Tears of the pectoralis major muscle

Zeman, Stuart C.; Rosenfeld, Robert T.; Lipscomb, Paul R.

doi:10.1177/036354657900700607

Cited by 92 publications

(68 citation statements)

References 5 publications

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“…Later, in 1972, McEntire et al [7] reviewed all 45 cases reported in the previous literature and added 11 more cases. In 1979 Zeman et al [17] evaluated nine cases, of which 5 were treated conservatively and 4 were treated surgically. All of the conservatively treated patients could return to everyday life, but their muscular strength was not regained completely and the athletes could not return to competitive sports.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of pectoralis major rupture in athletes

Pavlik¹,

Csépai²,

Berkes³

1998

Knee Surgery, Sports Traumatology, Arthroscopy

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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.

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Section: Introductionmentioning

confidence: 99%

Surgical treatment of pectoralis major rupture in athletes

Pavlik¹,

Csépai²,

Berkes³

1998

Knee Surgery, Sports Traumatology, Arthroscopy

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“…15,16 Although conservative management has been noted to be appropriate in a subset of patients with pectoralis major ruptures, operative treatment is indicated in all young, active patients, regardless of the chronicity of the injury. 1,15,17 Bak et al 15 performed a meta-analysis of 112 cases and reported excellent results in 88% of surgically treated patients with ruptures, compared excellent result in only 27% of patients with ruptures treated nonoperatively. Regardless of significantly better outcomes stemming from operative treatment, a case-by-case approach should be undertaken for each patient presenting with a pectoralis major rupture during treatment decision making.…”

Section: Discussionmentioning

confidence: 99%

Pectoralis Major Repair With Unicortical Button Fixation And Suture Tape

Sanchez

Ferrari

Frangiamore

et al. 2017

Arthroscopy Techniques

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Although injuries of the pectoralis major muscle are generally uncommon, ruptures of the pectoralis major are occasionally seen in younger, more active patients who participate in weightlifting activities. These injuries usually occur during maximal contraction of the muscle, while in extension and external rotation. In the case of a rupture, operative treatment is advocated especially in young, active patients regardless of the chronicity of the injury. Various surgical techniques for reattachment of the avulsed tendon have been described, but bone tunnel and suture anchor repair techniques are most widely used. In this Technical Note, we present our preferred technique for acute pectoralis major rupture repair involving use of cortical buttons for tendon stump-to-bone fixation.

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“…Differentiation between complete musculotendinous junction ruptures (class IIIC) and ruptures at the humeral insertion (Class IIID) may be difficult. Class IIIC ruptures have ecchymosis of the axilla (2,7,18), while class IIID includes ecchymosis of the arm (3,7,12). However, Park et al (14) reported a case of class IIIC rupture with echymosis of the arm.…”

Section: Diagnosismentioning

confidence: 99%

“…X-rays may confirm the diagnosis of pectoralis major rupture by demonstrating soft tissue swelling and absent pectoralis major shadow (1,2,7,8,(12)(13)(14)18).…”

Section: Diagnosismentioning

confidence: 99%

“…Two of the six cases of chronic complete rupture reported by Kretzler et al (3), cases 14 and 15, were The literature supports surgical repair of acute partial ruptures as effective treatment. Four cases of acute partial ruptures were surgically repaired, and were described as successes with criteria such as returning to full function, regaining full range of motion, regaining full strength, and the absence of pain (3,7,8,10). However, seven cases of acute partial ruptures were effectively treated conservatively means (10,16,21).…”

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

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

Chao¹,

Manktelow²

1997

CAN J PLAST SURG

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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...

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Tears of the pectoralis major muscle

Cited by 92 publications

References 5 publications

Surgical treatment of pectoralis major rupture in athletes

Surgical treatment of pectoralis major rupture in athletes

Pectoralis Major Repair With Unicortical Button Fixation And Suture Tape

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

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