Surgical repair of a rare sternal origin pectoralis major rupture using a novel mesh-anchor-suture technique: a case report.

Hafez Saade, Antoine Saber, Firas Al Hassan, Jihad Boutrous, Joe Abi Akl

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Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Hafez SaadeDepartment of Orthopedics and Traumatology, Faculty of Medicine, University of Balamand, Dekwaneh Campus, Rond Point Saloumeh, Dekwaneh, PO Box 55251, Sin El Fil, Lebanon.

Antoine SaberDepartment of Orthopedics and Traumatology, Faculty of Medicine, University of Balamand, Dekwaneh Campus, Rond Point Saloumeh, Dekwaneh, PO Box 55251, Sin El Fil, Lebanon.

Firas Al HassanDepartment of Orthopedics and Traumatology, Faculty of Medicine, University of Balamand, Dekwaneh Campus, Rond Point Saloumeh, Dekwaneh, PO Box 55251, Sin El Fil, Lebanon.

Jihad BoutrousDepartment of Surgery, Faculty of Medicine, Lebanese University, Rafic Hariri University Campus, Hadath, Baabda District, PO Box 6573/14, Beirut, Lebanon.

Joe Abi AklDepartment of Orthopedics and Traumatology, Faculty of Medicine, University of Balamand, Dekwaneh Campus, Rond Point Saloumeh, Dekwaneh, PO Box 55251, Sin El Fil, Lebanon.

Funding

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6 · The paper itself

Abstract

In this case report, we present a 33-year-old male patient with a rare, chronic, isolated rupture of the sternal head of the pectoralis major (PM) at its sternal origin following a combat sport injury. Managing this case proved challenging due to the chronicity of the injury, which caused significant retraction and suboptimal tissue quality, and the scarcity of available literature regarding such cases. We employed a novel surgical technique using a polypropylene mesh-anchor-suture construct to reinsert the muscle to its sternal origin. Recovery was uneventful, with restoration of near full range of motion and strength by 6 months post-surgery. Our approach to this case demonstrates the feasibility of surgical repair of rare PM ruptures of sternal origin, even with delayed presentation, using modified surgical techniques.

Indexed as

chronic tear with retractionisolated sternal head rupturepectoralis major rupturerepair of pectoralis majorsternal origin

Identifiers

PMID41503130

DOI10.1093/jscr/rjaf1047

PMCPMC12774509

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