St Vincent's University Hospital The treatment of pectoralis major tendon ruptures has been the subject of much debate. The classical history of the injury is forced abduction and external rotation.

Conclusions—Surgical repair results in greater recovery of peak torque and work performed than conservative management of patients with rupture of the pectoralis major.

In 1925, Sever [4] described osteotomy of the coracoid and tenotomy of the pectoralis major tendon in addition to the subscapularis. The joint capsule was left undisturbed. Both procedures ...