The pectoralis major muscle, or most commonly its tendon that attaches to the humerus, can rupture. Pectoralis major ruptures are uncommon injuries that occur almost exclusively in men between the ages of 20 to 50 and usually result from violent, eccentric contraction of the muscle. Surgery, whether early or delayed, consistently yields superior results compared with nonsurgical management. A common method for reattachment of the pectoralis tendon is an open procedure that requires bone tunnels with high strength suture or the use of multiple suture anchors. 

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