCLA score was 34.77 ± 0.12, compared with the standard 27 of good and excellent results p < 0.0001. The Simple Shoulder test mean was 11.92 ± 0.08. Grafted and non-grafted subgroups had no statistical differences for UCLA p = 0.58 and Simple Shoulder Test p = 1.00. Long term losses for elevation or external rotation were lower than 5º. No lesions recurred. All patients returned to their physical activities with no restrictions. Conclusion: The pectoralis major reconstruction technique using a bone tunnel and metallic anchors in the contralateral cortical bone was effective. However, its execution needs special care to avoid complications. Level of Evidence IV, Case Series.ATHA EDITORA2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000200205Acta Ortopédica Brasileira v.30 n.2 2022reponame:Acta Ortopédica Brasileira (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1590/1413-785220223002237934info:eu-repo/semantics/openAccessGARCIA JUNIOR,JOSÉ CARLOSCORDEIRO,EDUARDO FERREIRALUTFI,HILTON VARGASRAFFAELLI,MAURÍCIO DE PAIVAFADEL,MAURÍCIO SALOMÃOKOZONARA,MÁRCIO EDUARDOeng2022-06-03T00:00:00Zoai:scielo:S1413-78522022000200205Revistahttp://www.actaortopedica.com.br/https://old.scielo.br/oai/scielo-oai.php1atha@uol.com.br||actaortopedicabrasileira@uol.com.br1809-44061413-7852opendoar:2022-06-03T00:00Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORS
title PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORS
spellingShingle PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORS
GARCIA JUNIOR,JOSÉ CARLOS
Pectoralis Muscles
Suture Anchors
Athletic Injuries
title_short PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORS
title_full PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORS
title_fullStr PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORS
title_full_unstemmed PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORS
title_sort PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORS
author GARCIA JUNIOR,JOSÉ CARLOS
author_facet GARCIA JUNIOR,JOSÉ CARLOS
CORDEIRO,EDUARDO FERREIRA
LUTFI,HILTON VARGAS
RAFFAELLI,MAURÍCIO DE PAIVA
FADEL,MAURÍCIO SALOMÃO
KOZONARA,MÁRCIO EDUARDO
author_role author
author2 CORDEIRO,EDUARDO FERREIRA
LUTFI,HILTON VARGAS
RAFFAELLI,MAURÍCIO DE PAIVA
FADEL,MAURÍCIO SALOMÃO
KOZONARA,MÁRCIO EDUARDO
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv GARCIA JUNIOR,JOSÉ CARLOS
CORDEIRO,EDUARDO FERREIRA
LUTFI,HILTON VARGAS
RAFFAELLI,MAURÍCIO DE PAIVA
FADEL,MAURÍCIO SALOMÃO
KOZONARA,MÁRCIO EDUARDO
dc.subject.por.fl_str_mv Pectoralis Muscles
Suture Anchors
Athletic Injuries
topic Pectoralis Muscles
Suture Anchors
Athletic Injuries
description ABSTRACT Objective: This study aims to assess a new technique used for pectoralis major reconstruction using bone tunnel and fixation with metallic anchors in the contralateral cortical bone. Methods: Patients who had undergone post-surgical reconstruction of the pectoralis major at least 24 months before were assessed by the UCLA Shoulder Score and the Simple Shoulder Test and compared with the contralateral side by manual goniometry. Subgroup analysis was also performed between grafted and non-grafted patients. Results: 13 patients fulfilled the inclusion criteria. The average UCLA score was 34.77 ± 0.12, compared with the standard 27 of good and excellent results p < 0.0001. The Simple Shoulder test mean was 11.92 ± 0.08. Grafted and non-grafted subgroups had no statistical differences for UCLA p = 0.58 and Simple Shoulder Test p = 1.00. Long term losses for elevation or external rotation were lower than 5º. No lesions recurred. All patients returned to their physical activities with no restrictions. Conclusion: The pectoralis major reconstruction technique using a bone tunnel and metallic anchors in the contralateral cortical bone was effective. However, its execution needs special care to avoid complications. Level of Evidence IV, Case Series.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000200205
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000200205
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1413-785220223002237934
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv ATHA EDITORA
publisher.none.fl_str_mv ATHA EDITORA
dc.source.none.fl_str_mv Acta Ortopédica Brasileira v.30 n.2 2022
reponame:Acta Ortopédica Brasileira (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron:SBOT
instname_str Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron_str SBOT
institution SBOT
reponame_str Acta Ortopédica Brasileira (Online)
collection Acta Ortopédica Brasileira (Online)
repository.name.fl_str_mv Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
repository.mail.fl_str_mv 1atha@uol.com.br||actaortopedicabrasileira@uol.com.br
_version_ 1752122277004050432