Retrospective Review of Pectoralis Major Ruptures in Rodeo Steer Wrestlers

Lau, Breda H. F.; Butterwick, Dale J.; Lafave, Mark R.; Mohtadi, Nicholas G.

doi:10.1155/2013/987910

Cited by 17 publications

(16 citation statements)

References 20 publications

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“…Hanna et al 11 reported similar results, with higher peak torque, work, and return to sport in surgically treated patients compared with nonoperatively treated patients. In contrast, Zvijac et al 43 and Lau et al 20 did not find differences in return to sport and satisfaction in their patients, although they did not conduct objective measurements of strength.…”

Section: Comparative Outcomesmentioning

confidence: 82%

“…As reported in the literature, the most common causes of pectoralis major rupture were identified to be bench press in 49% (300/608) of cases, contact sports in 8% (47/608), and weight lifting in 7% (41/608). Pooled results from 10 studies 2,6,10,11,15,16,18,20,28,30 suggest that 90% (134/149) of patients successfully returned to playing sports after isolated pectoralis major tendon repair at a mean time of 6.1 ± 1.7 months (range, 4-8.5 months) ( Table 1). Of these patients, 8 studies 6,10,11,15,16,18,28,30 reported that 74% (95/128) successfully returned to their preinjury level of sport.…”

Section: Return To Activity Injury Cause and Rehabilitationmentioning

confidence: 99%

“…Four studies 11,20,35,43 compared pectoralis major tendon repair with nonoperative treatment, with 2 studies 11,35 concluding that surgical treatment produced superior outcomes compared with nonsurgical care (see Appendix Table A5). Schepsis et al 35 found that pain relief, return to strength, satisfaction, peak torque, and work per repetition were all higher in 13 patients who underwent repair compared with 4 patients who chose nonoperative treatment.…”

Section: Comparative Outcomesmentioning

confidence: 99%

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Outcomes and Return to Sport After Pectoralis Major Tendon Repair: A Systematic Review

Zhang

Horner

et al. 2018

Sports Health: A Multidisciplinary Approach

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Context:Pectoralis major tendon ruptures are becoming increasingly common due to the growing prevalence of active lifestyles. Studies investigating the efficacy of pectoralis major tendon repair have limited sample sizes and offer mixed results, while existing reviews do not explore postoperative activity outcomes for patients.Objective:To summarize and synthesize the clinical outcomes and rate of return to activity after isolated pectoralis major tendon repair.Data Sources:Four databases (MEDLINE, EMBASE, PubMed, and CINAHL) were searched from database inception through March 7, 2018.Study Selection:Studies reporting outcomes of isolated pectoralis major tendon repair for pectoralis major tendon rupture were included.Study Design:Systematic review.Level of Evidence:Level 4.Data Extraction:Data including patient demographics, intervention details, and clinical outcomes were extracted. The methodological quality of included studies was evaluated.Results:Of 2332 retrieved articles, 18 studies were included, with a total of 536 patients. A majority (90%; 134/149) of patients undergoing pectoralis major tendon repair successfully returned to sport at a mean 6.1 ± 1.7 months postsurgery, of which 74% (95/128) successfully returned to their preinjury level of sport. The majority (95%; 269/284) of patients returned to work at a mean 6.9 ± 1 months. Postsurgically, 81% (83/102) of patients experienced complete pain relief after the surgery, and 19% (21/109) had cosmetic complaints after pectoralis major repair. Of the 10 studies that reported complications, 18% (75/423) of patients had postoperative complications, including reruptures and wound infections; 7% (30/423) of patients required reoperation for their complications.Conclusion:Pectoralis major tendon repair is an effective treatment that results in a high rate of return to sport and work, pain relief, and improved cosmetic appearance, albeit with a significant rate of complication. The evidence supporting all outcomes was limited by the rarity of the injury, the variable surgical techniques, and outcome assessment criteria.

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Section: Comparative Outcomesmentioning

confidence: 82%

Section: Return To Activity Injury Cause and Rehabilitationmentioning

confidence: 99%

Section: Comparative Outcomesmentioning

confidence: 99%

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Outcomes and Return to Sport After Pectoralis Major Tendon Repair: A Systematic Review

Zhang

Horner

et al. 2018

Sports Health: A Multidisciplinary Approach

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“…The pectoralis major muscle is a large and powerful triangular muscle in the chest that originates from the anterior surface of the sternum and the sternal portion of the clavicle, coming together into the pectoralis major tendon, which inserts into the humerus bone of the upper arm. 1,6,11,21 Pectoralis major ruptures can occur in several parts of the muscle—the junction between the tendon and the humerus, the junction between the muscle and the tendon, in the muscle belly, or at the junction of the muscle and the sternum. 1,4,6 Most surgical series have focused primarily on the tendon injuries.…”

