Pectoralis major rupture: ensuring accurate diagnosis and effective rehabilitation.

Rupture of the pectoralis major muscle and tendon, which occurs most frequently among weight lifters but has been reported in many sports, can most often be diagnosed based on the history and physical exam. Surgical intervention for complete ruptures has a clear advantage over conservative therapy. Athletes of all levels can be expected to return to near preinjury levels of participation following surgery and a well-constructed, supervised rehabilitation program. This should involve immobilization followed by range-of-motion exercises and strength training of gradually increasing resistance.