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Updated: Oct 24, 2025

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Traumatic Enthesophyte From a Chronic Pectoralis Major Tendon Rupture: A Case Report.

Nischal Nadig1, Jamil Jaber1, Craig Cameron1

  • 1Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, Fort Gordon, Georgia.

JBJS Case Connector
|August 16, 2021
PubMed
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Senior Military Rank Is Associated With Higher Rates of Return to Running and Unrestricted Activity Among Military Servicemembers After Surgical Repair of Patellar Tendon Rupture at 1-Year Follow-up.

Arthroscopy, sports medicine, and rehabilitation·2022

Surgical repair of a pectoralis major tendon rupture with enthesophyte removal effectively relieved chronic pain and restored function in an active duty soldier. This intervention allowed a return to preinjury activity levels after one year.

Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Musculoskeletal injuries

Background:

  • Chronic pectoralis major tendon ruptures can lead to persistent pain and functional limitations.
  • Enthesophytes, bony spurs at tendon insertions, may develop secondary to chronic tendon injuries.
  • Delayed presentation of these injuries poses challenges for surgical management and functional recovery.

Observation:

  • A 24-year-old active duty soldier presented with a year-old pectoralis major tendon rupture and a humeral enthesophyte.
  • The patient experienced ongoing pain impacting daily activities despite the chronic nature of the injury.
  • Surgical intervention was pursued due to persistent symptoms and functional deficits.

Findings:

  • Operative management involved enthesophyte excision and pectoralis major tendon repair.

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  • The surgical approach successfully alleviated the patient's symptoms.
  • Functional recovery was assessed using validated outcome measures, including Tegner, Single Assessment Numeric Evaluation, and Visual Analog Scale scores.

    • Implications:

    • Surgical intervention for chronic pectoralis major tendon ruptures with enthesophyte formation can yield positive outcomes.
    • Restoration of function to preinjury levels is achievable with appropriate operative management.
    • This case highlights the importance of addressing bony abnormalities in chronic tendon injuries for optimal patient recovery.