Total Rupture of Pectoralis Major Muscle in Athletes

Orava, Sakari; Sorasto, A.; Aalto, Kristiina; Kvist, H

doi:10.1055/s-2008-1025919

Cited by 42 publications

(29 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In four cases we found a combination of the two mechanisms, in which the rupture was at the musculotendineous junction. In most cases the diagnosis is evident, according to the anamnesis and the clinical symptoms, nevertheless, ultrasonography can be useful to localize the injury [9]. We agree with Miller et al [8] that MRI can be very useful in the early diagnosis and in treatment planning of the pectoralis major rupture.…”

Section: Discussionsupporting

confidence: 71%

Surgical treatment of pectoralis major rupture in athletes

Pavlik¹,

Csépai²,

Berkes³

1998

Knee Surgery, Sports Traumatology, Arthroscopy

View full text Add to dashboard Cite

Complete rupture of the pectoralis major muscle, first described by Patissier in 1822, is a rare sports injury. Less than 100 cases have been reported in the literature since 1822. In this study, we describe our surgical technique and summarize our results and experience of the surgical treatment of pectoralis major rupture. Seven athletes (4 wrestlers, 2 handball players, 1 body-builder) were surgically treated in our department from 1981 to 1996. During the follow-up examination, five patients had excellent and two had good results, and six athletes could return to sports activity at their preoperative level. Among our patients we emphasize that of a wrestler, who had suffered an acute rupture, and 3 months after the surgery he won an Olympic gold medal. According to the literature and our experience, we suggest that only surgical repair of the acute pectoralis major rupture will result in both complete recovery and restoration of the full strength of the muscle, essential for active athletes.

show abstract

Section: Discussionsupporting

confidence: 71%

Surgical treatment of pectoralis major rupture in athletes

Pavlik¹,

Csépai²,

Berkes³

1998

Knee Surgery, Sports Traumatology, Arthroscopy

View full text Add to dashboard Cite

show abstract

“…A small number of reports noted the mechanism of injury occurred during concentric contraction of the muscle while performing a specific maneuver associated with wrestling, jujitsu, or gymnastics. 12,14,18,30,52,58,73 However, most injuries occurred when a maximal force was applied with the PM eccentrically contracting during an abducted and externally rotated shoulder movement. 5,7,8,20,49,52 Weight training, including the deep part of the lift during a bench press maneuver, was the most frequently reported indirect mechanism of injury, representing nearly 48% of all reported cases.…”

Section: In 2000mentioning

confidence: 99%

“…20 Cases of bony avulsion at humeral insertion (location VI) are also amenable to surgical repair but are best addressed with fracture fixation techniques. 7,20,34,52,71,75 Therefore, a contemporary classification of tears by surgical relevance can be simplified into 1 of 3 locations: (1) muscle origin or muscle belly, (2) at or between the musculotendinous junction and tendinous insertion, and (3) bony avulsion at the humerus.…”

Section: Timingmentioning

confidence: 99%

A systematic review and comprehensive classification of pectoralis major tears

Elmaraghy

Devereaux

2012

Journal of Shoulder and Elbow Surgery

165

217

View full text Add to dashboard Cite

“…The five reported cases of chronic partial ruptures accompanied by weakness or deformity indicating the need for surgery (11,15,(19)(20)(21) had symptoms relieved by surgery. One of these cases also presented with pain (19).…”

Section: Treatmentmentioning

confidence: 99%

Pectoralis major rupture: Presentation of two cases and review of 74 cases

Chao¹,

Manktelow²

1997

CAN J PLAST SURG

View full text Add to dashboard Cite

P ectoralis major rupture is uncommon. The relative incidence of partial and complete ruptures of the pectoralis major, in acute and in chronic presentations, is not well known, and management of these injuries is not well documented. Weight lifting is the most common cause of pectoralis major rupture, and the bench press exercise accounts for a large portion of occurrences (1-4). Other causes include windsurfing (1,5), football (6,7), wrestling (5,8-10), hockey (11,12) and falls (13)(14)(15). This paper identifies 74 cases reported in the English language literature in the past 34 years and describes two additional cases and their successful management. The relative incidence of partial and complete ruptures in acute and chronic presentations is discussed. Through review of the literature, the most appropriate management was determined. Anatomy, classification of injury and diagnosis are reviewed. CASE PRESENTATIONS Case 1A 24-year-old physical education instructor injured his left pectoralis major. At the time of injury, he had been lifting weights for a number of years. While completing his regular weight lifting program, he was bench pressing a 42 kg barbell (his maximum). As he was abducting his arms in a transverse plane stretching, he felt a burning sensation at the humeral insertion of the left pectoralis major. He did not continue his program. He had persistent symptoms of pain, decreased range of motion, weakness and deformity. One week after injury, ecchymosis became evident in his arm extending to his elbow. Pain was aggravated by shoulder extension and by motion from jogging. This pain limited his active range of motion. He noted weakness and chest cramps when exercising. Also the pectoralis major would bunch into a ball on the chest wall when contracting. The injury prevented the patient from exercising and performing his regular activities as a physical education instructor. The patient did not use anabolic steroids.He sought treatment from several surgeons. The common HYM Chao, RT Manktelow. Pectoralis major rupture: Presentation of two cases and review of 74 cases. Can J Plast Surg 1997;5(2):118-122. Pectoralis major rupture is uncommon. Injury usually occurs from sporting activities. The incidence and management of pectoralis major rupture is not well known, despite 74 case reports in the English language literature over the past 34 years. Two cases of chronic pectoralis ruptures and their successful surgical management are described. A review of the literature shows that most injuries occur at the humeral insertion, and most are complete ruptures. Distinguishing between complete and partial ruptures is important. Complete ruptures are best treated surgically in the acute situation. When chronic complete ruptures present, surgical repair yields fair to good results. Acute partial ruptures can be effectively managed conservatively or with surgery. Chronic partial ruptures can be managed surgically with good results, following unsatisfactory conservative management in the acute situation. Key Wor...

show abstract

Total Rupture of Pectoralis Major Muscle in Athletes

Cited by 42 publications

References 3 publications

Surgical treatment of pectoralis major rupture in athletes

Surgical treatment of pectoralis major rupture in athletes

A systematic review and comprehensive classification of pectoralis major tears

Pectoralis major rupture: Presentation of two cases and review of 74 cases

Contact Info

Product

Resources

About