{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T22:10:53Z","timestamp":1757542253834,"version":"3.44.0"},"reference-count":19,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,2,24]]},"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p>Pectoralis major (PM) tears are a rare injury, that commonly occurs at the sternocostal head and has a greater incidence in men, with only two previously reported cases in young and middle-aged women. The authors report a complete PM tear that occurred in a 23-year-old woman, that presented after performing a \u2018muscle-up\u2019. MRI revealed PM rupture at the humeral insertion. Surgical management was performed, and patient returned to high-intensity interval training at 11 months postoperatively and reported great satisfaction. This is the first case in literature that reports a complete tear of the PM in a young woman through an atraumatic mechanism of injury with no previous alteration to the PM. With a cultural increase in wellness, atraumatic PM tear in young women should be expected and remain on the differential for any athlete that participates in high-intensity interval training.<\/jats:p>","DOI":"10.1136\/bcr-2019-232649","type":"journal-article","created":{"date-parts":[[2020,3,19]],"date-time":"2020-03-19T05:30:34Z","timestamp":1584595834000},"page":"e232649","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Pectoralis major tear in a 23-year-old woman while performing high-intensity interval training: a rare presentation"],"prefix":"10.1136","volume":"13","author":[{"given":"Andrew","family":"Sephien","sequence":"first","affiliation":[{"name":"Orthopaedics and Sports Medicine, University of South Florida, Tampa, Fl, USA"},{"name":"USF Health Morsani College of Medicine, University of South Florida, Tampa, Fl, 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