Mobilization Techniques for Acute and Chronic Retracted Pectoralis Major Tears for Primary Repair
Bibliographic record
Abstract
Pectoralis major (PM) tears are uncommon yet increasing in incidence in the athletic population. Previous research has favored operative management of both acute and chronic PM tears. Primary repair is indicated for both acute and chronic tears, when possible, to improve functional outcomes and cosmesis. Often, lack of viable tissue and inadequate tendon length make primary repair challenging, especially with increased chronicity and increased retraction. Autograft and allograft tendon use is described to bridge a residual gap between tendinous tissue and the footprint or to augment tissue quality. However, to our knowledge, the literature is scarce regarding detailed technical tips and tricks on how to specifically mobilize a chronically torn and/or markedly retracted PM. This article clearly describes and depicts the step-by-step approach and surgical technique for mobilizing a markedly retracted and/or chronically torn PM. It also describes and shows how to use and position an allograft patch if needed.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".