2023 Annual Meeting Knee Access Pass-Pectoralis Major Tendon Injuries: Repair, Reconstruction and Return to Function

Pectoralis Major Tendon Injuries: Repair, Reconstruction and Return to Function

Video Transcription

Video Summary

Dr. Mike Donohue discusses pectoralis major tendon injuries, focusing on incidence, classification, diagnosis, surgical repair, reconstruction, and outcomes. His military study found the highest injury rates in 25-34-year-olds, especially in the Army. He highlights differences in injury types between weight training (sternocostal head injuries at muscle-tendon junction) and collision sports (complete tendon tears). MRI guides repair approach—tendon vs. muscle-tendon injury—with surgical techniques using suture tapes, wires, buttons, or grafts for reconstruction. Various fixation methods show similar mechanical strengths. Outcomes indicate high return-to-play rates but some strength loss post-surgery. Reconstruction results are less studied, with moderate return rates and strength reduction.

Asset Caption

Michael A. Donohue, M.D.

Keywords

pectoralis major tendon injuries

incidence and classification

surgical repair techniques

military study injury rates

post-surgery outcomes