Acute Pectoralis Major Rupture Repair at the Myotendinous Junction with Dermal Allograft Augmentation: A Surgical Technique and Review of the Current Literature

Case Report

Volume 5, Issue 1

Acute Pectoralis Major Rupture Repair at the Myotendinous Junction with Dermal Allograft Augmentation: A Surgical Technique and Review of the Current Literature

Danny Lynch^1*, Arya Afzali², Jason Liu³, Harrison Seltzer¹ and Zakariah Mahmood¹

¹University of Central Florida/HCA Ocala GME Consortium, Department of Orthopaedic Surgery, USA
²University of Central Florida/HCA Ocala GME Consortium, USA
³University of Central Florida College of Medicine, USA

^*Corresponding author: Daniel Lynch, University of Central Florida/HCA Ocala GME Consortium, Department of Orthopaedic Surgery, USA.
E-mail: lynch7623@gmail.com

Received: December 27, 2025; Accepted: January 14, 2026; Published: February 05, 2026

Citation: Lynch D, Afzali A, Liu J, et al. Acute Pectoralis Major Rupture Repair at the Myotendinous Junction with Dermal Allograft Augmentation: A Surgical Technique and Review of the Current Literature. Case Rep Orthop Surg J. 2026; 5(1): 158.

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Acute Pectoralis Major Rupture Repair at the Myotendinous Junction with Dermal Allograft Augmentation: A Surgical Technique and Review of the Current Literature

Abstract

The pectoralis major (PM) tendon plays a critical role in upper body strength and shoulder function, particularly in physically active individuals. Unlike chronic tears, which usually require more technical demand, acute tears of the PM can be primarily repaired in the right tear pattern identified in a timely manner. We describe a surgical technique for primary repair with dermal allograft augmentation of a PM tear at the myotendinous junction (MTJ) in a young law enforcement officer and review the available relevant literature. We aim to contribute to the growing body of evidence supporting the utility of dermal allograft augmentation in acute PM tear repair.

Keywords: Pectoralis tear; Myotendinous junction; Surgical technique; Dermal allograft; Upper extremity

Article Details

Acute Pectoralis Major Rupture Repair at the Myotendinous Junction with Dermal Allograft Augmentation: A Surgical Technique and Review of the Current Literature