The pectoralis major is the large, fan-shaped muscle across the front of the upper chest, under the breast tissue. It forms the front wall of the armpit and has two heads: a clavicular head from the collarbone (the 'upper chest') and a larger sternocostal head from the breastbone and ribs.
Its fibres converge on one tendon at the front of the upper arm, so together they bring the arm across and down the body, which is the work of every press, push-up and fly.
Flat pressing worked the sternocostal head most. Inclines of about 30 to 45 degrees shifted some work to the clavicular head and, in one 8-week trial, grew the upper chest more; above 45 degrees the front deltoid takes over.
Rare, and almost all in men aged 20 to 40. Nearly half of 365 published cases happened during weight training, and about half of all tears happen on the bench press, as the loaded arm lowers and turns out while the muscle lengthens under strain. Anabolic steroid use is a known association. Complete tears are usually repaired surgically, ideally within 6 weeks.
Wide grips hit the outer chest, close grips the inner chestEmerging evidence
No study has measured 'inner' or 'outer' chest. Grip width changed chest activity little or not at all; what reliably changes with a narrower grip is more triceps work.
Anatomy and movement education, not a diagnosis or treatment plan. If you have pain that follows an injury, is severe or getting worse, or comes with numbness, weakness or swelling, get it assessed. Health disclaimer.