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Several techniques have been described for the treatment of pectoralis major tendon injuries. Surgical intervention has shown to yield superior clinical results in complete injuries. Without fixation, the patient may have poor functional and cosmetic results. We describe here a new technique for repairing complete ruptures of the pectoralis major tendon back to its insertion onto the humerus. To date, we have had promising results with this technique and believe it may have superior biomechanical properties over other methods of fixation.

Scapulothoracic crepitus and bursitis of the scapulothoracic articulation are uncommon and poorly understood disorders. Painless crepitus may be physiological, whereas the opposite, a clinically significant bursitis, may occur without crepitus or sound. Scapular noises attributed to crepitus

The proximal portion of the long head of the biceps has become a recognized cause of significant shoulder pain. Tenodesis of the long head of the biceps has been advocated as treatment for pain resulting from biceps tendonopathy, biceps instability, and bicep tendon tears. Several techniques have been described for this tenodesis, including various arthroscopic and subpectoral methods. We present here a novel technique in which the biceps tendon is tenodesed in a subpectoral manner. Although subpectoral biceps tenodesis has been described before, the method described here allows for in situ fixation of the long head of the biceps tendon using a cortical button. This method allows for the fixation of the biceps at its resting length while causing minimal disruption of the cortex of the humerus. Illustrations, photos, and a detailed description of the technique are provided.