Pectoralis Major Tendon Repair
Anatomical surgical repair of chest tendon avulsions to restore upper body athletic power, bench press strength, and pectoral symmetry.
Understanding the Procedure
Pectoralis major tendon ruptures are traumatic injuries occurring almost exclusively during eccentric muscle contraction—most commonly during heavy barbell bench pressing or collision athletics (hockey, football, rugby).
Patients experience a sudden sharp 'pop' or tearing sensation in the chest, followed by localized ecchymosis, loss of the anterior axillary fold contour, and profound weakness in adduction and internal rotation. Surgical reattachment utilizing unicortical cortical buttons or heavy suture anchors directly to the humeral footprint restores full athletic capability.
Download Rehabilitation Protocol
Official post-operative physical therapy guidelines, range of motion envelopes, and milestone criteria:
Download Pectoralis Major Repair Protocol (PDF) ↓Phased Rehabilitation Milestones
Strict Anchor Protection
Sling worn 24/7 in internal rotation. No shoulder extension or horizontal abduction. Strict passive elevation limited to 90°.
Gradual Range of Motion Restoration
Wean sling. Progress passive elevation to 140° and gentle external rotation to 30°. Initiate light periscapular activation.
Tendon Conditioning & Light Resistance
Gentle isometric pectoral activation. Theraband rows and lat pull-downs. Wall pushups at week 16.
Heavy Resistance & Sports Clearance
Dumbbell press progression, sports-specific plyometrics, and return to collision sports.
Frequently Asked Questions
Pectoralis major repair (reattaching the torn chest muscle to the upper arm bone) is performed as an outpatient surgery.
A sling is required for 4 to 6 weeks to protect the tendon from tension while it heals to the bone.
Passive motion starts early to prevent stiffness. Active strengthening of the chest muscles is strictly avoided until 8 to 12 weeks.
Driving can resume at 4 to 6 weeks when the sling is removed. Desk work is possible in 1 to 2 weeks.
Most athletes return to bench press training around 6 months post-operatively, starting with light weights and gradually advancing.
Yes. Established ruptures can be successfully reconstructed using direct mobilization or allograft tendon augmentation (donor tissue) to bridge the gap.
Expert Surgical Care for Your Shoulder
Take the next step toward restoring mobility and eliminating shoulder pain. Schedule a comprehensive evaluation with Dr. Veillette to discuss advanced arthroscopic and reconstructive treatment options.