• Archives of Plastic Surgery
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• v.32 no.4
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• pp.421-427
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• 2005

Although the incidence of mediastinal wound infection in patient undergoing median sternotomy for cardiovascular surgery is relatively low(less than 1%), it is not only a devastating and potentially life-threatening complication but also associated morbidity, mortality and cost are unacceptably high. During the past few decades various methods had been applied for the treatment of postoperative mediastinitis. Currently, chest wall reconstruction by using muscle flaps-especially pectoralis major muscle and rectus abdominis muscle are commonly selected for the reconstruction after wide debridement has become widely accepted. We performed bilateral pectoralis major-rectus abdominis muscles in-continuity bipedicle flap to overcome the limit of each flap for reconstruction of sternal defects in 17 patients. We analyzed the results of the surgery. Recurrent infection developed in 17.6% of cases and abdominal herniation was observed in one patient. There was no postoperative hematoma or death. We conclude that this flap is very valuable in reconstruction of the anterior chest wall defect caused by post-sternotomy infection because it provides sufficient volume to fill the entire mediastinum, and the complication rate compares favorably to that of other methods.

• Archives of Plastic Surgery
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• v.33 no.1
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• pp.113-115
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• 2006

The sternalis muscle is an uncommon variation in the anterior chest wall which is located superficial to the pectoralis major, coursing vertically almost parallel to the sternum. It exists unilaterally or bilaterally, as thin muscle strips or a broad band of muscles. We report two cases of skin sparing mastectomy and immediate breast reconstruction in which the sternalis muscle was encountered. This unusual variation might puzzle radiologists to mistake it for a tumor or an abnormal bulging of the pectoralis. Surgeons also must not be surprised to encounter this muscle during surgery of the breast or pectoralis and keep the appropriate dissection plane.

• Journal of Chest Surgery
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• v.18 no.3
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• pp.423-427
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• 1985

The Poland`s syndrome is very rare anomaly, which consists of congenital unilateral absence of the sternocostal part of the pectoralis major muscle, with ipsilateral hand deformities. The clinical features are variable but all patients have absence of at least the sternal head of the pectoralis major muscle. The syndrome is not hereditary and is of unknown origin. Early recognition of Poland`s syndrome may give the provision of psychologic and genetic counseling for anxious parents. We have encountered two patients with this entity, and one of them underwent successful surgical correction.

• Clinics in Shoulder and Elbow
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• v.22 no.2
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• pp.110-112
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• 2019

In reverse ball shoulder replacement, surgery is usually performed using a deltopectoral approach or an anterosuperior transdeltoid approach. The deltopectoral approach is to incise the pectoralis major to upper 1/3 to 1/2, and subscapularis tendon should be removed at the lesser tuberosity of the humerus. This approach has the problem of breaking the shoulder deltoid instead of incising the rotator cuff. Therefore, we report a detailed procedure of reverse ball shoulder replacement using approach without incision of the pectoralis major muscle and subscapularis muscle.

• Journal of Korean Orthopaedic Sports Medicine
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• v.6 no.2
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• pp.115-118
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• 2007

Rupture of the pectoralis major muscle may occur in youngers or athletes associated with extreme sports, especially during the weight training. It is uncommon, but the incidence is increased by the recent growth of athletic population, According to the drift, variable methods of operative treatment for the functional and cosmetic recovery are introduced. We report a case of pectoralis major muscle rupture which was successfully repaired using transosseous repair and suture anchors five months after the initial injury during the bench-pressing.

• Journal of Animal Science and Technology
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• v.64 no.5
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• pp.950-969
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• 2022

This study aimed to determine the effect of dietary supplementation with Acremonium terricola culture (ATC) on the quality, conventional characteristics, and flavor substances of Hortobágy goose meat. A total of 720 one-day-old goslings were divided into four dietary treatments, each consisting of six cages of 30 goslings. The dietary conditions consisted of the control group and three treatment groups supplemented with 3, 5, or 7 g/kg ATC. In male geese, supplementation with 3 g/kg ATC elevated the crude ash (CA) content of the thigh muscle compared to the control group, and the CA content of the pectoralis major was significantly elevated when geese were supplemented with 5 g/kg ATC (p < 0.05). In females, compared with the control group, supplementation with 7 g/kg ATC enhanced the crude protein (CP) content of the pectoralis major. Supplementation with 7 g/kg ATC also increased the crude fat (CF) content of the pectoralis major in females as well as in both sexes; moreover, this supplementation dose increased the inosinic acid content of the thigh muscle in males and in both sexes. In contrast, supplementation with 5 g/kg ATC decreased the pH of the thigh muscle at 12 h postmortem (p < 0.01). No significant changes in meat color, water loss rate, shear force, moisture content or amino acid (AA) levels were observed after ATC supplementation (p > 0.05). Levels of saturated fatty acids (SFAs) and polyunsaturated FAs (PUFAs) in the pectoralis major and levels of SFAs, monounsaturated FAs (MUFAs), and PUFAs in the thigh muscle were not affected by the supplementation. Overall, ATC supplementation had positive effects on the pH, and CA, CP, CF, inosinic acid contents as well as on the FA composition of gosling meat. The optimal level of ATC supplementation was 7 g/kg in goslings from 1 to 70 days of age.

