“…PM tears have been reported anywhere between the muscular origin and insertion, but by far, the most common site of rupture is either the musculotendinous junction or the site of humeral insertion. Rarely, however, do they occur in the muscle belly itself, and when they do, it is primarily due to blunt trauma, not repetitive throwing as witnessed in this case 1,6,7,10,14,19,20 . Intramuscular repair presents a unique challenge to surgeons given the lack of reliable suture constructs and increased likelihood of suture pullout, making an adequate end-to-end repair difficult 21,22 .…”