Student Presenter(s): Benjamin Hershfeld
Faculty Mentor: Bardia Askari
School/College: Osteopathic Medicine, Old Westbury

Rupture of the pectoralis major muscle typically occurs in the young, active male. Acute management of these injuries is recommended; however, what if the patient presents with a chronic tear of the pectoralis major? Physical exam and magnetic resonance imaging can help to identify the injury and guide the physician with a plan for management. Nonoperative management can be opted for, but is recommended for the elderly, low-demand patient as outcomes are inferior to surgical repair. Although operative management provides better functional outcomes, operative treatment of chronic pectoralis tears does not come without a challenge. Tendon retraction, poor tendinous substance and quality tissue, muscle atrophy, scar formation, and altered anatomy make direct repairs complicated, often leading to the need for auto or allograft use. We review the various graft options and fixation methods that can be used in treating patients with chronic pectoralis major tears. The principle investigator of this project is Dr. Randy Cohn of the Northwell Health Orthopedic Institute.