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Inspection and palpation will typically reveal: swelling and bruising of anterolateral chest wall and/or proximal arm dropped nipple sign ipsilateral nipple will appear lower than the unaffected side due to medial retraction of muscle belly palpable defect and loss of anterior axillary contour accentuated by resisted adduction A left pectoralis major tear

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What sets KPV therapy apart is its local, targeted action