Document Type
Article
Publication Date
8-11-2023
Publication Title
Clinics in Shoulder and Elbow
Keywords
Pectoralis muscles; Rupture; Myotendinous junction; Shoulder
ISSN
2288-8721
Volume
26
Issue/No.
3
First Page
330
Last Page
339
Abstract
Rupture of the pectoralis major muscle typically occurs in the young, active male. Acute management of these injuries is recommended; however, what if the patient presents with a chronic tear of the pectoralis major? Physical exams and magnetic resonance imaging can help identify the injury and guide the physician with a plan for management. Nonoperative management is feasible, but is recommended for elderly, low-demand patients whose functional goals are minimal. Repair of chronic tears should be reserved for younger, healthier patients with high functional demands. Although operative management provides better functional outcomes, operative treatment of chronic pectoralis tears can be challenging. Tendon retraction, poor tendinous substance and quality of tissue, muscle atrophy, scar formation, and altered anatomy make direct repairs complicated, often necessitating auto- or allograft use. We review the various graft options and fixation methods that can be used when treating patients with chronic pectoralis major tears.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
NSUWorks Citation
Giordano, Joshua R; Klein, Brandon; Hershfeld, Benjamin; Gruber, Joshua; Trasolini, Robert; and Cohn, Randy M, "A review of chronic pectoralis major tears: what options are available?" (2023). HPD Articles. 279.
https://nsuworks.nova.edu/hpd_facarticles/279
ORCID ID
0000-0003-3917-7658, 0000-0001-9876-1497
DOI
doi.org/10.5397/cise.2023.00129
Copyright
Copyright© 2023 Korean Shoulder and Elbow Society.
