AANA/SOMOS Enduring Shoulder Program 2024-When the Pectoralis Major Fails

Video Transcription

Video Summary

Dr. Daniel Song presented on pectoralis major (pec major) ruptures, focusing on anatomy, diagnosis, treatment, and revision surgery. Pec major ruptures, increasingly common in active males aged 20-40 during eccentric contractions like bench pressing, often involve complete or partial tendon tears. Diagnosis involves history, physical exam, and imaging, with MRI as the gold standard. Operative repair is preferred for active individuals, with various surgical techniques available. Failed repairs require thorough evaluation, considering soft tissue quality and fixation methods. Revision may involve grafts like hamstring or Achilles allografts. Infection must be ruled out. Outcomes are generally good with appropriate management.

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Dr. Song

Keywords

pectoralis major rupture

diagnosis

operative repair

revision surgery

MRI imaging