Shoulder Case No. 2 MRI of MMA fighter who injured his left shoulder/chest wall muscle. The MRI shows a completely avulsed Pectoralis Major tendon rupture off the proximal humerus bicipital groove of the shoulder. The patient underwent immediate surgical mini open repair of tendon and re attachment to bone. The usage of multiple bone tunnels to repair the torn tendon back to bone allowed aggressive physical therapy and sports specific rehabilitation.