Pec Tendon Repair
What Is Pec Tendon Repair?
Pec tendon repair is the surgical treatment for a torn pectoralis major (pec) tendon, in which the tendon is reattached to its normal attachment site on the humerus. Because a fully torn pec tendon does not reliably heal back to the bone on its own, surgery is generally needed to restore the muscle’s connection and the strength it provides pulling the arm across the body.
When Are Pec Tendon Repairs Needed?
Repair is generally recommended for:
- Complete tears, particularly in athletes, weightlifters, or physically active patients wanting to restore full strength and chest contour
- Patients bothered by the visible deformity that results when the muscle retracts without repair
- Tears identified and treated within the first few weeks, since the tendon becomes progressively harder to fully restore to its original length the longer surgery is delayed
Nonsurgical treatment may be reasonable for lower-demand patients willing to accept some permanent weakness and a change in chest contour.
How Are Torn Pec Tendons Repaired?
Through an incision at the front of the shoulder and chest, the retracted tendon is identified and freed from surrounding scar tissue. The tendon is then reattached to its normal footprint on the humerus using suture anchors or a similar strong fixation technique, restoring both the tendon’s length and its connection to the bone. In cases where surgery has been delayed and the tendon has significantly retracted and scarred, a tendon graft may be needed to help bridge the gap.
Coast your way to recovery
Dr. Palsis utilizes innovative treatment techniques to get you back in motion and back to the life you love.
Recovery After Pec Tendon Repair
- A sling is typically worn for a few weeks to protect the new tendon attachment
- Early restrictions usually limit heavy lifting and resisted elbow bending, since these motions place direct stress on the healing tenodesis
- Physical therapy progresses gradually over the following weeks to months
- Return to full activity, including heavier lifting, generally takes around 3 to 4 months, allowing the tendon time to firmly heal into its new position
Get back to what moves you
Dr. Palsis specializes in the treatment of knee, shoulder, and sports injuries.