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

Pectoralis Major Muscle Belly Rupture in a 17-Year-Old Female Softball Player: A Case Report

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.

Pectoralis Major Rupture: Evaluation and Management

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.

[Acute rupture of the pectoralis major muscle at the musculotendinous junction : Case report of a rare injury and literature review]

Die 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.

Pectoralis Major Muscle Belly Repair in a Young Male Adult: A Case Report

CASE

A 29-year-old man sustained a near-complete laceration to the left pectoralis major muscle belly. The muscle and epimysium were repaired using the Kragh technique-a combination of running interlocked and Mason-Allen stitches. At the 6-year follow-up, the patient had an excellent outcome as measured by clinical scores (Short Form Survey-36, Disabilities of the Arm, Shoulder, and Hand, and American Shoulder and Elbow Surgeons Score), bench press, cosmesis, and magnetic resonance imaging.

CONCLUSIONS

Acute traumatic open pectoralis muscle belly tears may be successfully repaired in select patients using the Kragh technique with excellent postoperative function and cosmesis.