Aim: To present a surgical technique and postoperative management of chronic pectoralis major rupture. Case report: We describe a male patient of 32 years after weight lifting injury. The MRI showed a rupture in the tendon with retraction to slightly laterally to the mid-axillary line. The patient was treated operatively and returned to non-restrictive way of life after six months. Conclusion: Chronic cases of pectoralis major rupture can be successfully treated. The present patient is fully recovered and he resumed activities (weightlifting) as before the injury. Non-surgical treatment is associated with a much more frequent loss of power and the inability to return to sports.Cilj: Predstaviti kiruršku tehniku i postoperativni tretman kronične rupture musculus pectoralis major. Prikaz slučaja: Prikazujemo pacijenta starog 32 godine, muškarca, nakon ozljede zadobivene tijekom dizanja utega. Magnetna rezonanca je pokazala rupturu tetive s retrakcijom lateralno od središnje aksilarne linije. Pacijent je operiran i nakon šest mjeseci nastavio je svoj prijašnji način života. Zaključak: Kronični slučajevi rupture m. pectoralis major mogu se uspješno liječiti. Naš pacijent se u potpunosti oporavio i nastavio baviti aktivnostima (dizanje utega) kao i prije ozljede. Nekirurško liječenje je povezano s mnogo češćim gubitkom snage i nemogućnošću ponovnog bavljenja sportom
