Surgical repair of chronic pectoralis major rupture with peroneus long autograft: A case report

Abstract

Background and Aim: Pectoralis Major (PM) ruptures are relatively rare injuries occurring mostly in men, 20 to 40 years of age. Weightlifting or bench pressing is the most common mechanism of injury. Although an uncommon injury, a high degree of clinical suspicion should be maintained since early surgical treatment has been shown to be beneficial.Discussion and Conclusion: We present a case of a 35-year-old male with no known past medical history, who had sudden onset left chest and shoulder pain after bench pressing 2 months back. Pain aggravated on movement and relieved on rest. He was admitted to NSSH for further management. In our case, we provide practical evidence that the rupture of the tendinous insertion of the pectoralis major can be surgically reconnected by inserting anchors/buttons into the Humerus and duplicating the suturing layers in three directions in the muscular belly crossing the rupture's lips. Graft reconstruction (autograft or allograft) is a viable option in chronically torn pectoralis major tendons.