mentioning

confidence: 99%

Pectoralis Major Rupture in Military Academy Athletes

Chan

Balazs

Haley

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background: Pectoralis major ruptures are rare injuries that can occur at several parts of the muscle. Little is known of the pathoanatomic process and performance following pectoralis major ruptures in young athletes. Purpose/Hypothesis: The objective of this study was to describe a series of pectoralis major ruptures in military academy athletes at the US Military Academy and US Naval Academy. We hypothesized that military academy athletes will demonstrate a different rupture location than previously reported in older patients. Study Design: Case series; Level of evidence, 4. Methods: A retrospective case series was performed by analyzing all electronic medical records and imaging software for consecutive pectoralis major ruptures undergoing surgical repair within the student population at 2 military academies. The primary outcome of interest was rupture pattern and location. We also assessed functional recovery following surgery by analyzing push-up performance on the biannual Army Physical Fitness Test and Navy Physical Readiness Test. Results: From 2005 to 2017, a total of 19 cases of pectoralis major ruptures occurred in military academy cadets. Patients ranged in age from 19 to 23 years, with a mean age of 20 years. All injuries occurred during sports activity, with bench press as the most common mechanism of injury (n = 10; 53%). The most common rupture location was the musculotendinous junction (n = 10; 53%), followed by pectoralis major tendon insertion (n = 8; 42%), and only 1 bony avulsion was noted. Physical activity performance following the rupture was negatively affected. The mean ± SD number of push-ups preinjury was 73.20 ± 12.10, which decreased following injury and surgery (66.50 ± 11.98; P = .037). Conclusion: Military academy athletes in our study cohort demonstrated a different type of rupture location than has been reported in older cohorts, with the majority experiencing tearing at a location other than the tendon itself. Performance was also negatively affected immediately following repair, but moderate improvement was observed as time from surgery increased.

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“…De acordo com Vasconcelos et al (2003) e Lau et al (2013), o esforço exacerbado realizado pelos membros superiores pode levar à ruptura do tendão ou até mesmo do ventre muscular do peitoral maior, entretanto também pode ocorrer devido a uma queda do animal, quando o atleta cai sobre os braços estendidos.…”

Section: Artigos Originais -Promoção Da Saúdeunclassified

Lesões em Atletas de Montaria em Touro e Prevenção por Meio de Preparo Físico

Segura

Sena

2016

SaudPesq

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RESUMO:A montaria em touro é um esporte equestre com elevado risco de lesão, o que torna imprescindível o preparo físico como forma de prevenção mesmo diante da obrigatoriedade dos equipamentos de segurança. Desta forma, o objetivo deste estudo foi analisar quais são as lesões mais comuns nos atletas de montaria em touro e informar sobre os benefícios do preparo físico como meio de prevenção. Para tanto, foram selecionados 44 atletas do gênero masculino participantes da competição de montaria em touro na 30ª Festa do Peão de Boiadeiro da cidade de Ouro Verde -Paraná, os quais responderam um questionário sobre a importância do preparo físico e o índice de lesões ocorridas durante as competições. Os resultados indicaram que a maioria das lesões (53,33%) ocorreu durante o tempo em que o atleta permaneceu sobre o animal. Nessa posição, a lesão mais referida pelos atletas (13,33%) foi a distensão muscular em região de braço. Já a lesão com maior incidência no momento do desmonte do animal foi a luxação no ombro (10,47%), capaz de deixar o atleta afastado das competições por um período significativo. Referiu-se que preparo físico com acompanhamento profissional influencia de forma significativa no rendimento dos atletas, reduzindo o risco de lesões e, consequentemente, o tempo fora de competições, sendo que os atletas que não possuem acompanhamento profissional durante o preparo físico demonstraram ter 33% a mais de chances de apresentarem algum tipo de lesão. PALAVRAS-CHAVE:Atletas; Fisioterapia; Lesões; Prevenção. LESIONS IN BULL-RIDING ATHLETES AND THEIR PREVENTION BY PHYSICAL TRAININGABSTRACT: Bull-riding is a sport with high lesion occurrences. It requires physical training for their prevention even when the indispensable safety equipments are used. Current analysis lists the most common lesions in bull-riding athletes and provides the benefits of physical training. Forty-four male athletes who participated in bull-riding competitions at the Thirtieth Cowboy Feast in Ouro Verde PR Brazil, were selected. They answered a questionnaire on the importance of physical training and on lesion index during competitions.Results showed that most lesions (53.33%) occurred during the time the athlete was mounted on the animal. The lesion most referred to by athletes (13.33%) was muscle distension of the arm. The lesion with the highest occurrence during riding down the animal was dislocation of the shoulder (10.47%), which would cause the athlete quitting competitions for a significant period. The athletes also underscored that physical preparation by a professional person affected significantly the athletes´ performance, with a reduction of lesions and time away from competitions. Athletes without any professional assistance during physical training have a 33% more chance in acquiring lesions.

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Retrospective Review of Pectoralis Major Ruptures in Rodeo Steer Wrestlers

Cited by 17 publications

References 20 publications

Outcomes and Return to Sport After Pectoralis Major Tendon Repair: A Systematic Review

Outcomes and Return to Sport After Pectoralis Major Tendon Repair: A Systematic Review

Pectoralis Major Rupture in Military Academy Athletes

Lesões em Atletas de Montaria em Touro e Prevenção por Meio de Preparo Físico

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