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View Full Version : Pectoralis Major Tear - Old injury.



pumbertot
03-02-2007, 11:33 PM
Hi everyone just joined.

Well my story is basically I tore my pectoralis major about 20 months ago, at the underam tendon junction, while heavy flat bench pressing. I was living in Scotland at the time and presented to my local emergency department. They didnt really know how to diagnose it, using just plain old Xrays which didnt show anything(not surprisingly) and decided on conservative treatment. No matter how I appealed they would not consider me for surgery and I was offered physio. I had no way at the time to privately fund surgery so never looked into that option(was a student). After about the 4th week I was so angry with the treating team that I juts didnt go back to physio and in time I returned to weight training.

Well again not surprisingly, from what Ive read all over the net, I have only even regained about 50-60% of the strength in my left side so my training is pretty much ruined, never a chance of progress. At rest it isnt too noticeable but as soon as I flex my pecs there is a hollow at my left axilla and the left pec bunches up. For a former competitive bodybuilder this continues to be quite depressing at times.

After doing a bit of reading it would seem that even at this late stage there is a possibility that surgery could be carried out that could drastically improve function. Iam not positive on this but im very hopefull that they could somehow pull the muscle that is coild up inside the pec and reattach it to the tendon.

Has anyone had any experience be it personal, through friends, by word of mouth or from what they have read of any such surgey carried out after the time of injury?

Can anyone recommend a good orthopaedic surgeon or institute preferrably in Sydney or secondly in NSW and provide contact details? Can anyone who has had surgical repair of pec tear give me an idea of the total financial cost?

I just feel that if I havent gotten over it this far down the road I need to do something, even if the financial cost is high.

kjwilkin
04-02-2007, 02:46 PM
Hi everyone just joined.

Well my story is basically I tore my pectoralis major about 20 months ago, at the underam tendon junction, while heavy flat bench pressing. I was living in Scotland at the time and presented to my local emergency department. They didnt really know how to diagnose it, using just plain old Xrays which didnt show anything(not surprisingly) and decided on conservative treatment. No matter how I appealed they would not consider me for surgery and I was offered physio. I had no way at the time to privately fund surgery so never looked into that option(was a student). After about the 4th week I was so angry with the treating team that I juts didnt go back to physio and in time I returned to weight training.

Well again not surprisingly, from what Ive read all over the net, I have only even regained about 50-60% of the strength in my left side so my training is pretty much ruined, never a chance of progress. At rest it isnt too noticeable but as soon as I flex my pecs there is a hollow at my left axilla and the left pec bunches up. For a former competitive bodybuilder this continues to be quite depressing at times.

After doing a bit of reading it would seem that even at this late stage there is a possibility that surgery could be carried out that could drastically improve function. Iam not positive on this but im very hopefull that they could somehow pull the muscle that is coild up inside the pec and reattach it to the tendon.

Has anyone had any experience be it personal, through friends, by word of mouth or from what they have read of any such surgey carried out after the time of injury?

Can anyone recommend a good orthopaedic surgeon or institute preferrably in Sydney or secondly in NSW and provide contact details? Can anyone who has had surgical repair of pec tear give me an idea of the total financial cost?

I just feel that if I havent gotten over it this far down the road I need to do something, even if the financial cost is high.

Hi there,

Unfortunately your experience is probably typical of the NHS.

Before considering seeing an Orthopaedic Surgeon I would strongly suggest you go and see a good sports physician that specialises in shoulders. Are you still based in the UK ? If so, there is a great sports medicine clinic in London called Pure Sports Medicine. Let me know if you want their details.

David Hughes, who is based in Canberra works with a lot of rugby players and specialises in shoulders. He would be able to refer to the right people. Unfortunately I don't know anyone in Sydney, but have heard that Dr Seamus is great with shoulders.

In Melbourne I could give some names of some good sports physicians that work with some of the AFL clubs as well as some good shoulder surgeons. I am about to see Dr Greg Hoy in about a week and a half. He specialises in shoulders and operates on a lot of the elite athletes. Let me know if you want any of their details.

Good luck and let us know how you go !!!

pumbertot
04-02-2007, 09:05 PM
Thanks for the reply. No im now living in Syndey for the foreseeable future so prefer someone in that region. Will try to get info on Dr Seamus. To be honest I dont think a physio coukld do a whole lot more maybe reduce the scar tissue a little but that will no regain me much more strength. I would rather a surgeon would cut and re-attach the tendon correctly(im assuming thats possible as have heard of ops 3-4 weeks post injury, by then the tendon/muscle usually is very scarred and made its own attachment).
We may be relocating to Melbourne early next year so if I can not get a fix before I will probably be very interested in more info on Greg Hoy. I also have a good friend I have been meaning to visit in Melbourne so in fact yes please send me some details by pm.

kjwilkin
04-02-2007, 09:39 PM
Hi there,

I just sent you a private message.

Good luck and let us know how you get on.

pumbertot
05-02-2007, 03:10 PM
Hi there,

I just sent you a private message.

