The Outcome Of Surgical Management Of Chronic Pectoralis Major Ruptures In Weightlifters

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Musculoskeletal Research

Background:

• Pectoralis major tendon ruptures are increasingly common, particularly among weightlifters.
• Chronic injuries often have poorer outcomes compared to acute tears.
• Optimal surgical strategies for chronic pectoralis major ruptures require further investigation.

Purpose of the Study:

• To evaluate the outcomes of surgical repair for chronic pectoralis major ruptures.
• To assess functional recovery and patient satisfaction in a cohort of weightlifters.
• To determine the efficacy of delayed surgical intervention for these injuries.

Main Methods:

• Retrospective analysis of 8 weightlifters undergoing primary pectoralis major repair by a single surgeon.
• Surgical technique involved direct repair with suture anchors; one patient required a fascia lata graft.
• Outcomes assessed via contralateral strength comparison and Oxford Shoulder Score.

Main Results:

• Mean age of patients was 36 years, with a mean delay to surgery of 25.6 months.
• At a mean follow-up of 19.6 months, 6 of 8 patients achieved full strength compared to the uninjured side.
• Mean Oxford Shoulder Score was 43.7; complications included skin tethering, stiffness, and a seroma.

Conclusions:

• Surgical repair of chronic pectoralis major ruptures can achieve excellent functional outcomes, including strength restoration.
• Delayed surgical intervention is a viable option for chronic pectoralis major tears, even in high-demand athletes.
• This study represents the largest series on chronic pectoralis major repair, supporting its effectiveness.