In recurrent dislocation shoulder after failure of arthroscopic repair we do modified bristow operation .is it better to leave the insertion of pectoralis minor to the transferred coracoid and what its value?
No, I saw one case, where the pec minor was left, leading to too much pull on the coracoid with subsequent nonunion
There will be a lot of tension on the muscle. This will create an infero-medial pull to the coracoid and this may result in increased risk of failure
Hallo everybody! As there are young sportsmen without pectoralis minor muscles and no functional deficit, because of the risk for non-union it seams to be better to leave the muscle insertion there. I saw one patient with traumatic rupture of the pectorals minor muscle at the insertion with no functional or pain problems after 4 weeks, what its also described in the literature.
Best regards
Christian Frank
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