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Pectoralis Major Rupture: A Case Report.

Kristo Qylafi¹, Yousif Alkhalfan¹

¹Orthopaedics and Trauma, St Thomas' Hospital, London, GBR.

|October 27, 2022

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Pectoralis major (PM) ruptures are rare, often occurring in younger men during weightlifting. This case highlights a complete sternal head PM rupture in a 51-year-old male, successfully treated with surgical repair.

Area of Science:

Orthopedic Surgery
Sports Medicine
Traumatology

Background:

Pectoralis major (PM) ruptures are uncommon, typically affecting men aged 20-40.
Weightlifting and bench pressing are the most frequent causes of PM tears.
Early surgical intervention is often recommended for optimal outcomes.

Observation:

A 51-year-old male presented with acute right chest pain post-bench pressing 180kg.
Physical exam showed signs of PM rupture: ecchymosis, loss of shoulder contour, and chest bulging.
Radiographs ruled out fractures or dislocations; MRI confirmed complete sternal head PM rupture.

Findings:

Complete rupture of the sternal head of the pectoralis major tendon.
Successful surgical repair of the PM tendon was performed nine days post-injury.

Keywords:

isolated injury of pectoralis major pectoralis major injury pectoralis major rupture rupture of sternal head of pectoralis major trauma of pectoralis major

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The patient had no prior medical history relevant to the injury.

Implications:

This case underscores the importance of considering PM rupture in older individuals, even without prior history.
Timely diagnosis and surgical management are crucial for successful pectoralis major tendon repair.
Highlights the potential for significant muscle tears even in non-elite athletes during strenuous activity.