A case of pseudo–angina pectoris from a pectoralis minor trigger point caused by cross-country skiing

Lawson, Gordon E.; Hung, Laurie Y.; Ko, Gordon; Laframboise, Michelle A.

doi:10.1016/j.jcm.2011.01.008

Cited by 6 publications

(8 citation statements)

References 10 publications

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“…A grade 1 strain on imaging is defined as having edema without laxity in any fibers or gapping within the myotendinous complex. Pectoralis minor grade 1 strains have been confused in the past with symptoms of angina [9]. Grade 2 stains demonstrate laxity in fibers indicating significant strain but without tissue gapping.…”

Section: Discussionmentioning

confidence: 99%

Rare Isolated Pectoralis Minor Tear from a Noncontact Injury: Case Report and Review of the Literature

Vance

Qayyum

Jobin

2019

Case Reports in Orthopedics

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Isolated pectoralis minor tears are rare orthopedic injuries often in weightlifters or contact sports and should be included in the differential when evaluating athletes with anterior shoulder pain. These injuries are often mistaken for pectoralis major muscle stains and tears. Advanced imaging with MRI helps define the anatomic location and grade of injury. Treatment is usually conservative with full return to activity after a brief period of rest for a few weeks. The purpose of this article is to present a case report and review of the literature on the clinical evaluation, imaging, and treatment of an isolated pectoralis minor tears.

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Section: Discussionmentioning

confidence: 99%

Rare Isolated Pectoralis Minor Tear from a Noncontact Injury: Case Report and Review of the Literature

Vance

Qayyum

Jobin

2019

Case Reports in Orthopedics

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“…47 An increase in instrument angle results in deeper penetration as well as heavier pressure promoted healing to a greater degree. 10,47 Previous studies have found that GT can reduce anterior chest pain due to a pectoralis minor trigger point, 49 improve carpal tunnel syndrome, 14 increase posterior shoulder range of motion, 12,13 and decrease the amount of fibrotic adhesions and hypertonicity which increased range of motion, decreased pain and increased functionality in a post-operative ACL rupture. 50 GT has also been shown to be beneficial in other soft tissue restrictions and adhesions, tendinitis, musculoskeletal ailments and ROM restrictions.…”

Section: Instrument Assisted Soft Tissue Mobilizationmentioning

confidence: 99%

Manual Therapy Effects on Low Back Pain

Dale¹

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Low back pain (LBP) is a common complaint in the adult population. A study in 2002 found that the percentage of people reporting LBP over a 3-month period corresponded to over 54 million American adults. 1,2 Popular treatment methods for LBP include manual therapy, stretching and core stabilization. 3 Manual therapy is a form of conservative treatment with the aim to reduce pain and increase function through handson techniques by a clinician. 4 Manual therapy treatments include soft tissue massage, traction, stretching, joint mobilization, instrument assisted soft tissue mobilization (IASTM) and muscle energy techniques (MET). 5 One cause of LBP that can be treated with manual therapy occurs from a unilateral innominate rotation. A unilateral innominate rotation can occur when musculature of the abdomen, hip flexors, hip extensors, and back extensors are unbalanced. 6,7 If a patient presents with a unilateral anterior innominate rotation, the ipsilateral hip flexors are often tight and shortened, while the ipsilateral hip extensors are weak and lengthened. In a unilateral posterior innominate rotation, the ipsilateral hip flexors are weak and lengthened, while the ipsilateral hip extensors are tight and shortened. 8 For example, in a unilateral anterior innominate rotation, the ipsilateral rectus femoris and erector spinae are inflexible. 6

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“…These pathologies are the potential mechanisms of underlying pain in PM muscle and neurovascular compression. [4,[10][11][12] Repetitive sports or daily activity can also cause vascular PMS. [3][4][5] The PM muscle, itself, can compress some of the vessels, or the head of the humerus exert pressure on the vascular structures during throwing and forceful overhead movements of the upper extremity.…”

Section: Etiology and Pathophysiologymentioning

confidence: 99%

“…There is a broad spectrum of clinical presentation with pain in the arm, shoulder, neck, chest, and scapular region, and weakness, paresthesia, swelling and coldness in the upper extremity. [1,2,10,12] Another important issue is the age range of patients. Pectoralis minor syndrome can be seen in all ages and sexes.…”

Section: Clinical Presentationmentioning

confidence: 99%

Pectoralis minor syndrome

Aktaş¹

2022

Turk J Phys Med Rehab

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Pectoralis minor syndrome (PMS) is defined as compression of the brachial plexus (BP) nerves, axillary artery, and axillary vein under the pectoralis minor muscle. The symptoms of PMS resemble supraclavicular compression of the neurovascular bundle, with shoulder, neck, chest, and arm pain, and paresthesia and weakness in the arm and hand. The diagnosis of PMS can be confused with other upper extremity pain syndromes. A detailed history, including occupation, daily activities, sports, and trauma, is critical in the diagnosis, together with physical examination findings. Radiological examinations, including direct radiography, computed tomography, magnetic resonance imaging, and electrophysiological tests, are also helpful for the differential diagnosis. Arterial and venous Doppler ultrasound, including dynamic investigation, can display arterial and venous compression. Injection tests are used to confirm the definitive diagnosis. Conservative treatment is successful in most patients, and surgical treatment is considered in unresponsive cases.

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A case of pseudo–angina pectoris from a pectoralis minor trigger point caused by cross-country skiing

Abstract: This case demonstrates the importance of differential diagnosis and mechanism of injury in regard to chest pain and that chiropractic management can be successful when addressing patients with chest wall pain of musculoskeletal origin.

Cited by 6 publications

References 10 publications

Rare Isolated Pectoralis Minor Tear from a Noncontact Injury: Case Report and Review of the Literature

Rare Isolated Pectoralis Minor Tear from a Noncontact Injury: Case Report and Review of the Literature

Manual Therapy Effects on Low Back Pain

Pectoralis minor syndrome

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