Title: Pectoralis Major Rupture<br/>Author: Brian Corwell<br/><a href='http://umem.org/profiles/faculty/294/'>[Click to email author]</a><hr/><p>
<span style="font-size:14px;"><strong>Pectoralis Major Rupture</strong></span></p>
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Most commonly seen in male weightlifters</p>
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Usually occurs as a tendon avulsion</p>
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Incidence is increasing</p>
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<strong>Hx</strong>: Sudden, sharp, tearing sensation with pain and weakness with arm movement</p>
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<strong>PE</strong>: Palpable defect and deformity of anterior axillary fold. Bruising and swelling.</p>
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Deformity may not be obvious with arm by side and relaxed</p>
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Testing: Weakness with ADDuction and internal rotation</p>
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<a href="https://lh3.googleusercontent.com/wQcuu_sG76t_DLWocO_c2344IT69g_vWXY0FKtqhR4L37qrrsIuW607LZkVFT8QTLAdaTeU=s170">https://lh3.googleusercontent.com/wQcuu_sG76t_DLWocO_c2344IT69g_vWXY0FKtqhR4L37qrrsIuW607LZkVFT8QTLAdaTeU=s170</a></p>
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<strong>Treatment:</strong> Operative treatment has better outcomes but depends on patient subgroups</p>
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Nonoperative treatment generally indicated for partial ruptures and tears in the body of the pec and muscle tendon junction</p>
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Sling, ice and pain control.</p>
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Operative treatment generally for high demand patients (athletes) and bony avulsion injuries</p>
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