Pectoralis Major Avulsion in a Skeletally Immature Wrestler

Pitts, Ryan T.; Garner, Hillary W.; Ortiguera, Cedric J.

doi:10.1177/0363546509351559

Cited by 5 publications

(8 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…AV, tendon avulsion; MTJ, musculotendinous junction; T, tendon; TB, tendon-bone junction. , 18, 19, 21, 25, 31, 32, 34, 39, 44, 51, 52, 56-58, 62, 65, 68, 71, 74, 76, 80, 81, 87, 99, 103, 105, 108, 109, 113, 116, 122-124, 126, 127, 132, 147, 151, 154, 157-159, 163, 164 {{ References 5, 14, 18, 19, 35, 38, 44, 56-58, 62-64,66, 67, 69, 75, 80, 85, 89, 97, 105, 108, 124, 126, 135, 137, 144, 146, 151, 156, 157, 159, 164 ##References 3,6,10,11,14,21,24,27,29,40,41,62,65,68,72,74,81,86,87,97,109,113,116,119,122,124,130,141,142,146,147,158,161…”

mentioning

confidence: 99%

Injuries in Muscle-Tendon-Bone Units: A Systematic Review Considering the Role of Passive Tissue Fatigue

Pouca

Parente

Jorge

et al. 2021

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Low-cycle fatigue damage accumulating to the point of structural failure has been recently reported at the origin of the human anterior cruciate ligament under strenuous repetitive loading. If this can occur in a ligament, low-cycle fatigue damage may also occur in the connective tissue of muscle-tendon units. To this end, we reviewed what is known about how, when, and where injuries of muscle-tendon units occur throughout the body. Purpose: To systematically review injuries in the muscle-tendon-bone complex; assess the site of injury (muscle belly, musculotendinous junction [MTJ], tendon/aponeurosis, tendon/aponeurosis–bone junction, and tendon/aponeurosis avulsion), incidence, muscles and tendons involved, mechanism of injury, and main symptoms; and consider the hypothesis that injury may often be consistent with the accumulation of multiscale material fatigue damage during repetitive submaximal loading regimens. Methods: PubMed, Web of Science, Scopus, and ProQuest were searched on July 24, 2019. Quality assessment was undertaken using ARRIVE, STROBE, and CARE (Animal Research: Reporting In Vivo Experiments, Strengthening the Reporting of Observational Studies in Epidemiology, and the Case Report Statement and Checklist, respectively). Results: Overall, 131 studies met the inclusion criteria, including 799 specimens and 2,823 patients who sustained 3,246 injuries. Laboratory studies showed a preponderance of failures at the MTJ, a viscoelastic behavior of muscle-tendon units, and damage accumulation at the MTJ with repetitive loading. Observational studies showed that 35% of injuries occurred in the tendon midsubstance; 28%, at the MTJ; 18%, at the tendon-bone junction; 13%, within the muscle belly and that 6% were tendon avulsions including a bone fragment. The biceps femoris was the most injured muscle (25%), followed by the supraspinatus (12%) and the Achilles tendon (9%). The most common symptoms were hematoma and/or swelling, tenderness, edema and muscle/tendon retraction. The onset of injury was consistent with tissue fatigue at all injury sites except for tendon avulsions, where 63% of the injuries were caused by an evident trauma. Conclusion: Excluding traumatic tendon avulsions, most injuries were consistent with the hypothesis that material fatigue damage accumulated during repetitive submaximal loading regimens. If supported by data from better imaging modalities, this has implications for improving injury detection, prevention, and training regimens.

show abstract

mentioning

confidence: 99%

Injuries in Muscle-Tendon-Bone Units: A Systematic Review Considering the Role of Passive Tissue Fatigue

Pouca

Parente

Jorge

et al. 2021

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…Esses dados destacam a raridade dessa condição em pacientes adolescentes e do sexo feminino. Existem apenas 5 relatos na literatura 6 7 13 14 15 de pacientes com menos de 20 anos de idade com esse tipo de lesão. Em praticamente todos os casos, os pacientes já estavam envolvidos de alguma maneira com a prática de esportes, como tênis, 6 luta livre, 7 judô 13 e softball .…”

