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 distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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 teacher head, 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".