Fig. (3).

Illustrations of the surgical steps in the Tension-slide technique for the pectoralis tendon repair using EndoButtons. (A) Passing the two guide wires through the pectoralis major tendon (clavicular and sternal head) insertion foot print keeping sufficient amount of bone bridge (3cm) between each button placement site. (B) Reaming the anterior cortex and the intramedullary canal over the guide wires using a cannulated drill. (C) Drilling the posterior cortex over the guide wires using an EndoButton drill. (D) and (E) Final position of the two heads of the pectoralis muscle- tendon in the bony tunnel after dislodging the endobutton through the posterior cortex by the tension slide technique.