Arthroscopic Pectoralis Minor Release

The pectoralis minor (PM) originates at the ribs medially and inserts at the medial border of the coracoid process. Pathologic shortening of the PM can be found in overhead athletes. A shortened PM is associated with anterior and internal rotation of the scapula, leading to scapular dyskinesis and a...

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Main Authors: Jarod A. Richards, M.D., Muhammad-Amin H. Munshi, B.A., David R. Woodard, M.D., Steven F. DeFroda, M.D., Clayton W. Nuelle, M.D., Shen-Ying Richard Ma, M.D.
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S221262872400495X
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author Jarod A. Richards, M.D.
Muhammad-Amin H. Munshi, B.A.
David R. Woodard, M.D.
Steven F. DeFroda, M.D.
Clayton W. Nuelle, M.D.
Shen-Ying Richard Ma, M.D.
author_facet Jarod A. Richards, M.D.
Muhammad-Amin H. Munshi, B.A.
David R. Woodard, M.D.
Steven F. DeFroda, M.D.
Clayton W. Nuelle, M.D.
Shen-Ying Richard Ma, M.D.
author_sort Jarod A. Richards, M.D.
collection DOAJ
description The pectoralis minor (PM) originates at the ribs medially and inserts at the medial border of the coracoid process. Pathologic shortening of the PM can be found in overhead athletes. A shortened PM is associated with anterior and internal rotation of the scapula, leading to scapular dyskinesis and anterior shoulder pain. Cases refractory to physical therapy and self-stretching exercises can be treated with isolated PM release. This procedure has been shown to be a safe and effective means of decreasing self-reported pain and activity limitations in patients with no other shoulder pathologies. We describe arthroscopic PM release in the beach-chair position in an athlete with recalcitrant shoulder pain and scapular dyskinesia.
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publishDate 2025-05-01
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series Arthroscopy Techniques
spelling doaj-art-a1d2a490003a42bfadf945fa3aab65502025-08-20T02:30:56ZengElsevierArthroscopy Techniques2212-62872025-05-0114510333510.1016/j.eats.2024.103335Arthroscopic Pectoralis Minor ReleaseJarod A. Richards, M.D.0Muhammad-Amin H. Munshi, B.A.1David R. Woodard, M.D.2Steven F. DeFroda, M.D.3Clayton W. Nuelle, M.D.4Shen-Ying Richard Ma, M.D.5Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A.; Department of Orthopaedic Surgery, UofL Health Sports Medicine Institute, University of Louisville, Louisville, Kentucky, U.S.A.; Address correspondence to Jarod A. Richards, M.D., Department of Orthopaedic Surgery, UofL Health Sports Medicine Institute, University of Louisville, 550 S Jackson St, First Floor ACB, Louisville, KY 40202, U.S.A.Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A.Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A.Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A.Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A.Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A.The pectoralis minor (PM) originates at the ribs medially and inserts at the medial border of the coracoid process. Pathologic shortening of the PM can be found in overhead athletes. A shortened PM is associated with anterior and internal rotation of the scapula, leading to scapular dyskinesis and anterior shoulder pain. Cases refractory to physical therapy and self-stretching exercises can be treated with isolated PM release. This procedure has been shown to be a safe and effective means of decreasing self-reported pain and activity limitations in patients with no other shoulder pathologies. We describe arthroscopic PM release in the beach-chair position in an athlete with recalcitrant shoulder pain and scapular dyskinesia.http://www.sciencedirect.com/science/article/pii/S221262872400495X
spellingShingle Jarod A. Richards, M.D.
Muhammad-Amin H. Munshi, B.A.
David R. Woodard, M.D.
Steven F. DeFroda, M.D.
Clayton W. Nuelle, M.D.
Shen-Ying Richard Ma, M.D.
Arthroscopic Pectoralis Minor Release
Arthroscopy Techniques
title Arthroscopic Pectoralis Minor Release
title_full Arthroscopic Pectoralis Minor Release
title_fullStr Arthroscopic Pectoralis Minor Release
title_full_unstemmed Arthroscopic Pectoralis Minor Release
title_short Arthroscopic Pectoralis Minor Release
title_sort arthroscopic pectoralis minor release
url http://www.sciencedirect.com/science/article/pii/S221262872400495X
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