Abstract

Reconstruction of Subacute Pectoralis Major Tendon Rupture from CrossFit Injury: Case Report and Literature Review

Highlights

  • Pectoralis major tendon ruptures are uncommon injuries that are most commonly seen in active males between 20-40 years of age

  • In this clinical case we present a patient who ruptured his pectoralis major tendon while performing a CrossFit workout as a coach

  • He reported that the initial injury occurred six weeks prior to presentation while performing a “muscle-up” during a CrossFit workout, a compound lift which is a combination of a pull-up and a dip

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Summary

Conclusion

Subacute pectoralis major tendon ruptures are difficult problems for the athlete and surgeon alike These are often recognized earlier and classically involves the bodybuilder who experiences immediate and intense pain in the arm, ROM difficulties and the classic chest wall bruising pattern. Subacute repair was performed using suture anchors to reattach the tendon remnant, augmented with an Achilles allograft for length and strength, along the original footprint of the tendon inserting into the proximal humerus. This case report was written, and all images obtained with the knowledge and informed consent of the patient

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