Mustafa Alrawi

We need to ask yourself what we think about how AI should be used

There has been a change in terms of what audiences believe should be the most important news covered by traditional media outlets – and emotion has a lot to do with it

The technology isn't ground-breaking and concerns about privacy are valid but overblown

The new generation of teenagers emerging at the pinnacle of the sport will be even more in tune with the changing social landscape

At the heart of the US aerospace company's recovery is reinstating the prominence of its employees ahead of shareholders

Although considered a relatively uncommon sports injury, publications on pectoralis major (PM) injuries have increased in the last couple of decades. Knowledge of the complex anatomy of the PM muscle is important in diagnosing, understanding the complexity of the injury, and determining the suitable modality of management of these injuries. Despite the increase in publications, there is no consensus on the superiority of any proposed surgical management.We present a case of a recreational body builder who presented to our clinics with a rare pattern of isolated musculotendinous junction of the lower fibers of the PM muscle and proposed a new technique of surgical management of such injuries using knotless suture anchors and running locked suture pattern in different directions. We then conducted a comprehensive review of literature of these injuries and presented a review on the pathophysiology, the various patterns of these injuries, and the available described modalities of surgical management.Understanding the complex anatomy of the PM, the various pattens of injury, and the aid of an MRI read by an expert musculoskeletal radiologist is crucial before managing these injuries. We believe that acute surgical repair of musculotendinous junction injuries using running Krackow/Brunnell locked configuration and the use of knotless suture and anchors will provide adequate and practicable surgical repair of these injuries.

Show more Mustafa Alrawi is group director of editorial partnerships at International Media Investments and a columnist for The National

This case report presents an unusual manifestation of Ewing's Sarcoma (EwS) in the distal clavicle of a 32-year-old male. The patient's journey began with an initial misdiagnosis of a shoulder mass as a benign condition, but advanced imaging techniques later uncovered the malignant nature of the lesion. Emphasizing the complexities of managing EwS in atypical locations and in adult patients, this report details the implementation of a neo-adjuvant chemotherapy regimen. The chemotherapy aimed to reduce tumor size and mitigate the spread, preparing for a more effective surgical resection. The subsequent surgical strategy involved a meticulous resection of the distal clavicle, focusing on achieving clear margins while preserving the functional integrity of the shoulder, crucial for the patient's profession. The postoperative phase was marked by a comprehensive rehabilitation program, crucial for recovery and return to occupational activities. This case underscores the importance of early and accurate diagnosis, the effectiveness of a preoperative chemotherapy strategy, and the need for a multidisciplinary approach, including oncological treatment, surgical precision, and rehabilitative care.

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