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Pectoralis Major Tendon Reconstruction: A Systematic Review
Phillip R Schneider1, Michael D Eckhoff1, Logan R Koehler1
1Department of Orthopedics, William Beaumont Army Medical Center, El Paso, Texas.
Journal of Surgical Orthopaedic Advances
|July 12, 2022
Summary
Pectoralis major tendon reconstruction effectively restores function for retracted tears. This surgical technique offers good to excellent outcomes, with a high rate of return to sports activity.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Research
Background:
- Pectoralis major tendon injuries are uncommon but can require complex reconstruction if retracted.
- Primary repair is suitable for acute tears, while chronic or retracted tears necessitate tendon reconstruction.
Purpose of the Study:
- To systematically review patient characteristics, surgical techniques, and outcomes of pectoralis major tendon reconstruction.
- To evaluate the efficacy of pectoralis major reconstruction for tears not amenable to primary repair.
Main Methods:
- Systematic review of peer-reviewed studies published between 1990 and 2019.
- Inclusion criteria required a minimum 1-year follow-up.
- Primary outcomes included return to activity, range of motion, complications, and functional scores.
Main Results:
- Fourteen studies with 88 male patients (average age 34.6 years) were included.
- Hamstring autograft was the most common graft (35 cases).
- Good to excellent functional outcomes were reported in the majority of patients, with 94.2% returning to sport.
Conclusions:
- Pectoralis major tendon reconstruction is a viable surgical option for retracted tears.
- The procedure demonstrates high success rates for restoring function and enabling return to sport.
- Further research may explore optimal graft choices and long-term outcomes.