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Introduction: Three ruptures of the pectoralis major are reported. The mechanism of injury was excessive external rotation with high muscular tension. Rupture of muscle often occurs at the humeral insertion or musculotendinous junction., Material and Methods: In the three cases, surgical repair was performed. Suture could be made without excessive tension. Patients were immobilized in a sling for three weeks. Passive exercises were begun at 3 weeks., Results: All patients recovered and had postoperatively the same sport level as before. In late surgical repair the consistent fibrosis makes dissection of the ruptured tendon difficult and it's retraction hinders the suture., Discussion: The symptoms are sometimes initially under evaluated. In limited number of cases the treatment may be delayed: functional disability and strength limitation justify surgical treatment. The results, however, are usually good according to the score of Mc Entire. Surgical repair is recommended in distal ruptures in active patients to restore previous muscle strength and contour.

The authors analyze a series of 31 tendo achillis ruptures occurring after sport accident. All were treated surgically. The actual follow up being of 4 years (1 to 12 years). In nearly one third of the cases, either a change in the training methods or intensive activity was noted. 80% of cases showed an causal violent trauma. Tendinopathy preceded the rupture in 20% of the cases, without being an important prognosis factor. In 70% of cases, diagnosis was made within the 24 following hours, and later (more than 8 days after) in one patient out of ten. Type of the surgical procedure does not seem to make any change in the long term prognosis. Each time a severe post op. complication occurred, the final result was bad. In one third of cases pre op. and post op. tendon lengths were not identical, this detail not seeming to bother the patients. In 60% of cases, same sport level was reached. In 80% of cases the final results were good or excellent.