Successful surgical repair of a full-thickness intramuscular muscle belly rupture of pectoralis major

Green, Chadwick John; Wang, Allan; Henderson, J. L.; Ebert, Jay R.; Edwards, Peter

doi:10.1016/j.jses.2019.10.006

Cited by 6 publications

(4 citation statements)

References 20 publications

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“…PM tears have been reported anywhere between the muscular origin and insertion, but by far, the most common site of rupture is either the musculotendinous junction or the site of humeral insertion. Rarely, however, do they occur in the muscle belly itself, and when they do, it is primarily due to blunt trauma, not repetitive throwing as witnessed in this case 1,6,7,10,14,19,20 . Intramuscular repair presents a unique challenge to surgeons given the lack of reliable suture constructs and increased likelihood of suture pullout, making an adequate end-to-end repair difficult 21,22 .…”

Section: Discussionmentioning

confidence: 80%

“…Intramuscular repair presents a unique challenge to surgeons given the lack of reliable suture constructs and increased likelihood of suture pullout, making an adequate end-to-end repair difficult 21,22 . Although current literature describing optimal surgical treatment for intramuscular PM muscle ruptures is inconclusive, a small number of cases have reported successful outcomes after operative treatment for active patients intending to return to their preinjury level of competition 12,19,20,23–25 . After this trend, our patient returning to her preinjury status 4 months postoperatively adds to the literature yet another example of successful surgical treatment of an intramuscular rupture of the PM muscle using a modified Kessler technique.…”

Section: Discussionmentioning

confidence: 99%

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Pectoralis Major Muscle Belly Rupture in a 17-Year-Old Female Softball Player

Kuechly

Figueras

Gordon

et al. 2023

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Case: We report the case of a healthy 17-year-old female softball player with a subacute full-thickness intramuscular tear of the pectoralis major (PM) muscle. A successful muscle repair was obtained using a modified Kessler technique.Conclusions: Despite initially being a rare injury pattern, the incidence of PM muscle rupture is likely to increase as interest in sports and weight training increases, and although this injury pattern is more common in men, it is becoming more common in women as well. Furthermore, this case presentation provides support for operative treatment of intramuscular ruptures of the PM muscle. Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C38).

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Pectoralis Major Muscle Belly Rupture in a 17-Year-Old Female Softball Player

Kuechly

Figueras

Gordon

et al. 2023

JBJS Case Connector

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“…Zone 1 full thickness injuries of the muscle belly of the PM are uncommon but have also been reported to be treated with surgery. Green et al, 31 performed a direct repair using a combination of five core sutures via a modified Kessler technique for the muscle belly and an independent separate locked running suture achieving an excellent surgical result and minimal scar formation with observed muscle apposition on postoperative MRI. In five other cases treated surgically, good to excellent results were also noted.…”

Section: Surgical Treatment Of Acute Pm Tearsmentioning

confidence: 99%

Pectoralis Major Rupture: Evaluation and Management

Kowalczuk

Elmaraghy

2022

J Am Acad Orthop Surg

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Pectoralis major tendon ruptures are being reported with increasing frequency and primarily occur in young, high demand, male patients. The injury results from an eccentric contracture of the muscle most commonly while performing the bench press maneuver during weight training. In the setting of both acute and chronic injury, physical examination is critical for a timely and accurate diagnosis. During physical examination, comparison with the opposite side is imperative, and findings may include swelling, ecchymosis, loss of the anterior axillary fold, and a decreased pectoralis major index. Surgical treatment of acute ruptures is superior to nonsurgical treatment and results in improved functional outcomes and high levels of return to work and sport. Repair of chronic tears is more challenging and may require reconstruction with autograft or allograft tissue. Despite advances in surgical technique, tendon rerupture, persistent pain, and wound infection remain a concern.

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“…Man kann also ableiten, dass die operative Therapie von PMR, idealerweise im akuten Stadium, bei tendinösen Avulsionen der konservativen Therapie überlegen ist. Bei intramuskulären Rupturen des PM, einer sehr seltenen Entität, konnte im Rahmen von Fallberichten gezeigt werden, dass eine direkte Naht zu guten Ergebnissen führen kann [ 17 , 18 ].…”

Section: Diskussionunclassified

Akute muskulotendinöse Ruptur des M. pectoralis major

et al. 2021

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ZusammenfassungDie Pectoralis-major-Ruptur (PMR) ist eine seltene Verletzung, die v. a. beim Kraftsport aufritt. Vorgestellt wird der Fall eines 31-jährigen Profibasketballspielers, der sich beim Bankdrücken eine Komplettruptur am muskulotendinösen Übergang des M. pectoralis major (PM) zugezogen hatte. Drei Wochen nach dem erlittenen Trauma erfolgte bei persistierenden Schmerzen und Kraftdefizit die Refixation des PM. Drei Monate postoperativ konnte der Patient bei vollem Bewegungsumfang schmerzfrei in den Basketballsport zurückkehren. Die Verletzungsentität wird vor dem Hintergrund der aktuellen Literatur diskutiert und das operative Vorgehen im Detail dargestellt.

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Successful surgical repair of a full-thickness intramuscular muscle belly rupture of pectoralis major

Cited by 6 publications

References 20 publications

Pectoralis Major Muscle Belly Rupture in a 17-Year-Old Female Softball Player

Pectoralis Major Muscle Belly Rupture in a 17-Year-Old Female Softball Player

Pectoralis Major Rupture: Evaluation and Management

Akute muskulotendinöse Ruptur des M. pectoralis major

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