{"id":6488,"date":"2026-02-01T19:24:13","date_gmt":"2026-02-01T17:24:13","guid":{"rendered":"https:\/\/drgpanagopoulos.com\/?page_id=6488"},"modified":"2026-03-09T13:30:10","modified_gmt":"2026-03-09T11:30:10","slug":"rixi-meizonos-thorakikou-myos","status":"publish","type":"page","link":"https:\/\/drgpanagopoulos.com\/en\/rixi-meizonos-thorakikou-myos\/","title":{"rendered":"Pectoralis major rupture"},"content":{"rendered":"<p class=\"wp-block-site-tagline\">Georgios Panagopoulos MD | Orthopaedic Surgeon<\/p>\n\n\n<p><\/p>\n\n\n\n<p style=\"font-size:28px;line-height:1.7\"><strong>Pectoralis major rupture<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1000\" height=\"667\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_2290695103.jpg\" alt=\"\u03a1\u03ae\u03be\u03b7 \u039c\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u0398\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd \u039c\u03c5\u03cc\u03c2 bench press injury\" class=\"wp-image-6489\" style=\"width:1200px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_2290695103.jpg 1000w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_2290695103-768x512.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_2290695103-18x12.jpg 18w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"translation-block\">A <strong>pectoralis major tear<\/strong> is an injury in which the muscle or its tendon is partially or completely detached from its insertion on the humerus.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"border-width:1px;border-top-left-radius:10px;border-top-right-radius:10px;border-bottom-left-radius:10px;border-bottom-right-radius:10px;padding-top:var(--wp--preset--spacing--60);padding-right:var(--wp--preset--spacing--60);padding-bottom:var(--wp--preset--spacing--60);padding-left:var(--wp--preset--spacing--60)\">\n<p class=\"has-medium-font-size\"><strong>Key takeaways at a glance<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\">A pectoralis major tear is a <strong>serious upper limb injury<\/strong> with increasing incidence.<\/li>\n\n\n\n<li class=\"translation-block\">It occurs most commonly in <strong>strength athletes<\/strong>, especially during weightlifting (bench press).<\/li>\n\n\n\n<li class=\"translation-block\">It is frequently <strong>misdiagnosed<\/strong> as a simple muscle strain.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>MRI<\/strong> is essential for accurate diagnosis.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Early surgical repair<\/strong> provides the best functional and cosmetic outcomes.<\/li>\n\n\n\n<li>Delayed or chronic tears are more difficult to treat.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h5>Table of contents<\/h5><nav><ul><li class=\"\"><a href=\"#\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03b7-\u03c1\u03ae\u03be\u03b7-\u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2-\u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd-\u03bc\u03c5\u03cc\u03c2\">What Is a Pectoralis Major Tear?<\/a><\/li><li class=\"\"><a href=\"#\u03c0\u03bf\u03b9\u03bf\u03b9-\u03ba\u03b9\u03bd\u03b4\u03c5\u03bd\u03b5\u03cd\u03bf\u03c5\u03bd-\u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf\">Who Is at Risk?<\/a><\/li><li class=\"\"><a href=\"#\u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2-\u03ba\u03ac\u03ba\u03c9\u03c3\u03b7\u03c2\">Mechanism of Injury<\/a><ul><\/ul><\/li><li class=\"\"><a href=\"#\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae-\u03b5\u03b9\u03ba\u03cc\u03bd\u03b1\">Symptoms and Clinical Presentation<\/a><\/li><li class=\"\"><a href=\"#\u03c4\u03cd\u03c0\u03bf\u03b9-\u03c1\u03ae\u03be\u03b7\u03c2\">Types of Tears<\/a><ul><\/ul><\/li><li class=\"\"><a href=\"#\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/a><ul><\/ul><\/li><li class=\"\"><a href=\"#\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2-\u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ad\u03c2\">Treatment Options<\/a><ul><\/ul><\/li><li class=\"\"><a href=\"#\u03c7\u03c1\u03cc\u03bd\u03b9\u03b5\u03c2-\u03c1\u03ae\u03be\u03b5\u03b9\u03c2\">Chronic Tears<\/a><\/li><li class=\"\"><a href=\"#\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7-\u03b5\u03c0\u03b9\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae-\u03c3\u03c4\u03b7-\u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\">Rehabilitation and Return to Activity<\/a><\/li><li class=\"\"><a href=\"#key-facts-\u03c3\u03cd\u03bd\u03c4\u03bf\u03bc\u03b1-\u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c4\u03b1\">Key Facts - Pec major tears<\/a><\/li><li class=\"\"><a href=\"#\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2-fa-qs\">FAQs - Frequently Asked Questions<\/a><ul><\/ul><\/li><\/ul><\/nav><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03b7-\u03c1\u03ae\u03be\u03b7-\u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2-\u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd-\u03bc\u03c5\u03cc\u03c2\">What Is a Pectoralis Major Tear?