Scope Essentials 2024-Pectoralis Major & Latissimus Repair

Video Transcription

Video Summary

Dr. Justin Griffin discusses management of pectoralis major and latissimus dorsi tendon tears in the shoulder, focusing on diagnosis, surgical techniques, and rehabilitation. Pectoralis major tears typically affect 20-40-year-old weightlifters during bench pressing, presenting with swelling, deformity, and pain. Early MRI aids diagnosis; surgery is preferred for young, active patients to restore strength and cosmetic appearance. Surgical repair involves tendon mobilization and reattachment via suture anchors or bone tunnels through an axillary or deltopectoral approach, followed by a structured rehab program. Latissimus dorsi tears, rarer and seen in athletes like baseball pitchers, require similar repair techniques but a different surgical exposure. Non-operative treatment may suit older or low-demand patients, but surgery restores anatomy and function in athletes. Dr. Griffin emphasizes timely intervention, careful technique near vital nerves, and individualized patient considerations for optimal outcomes in these complex shoulder tendon injuries.

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Justin W. Griffin, M.D.

Keywords

pectoralis major tear

latissimus dorsi tear

shoulder tendon repair

surgical techniques

rehabilitation protocols