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We report a case that presented to us with a history of sudden pain in the left pectoral region while doing heavy bench press exercise. The patient sustained a type III D pectoralis muscle \u2013tendon avulsion. Surgical repair was done through a bi-cortical tendon sliding technique using two cortical buttons. In this article we describe our modifications to the previously described surgical technique for the pectoralis major tendon repair using the EndoButton and tension \u2013 slide technique, aiming to overcome the possible complications.<\/jats:p>","DOI":"10.2174\/1874325001711010012","type":"journal-article","created":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T09:53:02Z","timestamp":1485942782000},"page":"12-19","update-policy":"http:\/\/dx.doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Repair of Double Head Pectoralis Major Tendon Avulsion into its Native Footprint Using Bi-cortical EndoButtons and Tendon Sliding Technique"],"prefix":"10.2174","volume":"11","author":[{"given":"Jagadish","family":"Prabhu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed Khalid","family":"Faqi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahad","family":"Alkhalifa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bader Kamal","family":"Tayara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashad Khamis","family":"Awad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","reference":[{"key":"ref1","first-page":"189","volume":"35","author":"Potter B.K.","year":"2006","unstructured":"Potter BK, Lehman RA Jr, Doukas WC. \n                    Pectoralis major ruptures. \n                    Am J Orthop  \n                    2006; \n                    35\n                    (4)\n                    : 189-95.","journal-title":"Am. 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