<\/h2>\n\n\n\n<p class=\"translation-block\">A <strong>pectoralis major tear<\/strong> is an injury in which the muscle or its tendon is partially or completely detached from its insertion on the humerus.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img decoding=\"async\" width=\"700\" height=\"933\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_2604476329.jpg\" alt=\"\u039c\u03b5\u03af\u03b6\u03c9\u03bd \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03cc\u03c2 - \u0391\u03bd\u03b1\u03c4\u03bf\u03bc\u03af\u03b1\" class=\"wp-image-6493\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;aspect-ratio:0.7502807937102209;width:365px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_2604476329.jpg 700w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_2604476329-9x12.jpg 9w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><figcaption class=\"wp-element-caption\"><strong><em>Pec major anatomy<\/em><\/strong><\/figcaption><\/figure>\n\n\n\n<p>The pectoralis major is a large, powerful muscle that:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>stabilizes the shoulder<\/li>\n\n\n\n<li>contributes to arm adduction and internal rotation<\/li>\n\n\n\n<li>plays a critical role in pushing movements and upper limb strength<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-9dc86aa1 uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\">The integrity of the pectoralis major muscle is <strong>essential<\/strong> for upper limb strength, stability, and symmetry.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c0\u03bf\u03b9\u03bf\u03b9-\u03ba\u03b9\u03bd\u03b4\u03c5\u03bd\u03b5\u03cd\u03bf\u03c5\u03bd-\u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf\">Who Is at Risk?<\/h2>\n\n\n\n<p>Pectoralis major tears occur most commonly in:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>men aged 20\u201350 years<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/drgpanagopoulos.com\/en\/travmatismoi-sto-gymnastirio\/\" target=\"_blank\" data-type=\"post\" data-id=\"3553\" rel=\"noreferrer noopener\">weightlifters and gym athletes<\/a><\/strong><\/li>\n\n\n\n<li>CrossFit athletes<\/li>\n\n\n\n<li>professional strength athletes<\/li>\n\n\n\n<li class=\"translation-block\">individuals using <strong>anabolic steroids<\/strong>, which increase tendon rupture risk<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_336330497.jpg\" alt=\"\u039a\u03bb\u03b1\u03c3\u03b9\u03ba\u03cc\u03c2 \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c1\u03ae\u03be\u03b7\u03c2 \u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd - bench pressing\" class=\"wp-image-6496\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;width:710px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_336330497.jpg 800w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_336330497-768x513.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_336330497-18x12.jpg 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\"><strong><em>Classic mechanism - bench pressing<\/em><\/strong><\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-6932e627 uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\">Increased muscle strength <strong>without proportional tendon adaptation<\/strong> raises the risk of tendon rupture.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2-\u03ba\u03ac\u03ba\u03c9\u03c3\u03b7\u03c2\">Mechanism of Injury<\/h2>\n\n\n\n<p class=\"translation-block\">The most common cause is a <strong>sudden eccentric load<\/strong> applied to the muscle when the shoulder is positioned in:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>abduction<\/li>\n\n\n\n<li>external rotation<\/li>\n\n\n\n<li>extension<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c3\u03c5\u03bd\u03b7\u03b8\u03ad\u03c3\u03c4\u03b5\u03c1\u03b1-\u03c3\u03b5\u03bd\u03ac\u03c1\u03b9\u03b1\">Common scenarios include:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Bench press<\/strong> during the lowering phase<\/li>\n\n\n\n<li>Sudden attempts to lift heavy weights<\/li>\n\n\n\n<li>Contact sports with forced shoulder abduction<\/li>\n\n\n\n<li>Falls onto an outstretched arm<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae-\u03b5\u03b9\u03ba\u03cc\u03bd\u03b1\">Symptoms and Clinical Presentation<\/h2>\n\n\n\n<p>Symptoms are typically acute and characteristic:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Sudden