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Surgical Treatment of a Tear of the Pectoralis Major Muscle at Its Sternal OriginA Case Report
Michael K. Shindle, MD1; Abtin H. Khosravi, MS2; Brett M. Cascio, MD2; E. Gene Deune, MD2; Edward G. McFarland, MD2
1 Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021
2 c/o Elaine P. Henze, BJ, ELS, Medical Editor, Department of Orthopaedic Surgery, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, A672, Baltimore, MD 21224-2780. E-mail address for E.P. Henze: ehenze1@jhmi.edu
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at the Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, and the Division of Sports Medicine and Shoulder Surgery and the Division of Plastic and Reconstructive Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Sep 01;89(9):2040-2043. doi: 10.2106/JBJS.F.00934
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Pectoralis major tendon ruptures are relatively rare lesions that often are caused by injuries sustained in sports, weight-lifting, or the workplace1-21. Ruptures of the pectoralis major occur primarily at the tendon attachment to the humerus or at the musculotendinous junction just proximal to the insertion15,22-25. For active individuals or those who require optimum strength of the shoulder, operative repair of the pectoralis tendon tear is the recommended treatment.Tears of the proximal origin of the pectoralis muscle are rare, and we are aware of only one case reported in the English literature25. That patient was managed nonoperatively and had mild cosmetic deformity of the chest, and no functional loss was noted in the use of the upper extremity at one year after the injury25. We present the case of a patient with a tear of the pectoralis major muscle from its sternal origin, which remained symptomatic with nonoperative treatment, and we describe an operative repair that led to the successful recovery of the patient. Our patient was informed that data from the case would be submitted for publication.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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