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Pectoralis Major Tendon Injuries

A tear of the large chest muscle where its tendon attaches to the arm, often occurring during heavy lifting such as a bench press.

About this condition

The pectoralis major is the large muscle of the chest that helps move the arm across the body. Its tendon can partially or completely tear where it anchors to the upper arm bone, most often during a forceful lift like a bench press. A full tear may cause a sudden pop, bruising, and a change in chest shape.

Dr. Sonntag bases treatment on the size of the tear and the patient's strength demands. Partial tears and injuries in less active patients often do well with rest and rehabilitation. For complete tears in active individuals, he discusses surgical repair, which works best when performed relatively soon after the injury.

Common symptoms

  • A sudden pop during heavy lifting
  • Pain and swelling in the chest
  • Bruising along the chest and arm
  • Weakness pushing or pressing
  • A visible change in chest contour
  • A dent or gap near the armpit

Common causes

  • Heavy resistance lifting, especially bench press
  • A sudden forceful load on the arm
  • Contact sports and collisions
  • Falls onto an outstretched arm
  • Prior tendon weakness or strain
Treatment Options

How Dr. Sonntag treats this

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Care with Dr. Jeffrey R. Sonntag

Dr. Jeffrey R. Sonntag, DO is a board-certified orthopedic surgeon with fellowship training in shoulder and elbow surgery, practicing at OSMC in Granger, IN, Elkhart, IN, Middlebury, IN.

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Request a consultation and Dr. Sonntag's team will be in touch, typically within one business day. Most major insurance accepted.