Volume 28, Issue 154, December 2024

Promising outcome of pectoralis major muscle reconstruction surgery a few months after injury - a review

Dominik Chrzanowski¹, Cezary Bochyński^1♦, Klaudia Włodarczyk², Dominika Kropidłowska³, Patryk Góralski⁴, Patrycja Pysz⁵, Kinga Świtała⁵

¹Medical University of Warsaw, ul. Żwirki i Wigury 61, 02-091 Warszawa, Poland
²University Hospital in Kraków, ul. Jakubowskiego 2, 30-688 Kraków, Poland
³Poznan University of Medical Sciences, ul. Fredry 10, 61-701 Poznań, Poland
⁴University Clinical Center in Gdańsk, Dębinki 7, 80-952 Gdańsk, Poland
⁵Military Hospital with Polyclinic, ul. Wrocławska 1-3 30-901 Kraków, Poland

^♦Corresponding Author
Medical University of Warsaw, ul. Żwirki i Wigury 61, 02-091 Warszawa, Poland

ABSTRACT

Introduction: Reports of pectoralis major muscle (PM) ruptures are becoming more common, and they mainly affect young, active male patients. The most prevalent cause of the injury is an eccentric contracture of the muscle, which happens during weight training when doing the bench press maneuver. The aim: The purpose of this article is to present pectoralis major injury as a curable disease even when the time frame for direct repair has been missed or reattachment of the tendon to the bone is not possible. Case report: The described case is a 26-year-old patient who arrived at the emergency room with severe pain in his left shoulder after an injury while bench pressing a barbell at the gym. Upon physical examination, the patient reports pain in the shoulder girdle when raising his left arm. Results: All young patients with PM tears should have access to surgical therapy, regardless of activity level. At the same time, conservative management should be reserved for senior patients with low activity levels and those who are medically unfit. Conclusions: PM ruptures are rare injuries that frequently affect young men in their 20s to 40s. Following a complex exercise, patients typically come with shoulder pain and weakness, and an MRI can be used to diagnose.

Keywords: Pectoralis major muscle, pectoralis major injury, trauma of pectoralis major

Medical Science, 2024, 28, e158ms3498

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DOI: https://doi.org/10.54905/disssi.v28i154.e158ms3498

Published: 30 December 2024