Rupture of the pectoralis major muscle and tendon, which occurs most f
requently among weight lifters but has been reported in many sports, c
an most often be diagnosed based on the history and physical exam. Sur
gical intervention for complete ruptures has a clear advantage over co
nservative therapy. Athletes of all levels can be expected to return t
o near preinjury levels of participation following surgery and a well-
constructed, supervised rehabilitation program, This should involve im
mobilization followed by range-of-motion exercises and strength traini
ng of gradually increasing resistance.