Review ArticlesPectoralis Major Tendon Tear A Critical Analysis ReviewMagone, Kevin MD1,2; Ben-Ari, Erel MD1,3; Gyftopoulos, Soterios MD, MSc4; Virk, Mandeep MD1,aAuthor Information 1Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY 2Shoulder and Elbow Surgery, CHI Saint Joseph Medical Group–Orthopedic Associates, CHI Saint Joseph Health, London, Kentucky 3Division of Orthopaedic Surgery, Tel-Hashomer "Sheba" Medical Center, Sackler School of Medicine, Tel-Aviv University, Ramat Gan, Israel 4Department of Radiology, NYU Grossman School of Medicine, NYU Langone Health, New York, NY aEmail for corresponding author: [email protected] Investigation performed at NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A734). JBJS Reviews: August 2021 - Volume 9 - Issue 8 - e20.00224 doi: 10.2106/JBJS.RVW.20.00224 Buy Metrics Abstract » Pectoralis major (PM) tendon tears are predominantly seen in young men, and the majority of tears occur as tendon avulsions involving the sternal head. Weightlifting, specifically bench-pressing, and sporting activities with eccentric overloading of the PM tendon are the 2 most common activities that result in PM injury. » Early surgical repair or reconstruction should be offered to younger, active patients with a complete PM tear; the majority of the patients undergoing surgical repair achieve good-to-excellent outcomes. » Nonsurgical treatment of a complete PM tear is an option but will result in cosmetic deformity and a deficit in adduction strength of the arm. Outcomes after nonsurgical treatment of complete PM tears are less satisfactory than those obtained after surgical treatment. » Currently, there is no consensus on the chronological definition of PM tears (acute versus chronic), the critical time limit for performing surgical repair, the ideal fixation device (cortical button, bone tunnel, or suture anchors), the indications for allograft use, and the ideal rehabilitation protocol after treatment of PM tears. Written work prepared by employees of the Federal Government as part of their official duties is, under the United States Copyright Act, a ‘work of the United States Government’ for which copyright protection under that Act is not available. As such, copyright protection does not extend to the contributions of employees of the Federal Government prepared as part of their employment.