Publications
Anatomical considerations
Our recent research work completely challenges the accepted understanding of the distal anatomy of the pectoralis major.
The clavicular portion of the pectoralis major does not take part at all in forming the pectoralis major tendon.
The pectoralis major tendon therefore measures between 3 and 4 cm in length, 4 to 5 cm in height, and 2 to 3 mm in thickness.
The pectoralis major can thus be compared to a leaf on a branch.
In the large majority of cases (around 80%), an intact clavicular bundle persists even though the tendon itself is completely ruptured.
Publications
1. Examen clinique des ruptures du muscle grand pectoral
Clinical examination of the pectoralis major tears
Journal de Traumatologie du sport (2012)
https://www.sciencedirect.com/science/article/abs/pii/S0762915X12000952
2. Les lésions musculaires en pratique sportive : muscles de l’épaule : grand pectoral / grand dorsal / grand rondl
Journée de Traumatologie du Sport de la Pitié-Salpêtrière 2015
Livre Sauramps Medical
3. Muscle grand pectoral : une nouvelle classification des lésions tendineuses et musculaires distales
Journal de Traumatologie du sport (2017)
https://www.sciencedirect.com/science/article/abs/pii/S0762915X17300864
4. Distal insertion of the clavicular portion of pectoralis major muscle: anatomical study
International Orthopaedics (2024)
5. Dr Guiu’s 2018 conference talk on distal pectoralis major injuries (in French)
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