Abstract
BACKGROUND: Injuries to the pectoralis major are infrequent, with only a few hundred cases currently recorded in the literature. CASE SUMMARY: We report a case of a patient who sustained bilateral pectoralis major tendon ruptures. While other cases of bilateral pectoralis major tears have been reported in the literature, the operative management in this report differs. Due to delayed presentation of the patient right and left pectoralis major repairs were performed simultaneously. CONCLUSION: Patients with delayed presentation of bilateral pectoralis major tendon ruptures can undergo simultaneous repair of both tendon with a good postoperative outcome and high patient satisfaction.