Surgical Treatment of Pectoralis Major Muscle Ruptures: A Systematic Review and Meta-analysis

Orthopaedic Journal of Sports Medicine
Marco Gupton, Jordan E Johnson

Abstract

Pectoralis major muscle (PMM) tendon ruptures are becoming more common. Multiple techniques for fixation of the avulsed tendon to its humeral insertion have been described. None of these techniques has been reviewed to compare outcomes in efforts to establish a first-line surgical technique. To systematically review and analyze the data available in the literature to establish a clinically superior surgical technique and time frame in which surgery should occur. Systematic review; Level of evidence, 4. A systematic literature review was conducted. Only studies reporting the surgical techniques and outcomes of PMM repair were included. Data including patient age, injury mechanism, type and extent of the rupture, time from injury to surgery, surgical technique, outcome including complications, steroid use, location and year of publication, and activity level were extracted from the included studies. Statistical and descriptive analyses were conducted on the available literature. Of 259 cases from studies that provided the timing of repair, 72.6% (n = 188) were repaired acutely, while the remaining were repaired more than 8 weeks after the injury. There was no statistical difference found in the outcomes of these repairs. There we...Continue Reading

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Jul 1, 2021·Orthopaedic Journal of Sports Medicine·K Aaron ShawStephen A Parada
Aug 21, 2021·JBJS Reviews·Kevin MagoneMandeep Virk
Jan 14, 2022·The Journal of the American Academy of Orthopaedic Surgeons·Marcin Kowalczuk, Amr Elmaraghy

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