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Case Conclusion                                      7.  Kretzler H, Richardson AB. Rupture of the pectoralis major
            The patient was referred to the orthopaedic surgery   muscle. Am J Sports Med. 1989;17:453–458.
            service at the local naval hospital, where surgery was     8.  Miller M, Johnson DL, Fu FH, et al. Rupture of the pectoralis
                                                                  major muscle in a collegiate football player. Am J Sports Med.
            recommended. Approximately 2 weeks after the initial   1993;21:475–477.
            injury, the Marine underwent surgical repair of the left     9.  Castro Pochini A, Andreoli CV, Belangero PS, et al. Clinical
            pectoralis major tendon. There were no operative or   considerations for the surgical treatment of pectoralis major
            postoperative complications. The patient was placed in   muscle ruptures based on 60 cases: a prospective study and
                                                                  literature review. Am J Sports Med. 2013;42:95–102.
            a limited-duty status after the repair. He initiated physi-  10.  Komurcu M, Yildiz Y, Ozdemir MT, et al. Rupture of a pec-
            cal therapy several days after surgery, as dictated by his   toralis major muscle in a paratrooper. Aviat Space Environ
            surgeon. He completed a postoperative rehabilitation   Med. 2004;75:81–84.
            program and returned to full reconnaissance duty 6   11.  Aärimaa V, Rantanen J, Heikkilä J, et al. Rupture of the pec-
            months after injury.                                  toralis major muscle. Am J Sports Med. 2004;32:1256–1262.
                                                               12.  Tietjen R. Closed injuries of the pectoralis major muscle. J
                                                                  Trauma. 1980;20:262–264.
            Acknowledgment                                     13.  Givens M, Deuster P. Androgens and androgen derivatives: sci-
                                                                  ence, myths, and theories. J Spec Oper Med. 2015;15:98–103.
            We thank LCDR Margaret Harvey, MC, USN, staff or-  14.  Farrow G. Military static line parachute injuries. Aust N Z J
            thopedic surgeon, Naval Hospital Camp Lejeune, North   Surg. 1992;62:209–214.
            Carolina, for her contributions to this case report.  15.  Bricknell M, Craig SC. Military parachuting injuries: a litera-
                                                                  ture review. Occup Med (Lond). 1999;49:17–26.
                                                               16.  Hughes C, Weinrauch PC. Military static line parachute inju-
            Disclaimer                                            ries in an Australian commando battalion. Aust N Z J Surg.
                                                                  2008;78:848–852.
            The view(s) expressed herein are those of the authors   17.  Knapik J, Steelman R, Grier T, et al. Military parachuting
            and do not reflect the official policy or position of Ma-  injuries, associated events, and injury risk factors. Aviat Space
                                                                  Environ Med. 2011;82:797–804.
            rine Corps Forces Special Operations Command, US   18.  Department of the Army. TC 3-21.220(*FM 3-21.220)/
            Special Operations Command, US Navy Bureau of Med-    MCWP 3-315.7/AFMAN 11-420/NAVSEA SS400-AF-MMO
            icine and Surgery, US Marine Corps, Department of the   -010. Static line parachuting techniques and training. Novem-
            Navy, Department of Defense, or the US Government.    ber 2014. Washington, DC: Department of the Army.


            Disclosures
            The authors have no conflicts of interest or financial   LT McIntire, MC, USN, is currently a second year Ortho-
            considerations to disclose.                        paedic Surgery Resident at Naval Medical Center San Diego.
                                                               He was previously the Dive Medical Officer and Battalion Sur-
                                                               geon for 2nd Reconnaissance Battalion, 2nd Marine Division,
            References                                         II MEF.
            1.  Wolfe SW, Wickiewicz TL, Cavanaugh JT. Ruptures of the pec-  HMC Boujie, USN, is a Special Operations Independent
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            2.  Quinlan J, Molloy M, Hurson BJ. Pectoralis major tendon rup-  combat  deployments  in CENTCOM,  AFRICOM,  PACOM,
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