Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal

rgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal Review (4075) Total Article Views Authors: J rn Kircher, Christoph Ziskoven, Thilo Patzer, et al Published Date October 2010 Volume 2010:1 Pages 201 - 205 DOI: http://dx.doi.org/10.2147/OAJSM.S9066 J rn Kircher, Christoph Ziskoven, Thilo Patzer, Daniela Zaps, Bernd Bittersohl, Rüdiger Krauspe University Hospital, Orthopaedic Department, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany Abstract: The complete rupture of the pectoralis major tendon is an uncommon injury but has become increasingly common among athletes in recent years. This may be due to a higher number of individuals taking part in high-impact sports and weightlifting as well as the use of anabolic substances, which can make muscles and tendons vulnerable to injury. In recent literature, there are only few recommendations to rely on conservative treatment alone, but there are a number of reports and case series recommending early surgical intervention. Comparing the results of the two treatment regimens, there is clear evidence for a superior outcome after surgical repair with better cosmesis, better functional results, regaining of muscle power, and return to sports compared with the conservative treatment. In summary, anatomic surgical repair is the treatment of choice for complete acute ruptures of the pectoralis major tendon or muscle in athletes.