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Transfer of the Pectoralis Major Muscle for the Treatment of Irreparable Rupture of the Subscapularis Tendon* by H. RESCH, P. POVACZ, E. RITTER, and W.

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Presentation on theme: "Transfer of the Pectoralis Major Muscle for the Treatment of Irreparable Rupture of the Subscapularis Tendon* by H. RESCH, P. POVACZ, E. RITTER, and W."— Presentation transcript:

1 Transfer of the Pectoralis Major Muscle for the Treatment of Irreparable Rupture of the Subscapularis Tendon* by H. RESCH, P. POVACZ, E. RITTER, and W. MATSCHI J Bone Joint Surg Am Volume 82(3):372-82 March 1, 2000 ©2000 by The Journal of Bone and Joint Surgery, Inc.

2 Figs. 1-A and 1-B: Photographs of a patient performing the belly-press test. H. RESCH et al. J Bone Joint Surg Am 2000;82:372-82 ©2000 by The Journal of Bone and Joint Surgery, Inc.

3 Fig. 1-B: Negative result on the contralateral side. H. RESCH et al. J Bone Joint Surg Am 2000;82:372-82 ©2000 by The Journal of Bone and Joint Surgery, Inc.

4 Figs. 2-A, 2-B, and 2-C: Surgical technique. H. RESCH et al. J Bone Joint Surg Am 2000;82:372-82 ©2000 by The Journal of Bone and Joint Surgery, Inc.

5 Fig. 2-B Photograph made after blunt exploration, showing how a portion of the pectoralis major is passed between the pectoralis minor and the conjoined tendon and then behind the conjoined tendon to the lesser tuberosity, where it is attached with bone sut... H. RESCH et al. J Bone Joint Surg Am 2000;82:372-82 ©2000 by The Journal of Bone and Joint Surgery, Inc.

6 Fig. 2-C Schematic view of the course of the muscle. H. RESCH et al. J Bone Joint Surg Am 2000;82:372-82 ©2000 by The Journal of Bone and Joint Surgery, Inc.

7 Figs. 3-A, 3-B, and 3-C: Magnetic resonance images of a chronically ruptured subscapularis tendon. H. RESCH et al. J Bone Joint Surg Am 2000;82:372-82 ©2000 by The Journal of Bone and Joint Surgery, Inc.

8 Fig. 3-B The distance between the humeral head and the coracoid process increased from approximately three millimeters preoperatively (Fig. 3-B) to five millimeters eight months postoperatively (Fig. 3-C); the increase was due to interposed pectoralis major... H. RESCH et al. J Bone Joint Surg Am 2000;82:372-82 ©2000 by The Journal of Bone and Joint Surgery, Inc.

9 Fig. 3-C The distance between the humeral head and the coracoid process increased from approximately three millimeters preoperatively (Fig. 3-B) to five millimeters eight months postoperatively (Fig. 3-C); the increase was due to interposed pectoralis major... H. RESCH et al. J Bone Joint Surg Am 2000;82:372-82 ©2000 by The Journal of Bone and Joint Surgery, Inc.


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