PMID- 34534140 OWN - NLM STAT- MEDLINE DCOM- 20220404 LR - 20230809 IS - 2160-3251 (Electronic) IS - 2160-3251 (Linking) VI - 11 IP - 3 DP - 2021 Sep 17 TI - Surgical Management of Pectoralis Major Tears of the Sternal Origin Because of Seat Belt Trauma: A Report of 2 Cases. LID - e21.00431 [doi] AB - CASES: Two patients presented with medial chest pain and deformity after high-speed motor vehicle accidents (MVAs) in which they were restrained drivers. Physical examination revealed retraction of the pectoralis major from the sternum on resisted adduction and internal rotation of the arm. MRI confirmed tears of the pectoralis major from the sternal origin. Both patients underwent delayed surgical repair with excellent results. CONCLUSION: Tears of the pectoralis major at the sternal origin are rare injuries that can result in significant deformity and pain. Surgical repair, even in a delayed fashion, can result in excellent patient outcomes. CI - Copyright (c) 2021 by The Journal of Bone and Joint Surgery, Incorporated. FAU - Orvets, Nathan D AU - Orvets ND AUID- ORCID: 0000-0001-9145-497 AD - Northwest Permanente P.C., Portland, Oregon. FAU - Bhale, Rahul AU - Bhale R AD - Boston University, Boston, Massachusetts. FAU - Budge, Matthew D AU - Budge MD AUID- ORCID: 0000-0002-1989-6789 AD - Northwest Permanente P.C., Portland, Oregon. LA - eng PT - Case Reports PT - Journal Article DEP - 20210917 PL - United States TA - JBJS Case Connect JT - JBJS case connector JID - 101596828 SB - IM MH - Humans MH - *Pectoralis Muscles/injuries/surgery MH - Rupture/surgery MH - Seat Belts/adverse effects MH - Sternum/surgery MH - *Tendon Injuries/surgery COIS- Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B648). EDAT- 2021/09/18 06:00 MHDA- 2022/04/05 06:00 CRDT- 2021/09/17 17:19 PHST- 2021/09/17 17:19 [entrez] PHST- 2021/09/18 06:00 [pubmed] PHST- 2022/04/05 06:00 [medline] AID - 01709767-202109000-00118 [pii] AID - 10.2106/JBJS.CC.21.00431 [doi] PST - epublish SO - JBJS Case Connect. 2021 Sep 17;11(3). doi: 10.2106/JBJS.CC.21.00431.