Figure 3

Postoperative external appearance and imaging in patient 1. The postoperative photograph shows that the loss of the axillary fold (contour of the anterior chest wall) had recovered 30 months after injury (A, white arrows inside the black ring). Magnetic resonance imaging (MRI) with axial (B) and coronal (C) views; spin echo T2-weighted image shows continuation of the tendon between the pectoralis major muscle and humerus (B and C, between white arrows). The thickness of the affected PM tendon (B, between white arrows) was significantly greater than that of the unaffected PM tendon (D, between white arrows). Furthermore, the rectangular bone trough was ossified as determined by computed tomography (CT) (E, white arrow) and three-dimensional CT (F, white arrows), and this bone union indicates that the reconstructed tendon was fixed strongly to the humerus. PM, pectoralis major; H, humerus; HH, humeral head.