pain<\/strong> in the anterior chest<\/li>\n\n\n\n<li class=\"translation-block\">A tearing or \u201c<strong>pop<\/strong>\u201d sensation<\/li>\n\n\n\n<li class=\"translation-block\">Immediate <strong>loss of strength<\/strong><\/li>\n\n\n\n<li class=\"translation-block\"><strong>Bruising<\/strong> over the chest and upper arm<\/li>\n\n\n\n<li class=\"translation-block\">Deformity or loss of the <strong>anterior axillary fold<\/strong><\/li>\n\n\n\n<li class=\"translation-block\"><strong>Chest asymmetry<\/strong>, especially visible during contraction<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><\/p>\n<\/blockquote>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-4571c6c6 uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\">Loss of the anterior axillary fold is a <strong>classic sign<\/strong> of a complete pectoralis major rupture.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c4\u03cd\u03c0\u03bf\u03b9-\u03c1\u03ae\u03be\u03b7\u03c2\">Types of Tears<\/h2>\n\n\n\n<p>The tear may involve:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The muscle belly<\/li>\n\n\n\n<li>The musculotendinous junction<\/li>\n\n\n\n<li>The tendon (most common and most severe)<\/li>\n\n\n\n<li>Bony avulsion (rare)<\/li>\n<\/ol>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\" id=\"\u03bc\u03b5\u03c1\u03b9\u03ba\u03ae-vs-\u03c0\u03bb\u03ae\u03c1\u03b7\u03c2-\u03c1\u03ae\u03be\u03b7\">Partial vs Complete Tear<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Partial tear<\/strong>: may be treated conservatively in selected cases<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Complete tear<\/strong>: usually requires surgical repair<\/li>\n<\/ul>\n\n\n\n<p>Correct classification is critical for treatment planning.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/h2>\n\n\n\n<p>Diagnosis is based on:<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\" id=\"\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae-\u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7\">Clinical exam<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Assessment of symmetry<\/li>\n\n\n\n<li>Strength testing<\/li>\n\n\n\n<li>Palpation of the tendon<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b1\u03c0\u03b5\u03b9\u03ba\u03bf\u03bd\u03b9\u03c3\u03c4\u03b9\u03ba\u03cc\u03c2-\u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2\">Imaging<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Magnetic Resonance Imaging<\/strong> (MRI) \u2013 gold standard<\/li>\n\n\n\n<li>\u0395\u03c0\u03b9\u03c4\u03c1\u03ad\u03c0\u03b5\u03b9:\n<ul class=\"wp-block-list\">\n<li>\u03b5\u03bd\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c1\u03ae\u03be\u03b7\u03c2<\/li>\n\n\n\n<li>\u03b5\u03ba\u03c4\u03af\u03bc\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ad\u03ba\u03c4\u03b1\u03c3\u03b7\u03c2<\/li>\n\n\n\n<li>\u03c0\u03c1\u03bf\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03cc \u03c3\u03c7\u03b5\u03b4\u03b9\u03b1\u03c3\u03bc\u03cc<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-afa787b7 uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\">MRI is essential for <strong>definitive diagnosis<\/strong> and appropriate <strong>treatment planning<\/strong>.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ad\u03c2-\u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ad\u03c2\">Treatment Options<\/h2>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c3\u03c5\u03bd\u03c4\u03b7\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae-\u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7\">Conservative treatment<\/h3>\n\n\n\n<p>Considered in:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>partial tears<\/li>\n\n\n\n<li>patients with low functional demands<\/li>\n\n\n\n<li>individuals who decline surgery<\/li>\n<\/ul>\n\n\n\n<p>Includes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>immobilisation<\/li>\n\n\n\n<li>pain management<\/li>\n\n\n\n<li>physiotherapy<\/li>\n<\/ul>\n\n\n\n<p class=\"translation-block\">\u26a0\ufe0f <strong>Disadvantages<\/strong>: possible permanent weakness and cosmetic deformity.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae-\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7\">Surgical Repair<\/h3>\n\n\n\n<p>Recommended for:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>complete tears<\/li>\n\n\n\n<li>athletes<\/li>\n\n\n\n<li>young and physically active individuals<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"502\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/operative-ink-v1-1.jpg\" alt=\"\u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd 1\" class=\"wp-image-6501\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;width:669px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/operative-ink-v1-1.jpg 900w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/operative-ink-v1-1-768x428.