Deltoid tendon humeral sided avulsion leads to discomfort and functional limitation in the young active population. This report illustrates a case for surgical treatment with a simple suspensory device that allows for early return to activity.

Deltoid tendon rupture is an infrequent injury. We report on a young active white male who sustained a humeral sided deltoid avulsion tendon rupture while attempting a 450-pound barbell shoulder shrug. Early surgical fixation and a progressive rehabilitation program provided successful short and long-term outcomes in our young active patient.