Simultaneous bilateral pectoralis major rupture and repair with Achilles tendon allograft in a bodybuilder: a case report

Simultaneous bilateral pectoralis major rupture (PMR) is a rare injury that often occurs during barbell bench presses in bodybuilders. In this case report, a 40-year-old bodybuilder suffered a bilateral PMR while performing a barbell bench press. Based on the fact that acute repair of PMRs has good outcomes, and in our patient the ruptured muscle end was lacerated and did not provide adequate remnant tissue for anchor suturing repair, simultaneous repair of PMR was performed using an Achilles tendon allograft, representing a novel technique. At the final follow-up, the Constant score increased for both shoulders so that shoulder function was in a better condition in terms of performance. Shoulder function based on Bak criteria was graded as excellent and good in the left and the right shoulder, respectively. The short-term outcome after the surgery was acceptable without any complications.