Chest wall deformities and their correction in bodybuilders.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Plastic Surgery

Background:

• Torn pectoralis major muscles require prompt orthopedic treatment to prevent deformities.
• Neglected injuries result in visible pectoralis muscle asymmetry, particularly during contraction.
• Bodybuilders may exacerbate asymmetry through intentional muscle tensing.

Observation:

• Late surgical repair of torn pectoralis major muscles is often not feasible.
• Cosmetic correction involves removing detached muscle or using custom implants to conceal exposed ribs.
• Similar implants are utilized in pectus excavatum repair.

Findings:

• Customized implants can address pectoralis muscle deformities and asymmetry.
• Surgical techniques should aim for pectoralis muscle enhancement with minimal scarring.
• Anabolic steroid use in male bodybuilders is a critical consideration for surgeons and anesthesiologists.

Implications:

• Effective management of neglected pectoralis injuries requires tailored surgical approaches.
• Custom implants offer a viable solution for restoring aesthetics after pectoralis tears.
• Awareness of potential substance use is crucial for patient safety and surgical planning.