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British Journal of Sports Medicine 2002;36:226-228; doi:10.1136/bjsm.36.3.226
Copyright © 2002 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.
Br J Sports Med 2002;36:226-228
© 2002 British Journal of Sports Medicine

CASE REPORT

Pectoralis major tendon ruptures: when to operate

J F Quinlan1, M Molloy2 and B J Hurson1

1 Department of Orthopaedic Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland
2 Department of Accident and Emergency, St Vincent's University Hospital

Correspondence to:
Correspondence to:
Mr Quinlan, "Rockley", Avoca Avenue, Blackrock, Co Dublin, Ireland;
jfquinlan{at}hotmail.com

ABSTRACT

The treatment of pectoralis major tendon ruptures has been the subject of much debate. The classical history of the injury is forced abduction and external rotation. The cases of two patients (an amateur rugby union player and a recreational snowboarder) are reported. The diagnosis was made by clinical examination in both patients, and both were operated on more than two weeks after injury. After surgery and a graduated rehabilitation programme, both men were able to return to their sporting activities. These two cases highlight the advantage of operative management in this uncommon condition.

Keywords: pectoralis major tendon; rupture; surgery


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