Ruptured pectoralis major tendon. A case report on delayed repair with muscle advancement

A total rupture at the humeral insertion of the pectoralis major tendon was repaired 3 months after the injury by sutures through 3 pairs of drill holes in the crest of the greater tubercle. To unload the sutures and to facilitate early mobilization, the muscle was advanced by fascial detachment in the medial-inferior origin of the muscle. Full mobility was achieved in 1 month and full activity was allowed 1 month later.