PECTORALIS MAJOR TENDON INJURY: RECONSTRUCTION USING BONE TUNNEL AND ANCHORS
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
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. |
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Acta Ortopédica Brasileira (Online) |
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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 |