| Autor: |
Schachter, Aaron K., White, Brian J., Namkoong, Suk, Sherman, Orrin |
| Předmět: |
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| Zdroj: |
American Journal of Sports Medicine; Feb2006, Vol. 34 Issue 2, p295-298, 4p |
| Abstrakt: |
The article presents a case of failed primary repair of complete rupture of the pectoralis major tendon of a 26-year-old male personal trainer who later underwent revision reconstruction using a semitendinosus-gradilis autograft. He had suffered a pectoralis major tendon rupture while weight lifting and underwent primary repair using a horizontal mattress suture technique 10 days after injury. This repair was performed through a standard deltopectoral incision. The shoulder was immobilized in a sling for 6 weeks, and active range of motion began at 6 weeks after surgery. Two months after surgery, the patient noticed a return of the deformity. He underwent an exploration and attempted tenodesis to the deltoid fascia through the previous incision. Physical examination revealed an anterior axillary deformity with a palpable mass in the patient's chest wall medial to the deltopectoral incision. The patient had full active range of motion of the shoulder with minimal pain but asymmetric decreased strength with resisted adduction. An MRI scan revealed the pectoralis major rupture with minimal retraction. The decision was made to return to the operating suite for a reexploration, with a possible reconstruction of the pectoralis major tendon employing a gracilis-semitendinosus autograft. At 8 months postoperatively, the patient had returned to his preinjury level of strength training. The asymmetric weakness of shoulder adduction present at the preoperative examination had resolved. |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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