case_images: PMC6311819_01
case_images: Deformity of anterior axillary fold.
case_images: CRIOR2018-9042820.001.jpg
case_images: PMC6311819_01_CRIOR2018-9042820.001.jpg
case_images: fig1
case_images: Additionally, there was a large bulge in the anterior chest with loss of contour of the axillary fold (Figure 1).
case_images: Axial MRI image. H: humerus; P: pectoralis major; B: biceps tendon.
case_images: CRIOR2018-9042820.002.jpg
case_images: PMC6311819_01_CRIOR2018-9042820.002.jpg
case_images: fig2
case_images: The MRI demonstrated avulsion of the pectoralis major tendon from its insertion on the humerus with retraction as well as strain of the anterior deltoid (Figures 2 and 3).
case_images: Coronal MRI image. H: humerus; P: retracted pectoralis major.
case_images: CRIOR2018-9042820.003.jpg
case_images: PMC6311819_01_CRIOR2018-9042820.003.jpg
case_images: fig3
case_images: The MRI demonstrated avulsion of the pectoralis major tendon from its insertion on the humerus with retraction as well as strain of the anterior deltoid (Figures 2 and 3).
case_images: Anterior arm compartment pressure checks preoperatively: 37, 39, and 42 mmHg.
case_images: CRIOR2018-9042820.004.jpg
case_images: PMC6311819_01_CRIOR2018-9042820.004.jpg
case_images: fig4
case_images: Intracompartmental pressure readings in the anterior compartment of the arm taken about the midpoint of the biceps at the point of maximal swelling were 37, 39, and 42 mmHg with a diastolic blood pressure of 71 mmHg (Figure 4).
case_images: Muscle bulge and clot extravasation with compartment release.
case_images: CRIOR2018-9042820.005.jpg
case_images: PMC6311819_01_CRIOR2018-9042820.005.jpg
case_images: fig5
case_images: Immediately, a large amount of hematoma was expelled and the muscle bellies visibly bulged from the incision sites (Figures 5 and 6).
case_images: Hematoma evacuated from the anterior compartment of the arm.
case_images: CRIOR2018-9042820.006.jpg
case_images: PMC6311819_01_CRIOR2018-9042820.006.jpg
case_images: fig6
case_images: Immediately, a large amount of hematoma was expelled and the muscle bellies visibly bulged from the incision sites (Figures 5 and 6).
case_images: D: deltoid; P: ruptured pectoralis major tendon; B: biceps brachii.
case_images: CRIOR2018-9042820.007.jpg
case_images: PMC6311819_01_CRIOR2018-9042820.007.jpg
case_images: fig7
case_images: Upon further dissection, both heads of the pectoralis major were found to be avulsed from the proximal humerus (Figure 7).
case_images: D: deltoid; P: repaired pectoralis major.
case_images: CRIOR2018-9042820.008.jpg
case_images: PMC6311819_01_CRIOR2018-9042820.008.jpg
case_images: fig8
case_images: The middle suture anchor was used to place a horizontal mattress stitch with a medial ripstop stitch (Figure 8).