Injuries of the Pectoralis Major: Diagnosis and Management

Mitchell K Long; Taylor Ward; Michael DiVella; Tyler Enders; Charles Ruotolo

doi:10.52965/001c.36984

Injuries of the Pectoralis Major: Diagnosis and Management

Orthop Rev (Pavia). 2022 Nov 30;14(4):36984. doi: 10.52965/001c.36984. eCollection 2022.

Authors

Mitchell K Long¹, Taylor Ward², Michael DiVella¹, Tyler Enders¹, Charles Ruotolo¹

Affiliations

¹ Orthopaedic Surgery Nassau University Medical Center.
² Department of Osteopathic Medicine Nassau University Medical Center.

Abstract

Pectoralis major ruptures are uncommon injuries that have become more prevalent over the past 20 years due to increased participation in weight lifting. Patients often present with localized swelling and ecchymosis, muscular deformity, thinning of the anterior axillary fold, and weakness in adduction and internal rotation of the affected arm. History and physical is often augmented with radiology, magnetic resonance imaging of the chest being the gold standard. Nonoperative management is reserved for old patients with low functional demands. Operative intervention is the treatment of choice with improved functional outcomes, cosmesis, and patient satisfaction.

Keywords: Pectoralis major; Pectoralis major injuries; Pectoralis major reconstruction; Pectoralis major repair; Sports medicine.

Publication types

Review

Grants and funding

None of the authors have received grant support or research funding nor do they have any proprietary interest in any materials described in the article.