Wound Complication and Neuropraxia of the Posterior Cutaneous Nerve of the Arm after Primary Repair of a Latissimus Dorsi and Teres Major Tear

Figure 2

Edema and fluid are noted along the medial aspect of the proximal humerus, originating near the medial margin of the distal bicipital groove. There is a full-thickness, retracted tear of the latissimus dorsi humeral attachment, with retraction of tendon fibers approximately 2.5 cm medially and 2 cm distally. The teres major humeral attachment shows irregularity along its inferior margin (a). Intraoperative pictures demonstrating the torn latissimus dorsi (right arrow) and teres major (left arrow) tendons after adequate mobilization (b). The two tendon ends were secured together in a conjoint fashion using high-strength nonresorbable sutures in a Krackow fashion (c). The footprint was prepared, and sutures were passed through the cortical button and inserted into the medullary canal via unicortical drill holes. The tendon was reduced to the footprint using the sliding suture technique (d).

(a)

(b)

(c)

(d)