• Journal of Korean Physical Therapy Science
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• v.15 no.3
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• pp.31-41
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• 2008

Purpose : The purpose of this study is to examine the muscle activity of shoulder stabilization according to change of supporting base interval between push-up bend and push-up plus position and is to prevent or treat a shoulder injury by the most effective exercise for rehabilitation. Methods : This study analyzed the muscle activity according to change of supporting base interval between push-up bend and push-up plus movement. The participants without neuromuscular disease were 25 students - 12 males and 13 females - all twenty or over and the surface electrode of EMG attached on pectoralis major, triceps long head, middle trapezius, lower trapezius, serratus anterior and latissimus dorsi. The process has practiced 3 sessions of supporting base interval - narrowing interval, two shoulder interval, broad interval - by push-up bend and push-up plus movement. Result : 1. The muscle activity of pectoralis major was significantly increased according to narrow interval of supporting base on push-up plus movement and was significant difference(p<.05). 2. The muscle activity of biceps was significantly increased according to narrow interval of supporting base on push-up bend movement(p<.05). 3. The muscle activity of middle or lower trapezius was a difference according to change of supporting base on push-up bend and push-up plus movement but was not significant difference. 4. The muscle activity of serratus anterior was significantly increased according to broad interval of supporting base on push-up bend movement(p<.05). 5. The muscle activity of latissimus dorsi was significantly increased according to broad interval of supporting base on push-up bend movement(p<.05). Conclusion : These results lead us to the conclusion that push-up bend exercise have the effect of muscle strength of biceps on narrowing interval, of serratus anterior or latissimus dorsi on broad interval and push-up plus exercise have the effect of muscle strength of pectoralis major on narrowing interval of support base.

• Korean Journal of Applied Biomechanics
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• v.23 no.2
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• pp.141-148
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• 2013

The purpose of this study was to investigate the scapulothoracic joint movement between different weight bearing contributing to effective bench press exercise. Ten male subjects participated in this study. All subjects were tested on the flat bench press machine which modified weight (50% and 70% of 1RM) and subjects were performed two different conditions(none protraction condition and protraction condition). Weight bar height and vertical velocity, EMG activation was measured using 3D motion capture system and wireless EMG analysis system. As the results, none protraction condition showed that it is more concentrate better pectoralis major muscle activation than protraction condition and middle pectoralis major, anterior deltoid and triceps brachii was significant higher integrated EMG in 70% of 1RM condition. In conclusion, limited scapulothoracic joint movement was more effective activated pectoralis major muscle all the weight through, while we could not find that it was not affected integrated EMG on eight muslces related to shoulder complex between scapulothracic joint movement conditions.

• Journal of Chest Surgery
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• v.31 no.1
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• pp.89-91
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• 1998

Tuberculosis infection is wide spread disease and makes troublesome complications in some cases. A 50 - year old male visited Andong Hospital with coughing and sputum, dyspnea on exertion, bulging left anterior chest wall mass. Chest X-ray showed right pleural effusion, both side streaky infiltraion, and pleural thickness in apex. Chest CT scan showed bone destruction of left clavicle head, manubrium and large abscess pocket in pectoralis muscle. In May 1996 he underwent en bloc resection of left upper anterior chest wall including pectoralis major and minor muscle, left clavicle head, manubrium and covering infected skin, then contralateral pectoralis major muscle flap and skin graft was done. Patient shows no evidence of recurrence during follow up.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.65 no.4
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• pp.678-683
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• 2016

The study aim was to investigate a comparison of muscle activity fatigue between maximal and submaximal strength gains during the bench press in men. It was hypothesized that maximal voluntary contraction (%MVC) would similar gains between maximal and submaximal strength gains during the bench press, but median frequency (MDF) would increase in maximal compared with submaximal exercise. Employing a randomized, counterbalanced crossover design, 12 men were asked to perform maximal repetitions and submaximal repetitions (concentric: 1-s, eccentric: 1-s, 2-s/repetition) to failure with a load of 85% of 1RM for the bench press, with a 3-minute recovery between the sets. Each subject was tested for the number of repetitions and sets, total work in bench press. Surface electromyography (EMG) was recorded from the pectoralis major, deltoid anterior, and triceps brachii for %MVC and MDF. Total work was significantly higher in the submaximal repetition exercise than that the maximal repetition exercise (p<.05). Muscle fatigue of pectoralis major, deltoid anterior and triceps brachii were significantly smaller in the submaximnal repetition exercise than that the maximal repetition exercise (p<.05, respectively). However, muscle activity of pectoralis major, deltoid anterior, and triceps brachii were not significantly different between exercises. Our study showed that a smaller muscle fatigue in submaximal repetitions, despite higher in total work and a similar in muscle activity were observed. These results suggest that submaximal repetitions during the bench press would be enhanced intensity and/or volume compared with maximal repetitions exercise.