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Pectoralis major tendon ruptures: when to operate.
J F Quinlan1, M Molloy, B J Hurson
1Department of Orthopaedic Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. jfquinlan@hotmail.com
British Journal of Sports Medicine
|June 11, 2002
Summary
Surgical repair of pectoralis major tendon ruptures, though debated, offers advantages. Operative management in two athletes with delayed treatment led to successful return to sports after rehabilitation.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Musculoskeletal injuries
Background:
- Pectoralis major tendon ruptures are uncommon injuries often resulting from forced abduction and external rotation.
- The optimal treatment strategy for these ruptures remains a subject of ongoing discussion in the medical community.
Observation:
- This report details two cases of pectoralis major tendon ruptures in athletes: an amateur rugby union player and a recreational snowboarder.
- Diagnosis in both cases was established through clinical examination.
- Surgical intervention was performed more than two weeks after the initial injury in both patients.
Findings:
- Both patients underwent surgical repair followed by a structured, progressive rehabilitation program.
- Following treatment, both athletes successfully resumed their respective sporting activities without significant limitations.
Implications:
- These case studies suggest that operative management can be advantageous for pectoralis major tendon ruptures, even with delayed presentation.
- Successful outcomes highlight the potential for athletes to return to high-level sport after surgical intervention and rehabilitation for this injury.