Section: Discussionunclassified

“…Existem apenas 5 relatos na literatura 6 7 13 14 15 de pacientes com menos de 20 anos de idade com esse tipo de lesão. Em praticamente todos os casos, os pacientes já estavam envolvidos de alguma maneira com a prática de esportes, como tênis, 6 luta livre, 7 judô 13 e softball . 15 Neste caso em particular, a adolescente de 15 anos é praticante de vôlei em nível de competição escolar.…”

Section: Discussionunclassified

“…3 4 Além disso, essa condição é considerada extremamente rara em adolescentes, uma faixa etária com maior elasticidade, em que a musculatura ainda está em desenvolvimento, e cuja força muscular geralmente é menor em comparação com adultos. 5 Pelo que sabemos, existem apenas 2 relatos na literatura 6 7 sobre ruptura do peitoral maior em pacientes com 16 anos de idade ou menos.…”

Section: Introductionunclassified

See 1 more Smart Citation

Ruptura do peitoral maior em adolescente de 15 anos: Relato de caso

Piluski,

Bonadiman,

Moreira

et al. 2024

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

ResumoA ruptura do músculo peitoral maior é extremamente rara em adolescentes. Na literatura atual, existem apenas 5 relatos em pacientes com menos de 20 anos, sendo 2 em pacientes com menos de 16 anos de idade. Neste artigo, relatamos o caso de uma jogadora de vôlei de 15 anos que sofreu uma ruptura traumática do peitoral maior em uma partida durante o movimento de saque. Após a exclusão de causas endocrinológicas – que poderiam ter provocado o enfraquecimento tendíneo –, o tratamento cirúrgico foi escolhido devido à retração muscular, ao déficit de força, à alta demanda e às preocupações estéticas. O diagnóstico precoce é crucial para que se obtenham bons resultados, e a intervenção cirúrgica propiciou a reabilitação precoce e uma maior probabilidade de retorno ao esporte de competição em alto nível.

show abstract

“…The articles that were clearly unrelated to the topic for review were removed (3,173), leaving 230 articles for full review. Of these 230 articles, 140 were included in this critical analysis for detailed review; 81 articles were evaluated to compile the descriptive review 10-89 . The majority of articles were small case series (68) and individual case reports, and a few were large series (prospective and retrospective).…”

Section: Methodsmentioning

confidence: 99%

Pectoralis Major Tendon Tear

Magone

Ben-Ari

Gyftopoulos³

et al. 2021

JBJS Reviews

View full text Add to dashboard Cite

Pectoralis major (PM) tendon tears are predominantly seen in young men, and the majority of tears occur as tendon avulsions involving the sternal head. Weightlifting, specifically bench-pressing, and sporting activities with eccentric overloading of the PM tendon are the 2 most common activities that result in PM injury.Early surgical repair or reconstruction should be offered to younger, active patients with a complete PM tear; the majority of the patients undergoing surgical repair achieve good-to-excellent outcomes.Nonsurgical treatment of a complete PM tear is an option but will result in cosmetic deformity and a deficit in adduction strength of the arm. Outcomes after nonsurgical treatment of complete PM tears are less satisfactory than those obtained after surgical treatment.Currently, there is no consensus on the chronological definition of PM tears (acute versus chronic), the critical time limit for performing surgical repair, the ideal fixation device (cortical button, bone tunnel, or suture anchors), the indications for allograft use, and the ideal rehabilitation protocol after treatment of PM tears.

show abstract

Pectoralis Major Avulsion in a Skeletally Immature Wrestler

Cited by 5 publications

References 15 publications

Injuries in Muscle-Tendon-Bone Units: A Systematic Review Considering the Role of Passive Tissue Fatigue

Injuries in Muscle-Tendon-Bone Units: A Systematic Review Considering the Role of Passive Tissue Fatigue

Ruptura do peitoral maior em adolescente de 15 anos: Relato de caso

Pectoralis Major Tendon Tear

Contact Info

Product

Resources

About