title: Injuries to the pectoralis major muscle: diagnosis and management.
abstract: Injuries to the pectoralis major muscle are relatively infrequent but result in pain, weakness, and deformity of the upper extremity. The usual injury mechanism is during eccentric shortening of the pectoralis major under heavy load, such as when performing a bench press exercise. The ability to detect and treat a pectoralis major rupture is important for both the clinician and the patient and is aided with knowledge of the anatomy, the clinical findings, and results of nonoperative and operative care. It is important to understand the physical demands and desires of the patient as well as to understand the outcomes of both nonoperative and operative care to make an informed decision regarding optimal treatment. This article highlights the importance of the clinical examination in identifying the injury, examines various surgical techniques to repair the rupture, and reports on potential complication and reinjury rates.
authors.affiliation: Department of Orthopaedic Surgery, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134, USA. matthew.provencher@med.navy.mil
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Provencher
authors.forename: Kent
authors.initials: K
authors.lastname: Handfield
authors.forename: Nicole T
authors.initials: NT
authors.lastname: Boniquit
authors.forename: Stefanie N
authors.initials: SN
authors.lastname: Reiff
authors.forename: Jon K
authors.initials: JK
authors.lastname: Sekiya
authors.forename: Anthony A
authors.initials: AA
authors.lastname: Romeo
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D010369:Pectoralis Muscles / Q000033:anatomy & histology / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries* / Q000502:physiology; D010808:Physical Examination; D011859:Radiography; D014463:Ultrasonography; D014947:Wounds and Injuries / Q000601:surgery*