Pectoralis Major Rupture in Elderly Patients: A Clinical Study of 13 Patients

Yichayaou Beloosesky*, Joseph Grinblat, Avraham Weiss, Paul H. Rosenberg, Moshe Weisbort, David Hendel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

35 Scopus citations


The purpose of this study was to analyze and describe circumstances and clinical aspects of pectoralis major rupture in elderly patients compared with younger patients. Eleven patients were nursing home residents and two were community residents. All had severe pain with a large pectoral ecchymosis extending to the lateral chest wall and arm. Twelve patients experienced substantial blood loss (average, 2.3 g/dL hemoglobin), which resulted in hemodynamic decompensation in two of the patients, necessitating a blood transfusion. The most probable mechanism of injury was indirect, caused by a brisk tearing movement applied to stiff, atrophic muscle during commonly used nursing procedures for transferring, positioning, and dressing the patients. The authors suspect this injury to be more common than reported. Although surgical repair is not required in the elderly, a proper diagnosis is imperative because the injury has a severe clinical impact necessitating care and followup.

Original languageEnglish
Pages (from-to)164-169
Number of pages6
JournalClinical Orthopaedics and Related Research
StatePublished - Aug 2003


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