Pectoralis major rupture in strength athletes: Footprint technique and results.

Authors: N Shah, R Badge, S Talwalker, L Funk

References: Techniques in Shoulder & Elbow Surgery. 11(1):4-7, March 2010.

Over a two year period, ten male strength athletes underwent repair of the pectoralis major tendon using a double row surgical technique employing three bone anchors to produce a foot print repair of the pectoralis major tendon.

The mean patient age was 33.9 years (23-46 years) and the average follow up was 20.3 months (12-39). The mean time between surgery and the original injury was 11.6 weeks (1- 48 weeks). Outcome measures included patient satisfaction, bench press strength, pain and cosmesis.

Eight patients had pain prior to surgery and all patients were unsatisfied with the appearance of their chest. The average loss of bench press strength was 75% preoperatively.

At the final follow up, none of the patients complained of any pain while pushing objects away from their body; nine patients had no pain on moving their arm across the chest whilst one patient reported mild pain. Nine were satisfied with the appearance. The average improvement in bench press strength was 90%. One patient developed a deep infection requiring a further washout and antibiotics. No re-rupture was seen amongst any of our patients.

In conclusion, satisfactory results can be achieved with in strength athletes with a footprint repair technique of the pectoralis major.

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