Objectives-To compare objective measures of strength and subjective functional outcomes in complete distal pectoralis major tears treated either surgically or non-surgically. Methods-Twenty two pectoralis major tears were included in 21 patients. Ten were surgically repaired and 12 were managed non-surgically. Patients completed a standard questionnaire, and clinical examination and isokinetic dynamometry were carried out. Results-In patients who had surgical repair, peak torque returned to 99% of that of the uninjured side and work performed returned to 97%. For those managed conservatively, peak torque and work performed returned to only 56% of that of the uninjured side (p = 0.003 for the diVerence in peak torque, and p = 0.01 for work performed). Findings were independent of the strength of the patient, whether or not the dominant arm was involved, the age of the patient, and the length of time from injury or surgery to testing. Patients were grouped into one of three subjective functional outcome groups, and those who had a surgical repair had a better functional outcome. Conclusions-Surgical repair results in greater recovery of peak torque and work performed than conservative management of patients with rupture of the pectoralis major. (Br J Sports Med 2001;35:202-206)
Oxygen saturation declines significantly in athletes during long-haul commercial flights, in response to reduced cabin pressure. This may be relevant for altitude acclimatization planning by athletes, as the time spent on the plane should be considered time already spent at altitude, with associated physiological changes. For flights of 10-13 hours in duration, it will be difficult to arrive on the day of competition to avoid the influence of these changes, as is often suggested by coaches.
The 5 parameters (decreased skin turgor, sensation of thirst, sunken eyes, inability to spit and dry mucous membranes) tested in this study did not precisely identify runners with total weight loss >3% at the end of a marathon.
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