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/operative-ink-v1-1-18x10.jpg 18w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>Surgery aims to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>reattach the tendon to the humerus<\/li>\n\n\n\n<li>restore anatomy, strength, and symmetry<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-a6fcbd5b uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\"><strong>Early surgical repair<\/strong> provides the best functional and cosmetic outcomes.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/operative-ink-v1-copy.jpg\" alt=\"\u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd 2\" class=\"wp-image-6504\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;width:682px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/operative-ink-v1-copy.jpg 800w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/operative-ink-v1-copy-768x429.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/operative-ink-v1-copy-18x10.jpg 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c7\u03c1\u03cc\u03bd\u03b9\u03b5\u03c2-\u03c1\u03ae\u03be\u03b5\u03b9\u03c2\">Chronic Tears<\/h2>\n\n\n\n<p>When diagnosis is delayed:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>the tendon retracts<\/li>\n\n\n\n<li>surgery becomes more complex<\/li>\n\n\n\n<li>grafts may be required<\/li>\n<\/ul>\n\n\n\n<p class=\"translation-block\">This is why <strong>early evaluation<\/strong> is crucial.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7-\u03b5\u03c0\u03b9\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae-\u03c3\u03c4\u03b7-\u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\">Rehabilitation and Return to Activity<\/h2>\n\n\n\n<p>Rehabilitation follows a structured, phased protocol:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>0\u20136 weeks: protection and gentle mobility<\/li>\n\n\n\n<li>6\u201312 weeks: restoration of range of motion<\/li>\n\n\n\n<li>3 months: strengthening phase<\/li>\n\n\n\n<li>4\u20136 months: return to weightlifting and sports<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"key-facts-\u03c3\u03cd\u03bd\u03c4\u03bf\u03bc\u03b1-\u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c4\u03b1\">Key Facts - Pec major tears<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83c\udfcb\ufe0f Most commonly occurs during bench press<\/li>\n\n\n\n<li>\ud83e\udde0 Frequently misdiagnosed as a muscle strain<\/li>\n\n\n\n<li>\ud83d\udd52 Time to diagnosis affects outcome<\/li>\n\n\n\n<li>\ud83d\udd27 Surgical repair has high success rates<\/li>\n\n\n\n<li>\u26a0\ufe0f Chronic tears are harder to treat<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2-fa-qs\">FAQs - Frequently Asked Questions<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1769965521015\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Is this a rare injury?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Yes, but its incidence is increasing due to the popularity of weightlifting.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1769965554431\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Does it always require surgery?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>No, but complete tears usually achieve better outcomes with surgical repair.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1769965581090\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Can full strength be restored?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>In most cases, yes \u2014 especially with early surgery and proper rehabilitation.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1769965607220\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What happens if it is left untreated?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>There is a risk of permanent weakness and visible asymmetry.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1769966117861\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">Why Is Specialist Evaluation Important?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>A pectoralis major tear requires experience in upper limb injuries, expertise in sports-related trauma &amp; appropriate surgical timing.