Pectoralis major tendon rupture in a weight lifter: a rare case.

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Alessio Pedrazzini
Massimo Banchi
Nicola Bertoni
Bianca Pedrabissi
Henry Claudel Yewo Simo
Vanni Medina
Pietro Bonassi
Silvio Tocco
Francesco Pogliacomi

Keywords

Tendon rupture, Pectoralis Major, sport, weight lifter

Abstract

Pectoralis major tendon (PMT) rupture is a rare event, and it was originally described by Patisser in 1822. The PMT is a thick lamina, which has two origins, one from the clavicle and the other from the ribcage sternum. PMT lesions are classified according to 3 levels of severity: Type 1 is contusions and strains, Type 2 is a partial tear and Type 3 is a complete tear. Diagnosis is made through a clinical examination which comprises a positive response to pain upon pressure over the axilla recess, the presence of bruising and limited motion, and is completed with an MRI. Type 3 injuries are treated exclusively through surgery, while Type 1 and 2 lesions are treated conservatively. In this article, we describe a rare case of PMT rupture in a 39-year-old weight lifter, the surgical treatment that was carried out through an open access at the Pectoralis and Deltoid junction and anchor suture, the post-surgical rehabilitation program and a 1-year follow-up assessment at which point return to sport was achieved.

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