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DOI: 10.1055/s-0044-1785448
Pectoralis Major Rupture in a 15-year-old Teenager: Case Report[*]
Article in several languages: português | English Financial Support There was no financial support from public, commercial, or non-profit sources.Abstract
Rupture of the pectoralis major muscle is extremely rare in adolescents. The current literature contains only 5 reports of this condition in patients under 20 years old, with 2 reports in subjects under 16. In the present article, we report the case of a 15-year-old volleyball player who suffered a traumatic rupture of the pectoralis major in a match during the serve movement. After excluding endocrinological abnormalities as a cause of tendon weakening, the patient underwent surgical treatment due to muscle retraction, strength deficit, high demand, and esthetic concerns. Early diagnosis is crucial to successful outcomes, and the surgical intervention enabled early rehabilitation and a provided a higher likelihood of return to high-level competitive sports.
* Study developed at Hospital São Vicente de Paulo/Instituto de Ortopedia e Traumatologia, Passo Fundo, RS, Brazil.
Publication History
Received: 17 May 2023
Accepted: 19 September 2023
Article published online:
19 May 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil
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Referências
- 1 Kowalczuk M, Elmaraghy A. Pectoralis Major Rupture: Evaluation and Management. J Am Acad Orthop Surg 2022; 30 (07) e617-e627
- 2 Petilon J, Carr DR, Sekiya JK, Unger DV. Pectoralis major muscle injuries: evaluation and management. J Am Acad Orthop Surg 2005; 13 (01) 59-68
- 3 Haley CA, Zacchilli MA. Pectoralis major injuries: evaluation and treatment. Clin Sports Med 2014; 33 (04) 739-756
- 4 Hanna CM, Glenny AB, Stanley SN, Caughey MA. Pectoralis major tears: comparison of surgical and conservative treatment. Br J Sports Med 2001; 35 (03) 202-206
- 5 DeFroda S, McGlone P, Levins J, O'Donnell R, Cruz AI, Kriz PK. Shoulder and Elbow Injuries in the Adolescent Throwing Athlete. R I Med J (2013) 2020; 103 (07) 21-29
- 6 Esser S, Arnold SL, Yellin J, Bryant D. “My Chest Hurts”: Pectoralis Major Tear in a 15-Year-Old Tennis Athlete. Curr Sports Med Rep 2022; 21 (10) 351-354
- 7 Pitts RT, Garner HW, Ortiguera CJ. Pectoralis major avulsion in a skeletally immature wrestler: a case report. Am J Sports Med 2010; 38 (05) 1034-1037
- 8 Lioté F, Orcel P. Osteoarticular disorders of endocrine origin. Best Pract Res Clin Rheumatol 2000; 14 (02) 251-276
- 9 Pochini AC, Rodrigues MSB, Yamashita L, Belangero PS, Andreoli CV, Ejnisman B. Surgical treatment of pectoralis major muscle rupture with adjustable cortical button. Rev Bras Ortop 2017; 53 (01) 60-66
- 10 de Castro Pochini A, Andreoli CV, Belangero PS. et al. Clinical considerations for the surgical treatment of pectoralis major muscle ruptures based on 60 cases: a prospective study and literature review. Am J Sports Med 2014; 42 (01) 95-102
- 11 ElMaraghy AW, Devereaux MW. A systematic review and comprehensive classification of pectoralis major tears. J Shoulder Elbow Surg 2012; 21 (03) 412-422
- 12 Yu J, Zhang C, Horner N. et al. Outcomes and return to sport after pectoralis major tendon repair: A systematic review. Sports Health 2019; 11 (02) 134-141
- 13 Shepard NP, Westrick RB, Owens BD, Johnson MR. Bony avulsion injury of the pectoralis major in a 19 year-old male judo athlete: a case report. Int J Sports Phys Ther 2013; 8 (06) 862-870
- 14 Simonian PT, Morris ME. Pectoralis tendon avulsion in the skeletally immature. Am J Orthop 1996; 25 (08) 563-564
- 15 Kuechly HA, Figueras JH, Figueras J. et al. Pectoralis Major Muscle Belly Rupture in a 17-Year-Old Female Softball Player: A Case Report. JBJS Case Connect 2023; 13 (01)
- 16 Reeser JC, Joy EA, Porucznik CA, Berg RL, Colliver EB, Willick SE. Risk factors for volleyball-related shoulder pain and dysfunction. PM R 2010; 2 (01) 27-36
- 17 de Castro Pochini A, Ejnisman B, Andreoli CV. et al. Pectoralis major muscle rupture in athletes: a prospective study. Am J Sports Med 2010; 38 (01) 92-98