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-f0c78fbe default uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-77c46601\">\n<div class=\"wp-block-uagb-info-box uagb-block-2fdac840 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M168.3 499.2C116.1 435 0 279.4 0 192C0 85.96 85.96 0 192 0C298 0 384 85.96 384 192C384 279.4 267 435 215.7 499.2C203.4 514.5 180.6 514.5 168.3 499.2H168.3zM192 256C227.3 256 256 227.3 256 192C256 156.7 227.3 128 192 128C156.7 128 128 156.7 128 192C128 227.3 156.7 256 192 256z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Athens<\/h4><\/div><p class=\"uagb-ifb-desc\"><a 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160C451.1 245.9 451.1 266.1 438.6 278.6z\"><\/path><\/svg><\/span><\/a><\/div><\/div>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-social  root-eb-social-links-a7gtu9n\"><div class=\"eb-parent-wrapper eb-parent-eb-social-links-a7gtu9n\"><div class=\"eb-social-links-a7gtu9n eb-social-links-wrapper\"><ul class=\"eb-socials\"><li><a class=\"facebook-f-original\" href=\"https:\/\/www.facebook.com\/georgiospanagopoulosmd\" target=\"_blank\" rel=\"noopener\" aria-label=\"social link\"><i class=\"fab fa-facebook-f hvr-icon eb-social-icon\" icon=\"fab fa-facebook-f\"><\/i><\/a><\/li><li><a class=\"instagram-original\" href=\"https:\/\/www.instagram.com\/georgiospanagopoulosmd\/\" target=\"_blank\" rel=\"noopener\" aria-label=\"social link\"><i class=\"fab fa-instagram hvr-icon eb-social-icon\" icon=\"fab fa-instagram\"><\/i><\/a><\/li><li><a class=\"linkedin-in-original\" href=\"https:\/\/www.linkedin.com\/in\/georgiospanagopoulosmd\" target=\"_blank\" rel=\"noopener\" aria-label=\"social link\"><i class=\"fab fa-linkedin-in hvr-icon eb-social-icon\" icon=\"fab fa-linkedin-in\"><\/i><\/a><\/li><li><a class=\"youtube-original\" href=\"https:\/\/www.youtube.com\/@gpanagopoulosmd\" target=\"_blank\" rel=\"noopener\" aria-label=\"social link\"><i class=\"fab fa-youtube hvr-icon eb-social-icon\" icon=\"fab fa-youtube\"><\/i><\/a><\/li><\/ul><\/div><\/div><\/div>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>\u03a1\u03ae\u03be\u03b7 \u039c\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u0398\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd \u039c\u03c5\u03cc\u03c2 \u0397 \u03c1\u03ae\u03be\u03b7 \u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd \u03bc\u03c5\u03cc\u03c2 (pectoralis major tear) \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03ba\u03ac\u03ba\u03c9\u03c3\u03b7 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03bf \u03bc\u03c5\u03c2 \u03ae \u03bf \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03ac\u03c2 \u03c4\u03bf\u03c5&nbsp;\u03b1\u03c0\u03bf\u03c3\u03c0\u03ce\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ce\u03c2 \u03ae \u03c0\u03bb\u03ae\u03c1\u03c9\u03c2&nbsp;\u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03ac\u03c6\u03c5\u03c3\u03ae \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c4\u03bf \u03b2\u03c1\u03b1\u03c7\u03b9\u03cc\u03bd\u03b9\u03bf \u03bf\u03c3\u03c4\u03cc. \u0392\u03b1\u03c3\u03b9\u03ba\u03ac \u03c3\u03b7\u03bc\u03b5\u03af\u03b1 \u03bc\u03b5 \u03bc\u03b9\u03b1 \u03bc\u03b1\u03c4\u03b9\u03ac \u03a4\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c1\u03ae\u03be\u03b7 \u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd \u03bc\u03c5\u03cc\u03c2; \u0397 \u03c1\u03ae\u03be\u03b7 \u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd \u03bc\u03c5\u03cc\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03ba\u03ac\u03ba\u03c9\u03c3\u03b7 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"disabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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\u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03ba\u03ac\u03ba\u03c9\u03c3\u03b7 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03bf \u03bc\u03c5\u03c2 \u03ae \u03bf \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03ac\u03c2 \u03c4\u03bf\u03c5&nbsp;\u03b1\u03c0\u03bf\u03c3\u03c0\u03ce\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ce\u03c2 \u03ae \u03c0\u03bb\u03ae\u03c1\u03c9\u03c2&nbsp;\u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03ac\u03c6\u03c5\u03c3\u03ae \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c4\u03bf \u03b2\u03c1\u03b1\u03c7\u03b9\u03cc\u03bd\u03b9\u03bf \u03bf\u03c3\u03c4\u03cc. \u0392\u03b1\u03c3\u03b9\u03ba\u03ac \u03c3\u03b7\u03bc\u03b5\u03af\u03b1 \u03bc\u03b5 \u03bc\u03b9\u03b1 \u03bc\u03b1\u03c4\u03b9\u03ac \u03a4\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c1\u03ae\u03be\u03b7 \u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd \u03bc\u03c5\u03cc\u03c2; \u0397 \u03c1\u03ae\u03be\u03b7 \u03bc\u03b5\u03af\u03b6\u03bf\u03bd\u03bf\u03c2 \u03b8\u03c9\u03c1\u03b1\u03ba\u03b9\u03ba\u03bf\u03cd \u03bc\u03c5\u03cc\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03ba\u03ac\u03ba\u03c9\u03c3\u03b7 \u03ba\u03b1\u03c4\u03ac 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