[Acute traumatic pectoralis major tendon ruptures. Case series with a new approach]

Described for the first time in 1822, being the treatment in acute the method of choice since the chronic injuries results in more complex procedures by the presence of fibrosis and muscular retraction.

Report of 19 cases with injury after physical activity, averaging age 30 years and range 20-48 years. Average follow-up of 41 months, carrying out functional evaluations pre and post-operatively of CONSTANT, UCLA, SST and ASES, immobilization in internal rotation for five weeks.

They showed improvement in the scales SST, CONSTANT, UCLA and ASES, being made with the U of Mann-Whitney for related samples, stablishing the value of p in 0.05 in all tests. CONSTANT preoperative values range from 32 to 93, UCLA ranges from 10 to 34, aces from 11.6 to 80 and SST from 0 to 9; CONSTANT postoperative values ranging from 73 to 96, UCLA with a range of 15 to 35, ASES with a range of 55 to 100 and SST ranging from 6 to 12.

The use of this technique presented functional results, we consider has low level of difficulty, low risk of neurovascular injury, cosmetic and present functional recovery.