Good luck and let us know how you get on.

thanks. will make contact. hopefully be fixed by middle of the year, all going well.

if anyone else has any info on any orthos etc let me know.

pumbertot
11-02-2007, 12:28 AM
Ive to phone an orthopaedic surgeon in Sydney on monday morning. it appears there are surgical procedures available even at this late stage. Will know more on monday but I have a ray of hope. :D

wilson
11-03-2007, 09:18 PM
I have had a grade 2 pec rupture for 17 months now, i injured it doing bench press like the other 99 percent of the suffering souls that this has happened to. I would rather have broken my arm or leg! Would you let me know how you go with costs and procedures etc?
Mark Gasnier (Saints player) is having his pec re-attatchment done by shoulder surgeon Dr Goldberg @ orthosports in sydney, if that is any help to you.
Wilson

pumbertot
12-03-2007, 04:16 PM
ok i havent yet seen anyone(had a back injury at work, but on the mend now) but my GP is writing a referral for me tomorrow. So should I opt for Dr Goldberg? I did speak with someone from St Vincents who said Dr Goldberg wasnt keen on doing this kind of operation on an old injury so im not sure.

pumbertot
13-03-2007, 01:26 PM
Ok the ball is rolling. Got an appointment with Dr Jerome Goldberg on 3rd April (the earliest I could get with him). I just hope he will agree to do this op for me, trying not to get my hopes up too much though as many surgeons wont touch this type of injury especially not one that happened nearly 2 years ago.

pumbertot
19-03-2007, 10:37 PM
hmmm. been speaking to guy at the gym who also had a near total pec tear in the same region as me about 2 years ago. when he went for a consult(not sure who with) he was told there was a 70% risk of losing the ability to pull his arm across his body afterwards. he decided not to go ahead with the op. kind of worries me.

pumbertot
23-05-2007, 01:28 AM
as an update: Wilson(off these forums) went to see Goldberg last month and the surgeon was very negative about the whole op. I figure as he prefers high profile cases but thats just me.
So I decided not to waste my consultation fee on someone who clearly doesnt want to do this op.
Does anyone know of any surgeons that
1. can do this type of op
2. dont only go for high profile cases(pro athletes etc).
3. perferably are in Sydney but I guess id travel for a good surgeon.

Im still keen to get this fixed, still depresses me as much as ever and is still painful if I do sudden movements e.g if I clap hard.

angieliu
23-05-2007, 09:19 AM
What about Des Bokor in Sydney?
KJ always recommends Greg Hoy in Melbourne too.

kjwilkin
23-05-2007, 05:32 PM
Hi there,

Greg Hoy in Melbourne is fantastic. He's just operated on my shoulder and been really impressed so far. He's really good with his follow up too.

John Salmon in Melbourne is also very good.

A lot of AFL clubs in Melbourne use Greg Hoy and John Salmon.

pumbertot
10-11-2007, 07:44 AM
Hi there,

Greg Hoy in Melbourne is fantastic. He's just operated on my shoulder and been really impressed so far. He's really good with his follow up too.

John Salmon in Melbourne is also very good.

A lot of AFL clubs in Melbourne use Greg Hoy and John Salmon.

to update:
had given up all hope of this due to negativity from Dr Goldberg until i read some papers on a study where reapirs were carried out on acute and chronic tears and the results were favourable for both. I contacted John salmon who does not recommend the surgery, dont understand why all the Ozzie surgeons are so negative.

anyways looks like i will have to end up going to the US, ive heard great things about an Anthony A. Schepsis in Boston who authored the paper than gave me new hope. So im now making contact first by email to get an idea etc but I think this is the route i will have to take.
No reply from Greg Hoy as of yet.

pumbertot
10-11-2007, 11:33 AM
another update. got a reply(already) from Dr Schepsis. he wants me to email him with pictures and video of the pecs in a relaxed and flexed state. then he will decide if im a good candidate. he has fixed over 100 chronic delayed repairs and sounds very confident, exactly what I was looking for. will pay all the money in the world to get this fixed, im sure most athletes feel the same way.

pumbertot
11-05-2008, 01:04 AM
another update for anyone interested. Im flying to Boston next month on 16th. My prec repair is taking place on 18th. im very excited about it all and will try to update with my progress after it. will be staying in Boston until 3rd July as it will be safer for me to fly home then.

pumbertot
07-07-2008, 08:36 AM
well folks im back home in sydney. pec was repaired using 2 hanstring grafts from a donor. im now on day 19 post-op and all going well. very happy with how pec looks, a little flat but thats 3 years of atrophy so its normal. have another 4-5 weeks in the sling but im excited about going through the slow process of building the pec up.
just to say to anyone that was misdiagnosed and is now at the chronic phase do NOT listen to the likes of Goldberg who will try to talk you out of having a late repair. he just doesnt know how. Strongly consider seeing Dr Schepsis in Boston, the guy is a genius for sure. :D

steve_q
07-07-2008, 06:11 PM
great news, congrats but don't push it too much for quite some time, let the tendon heal first and gain its size/strength slowly but steadily.

pumbertot
10-07-2008, 06:36 PM
great news, congrats but don't push it too much for quite some time, let the tendon heal first and gain its size/strength slowly but steadily.

thanks. yes i plan to take it really slowly, do not want a retear.

pumbertot
12-07-2008, 08:55 PM
good to hear the surgery went well

thanks very much. :)

dta_wiu
29-12-2009, 03:25 PM
Just read your story. Amazing. I just tore 60% of my pec on the bench. It has not been a month yet. How did you convince the doctor to operate? Is that hamstring tendon method normal? Can you send me some information about that doctor. I hope you get this. I happy to hear your recovering. Thanks for any help.

Doug