Muscle Injury of the Chest Wall and Upper Extremity

ABSTRACT

Most muscle trauma more commonly involves the lower extremity, but injury to the chest wall, particularly the pectoralis major, is well recognized. Trauma to the upper limb muscle-tendon unit is preserved. Development of complications from muscle injury is also discussed. This article systematically reviews the clinical features, pathogenesis, imaging findings, and management for upper limb and chest wall muscle injuries. Imaging modalities focus on magnetic resonance imaging and ultrasound, highlighting their advantages and disadvantages in specific situations.

KEYWORDS

Muscle - athletic injury - MRI - ultrasound

REFERENCES

• 1 Fleckenstein J L, Shellock F G. Exertional muscle injuries: magnetic resonance imaging evaluation.  Top Magn Reson Imaging. 1991;  3(4) 50-70
• 2 Nikolaou P K, Macdonald B L, Glisson R R, Seaber A V, Garrett Jr W E. Biomechanical and histological evaluation of muscle after controlled strain injury.  Am J Sports Med. 1987;  15(1) 9-14
• 3 Kretzler Jr H H, Richardson A B. Rupture of the pectoralis major muscle.  Am J Sports Med. 1989;  17(4) 453-458
• 4 Wolfe S W, Wickiewicz T L, Cavanaugh J T. Ruptures of the pectoralis major muscle. An anatomic and clinical analysis.  Am J Sports Med. 1992;  20(5) 587-593
• 5 Bak K, Cameron E A, Henderson I J. Rupture of the pectoralis major: a meta-analysis of 112 cases.  Knee Surg Sports Traumatol Arthrosc. 2000;  8(2) 113-119
• 6 Hanna C M, Glenny A B, Stanley S N, Caughey M A. Pectoralis major tears: comparison of surgical and conservative treatment.  Br J Sports Med. 2001;  35(3) 202-206
• 7 Schepsis A A, Grafe M W, Jones H P, Lemos M J. Rupture of the pectoralis major muscle. Outcome after repair of acute and chronic injuries.  Am J Sports Med. 2000;  28(1) 9-15
• 8 Rehman A, Robinson P. Sonographic evaluation of injuries to the pectoralis muscles.  AJR Am J Roentgenol. 2005;  184(4) 1205-1211
• 9 Connell D A, Potter H G, Sherman M F, Wickiewicz T L. Injuries of the pectoralis major muscle: evaluation with MR imaging.  Radiology. 1999;  210(3) 785-791
• 10 Carrino J A, Chandnanni V P, Mitchell D B, Choi-Chinn K, DeBerardino T M, Miller M D. Pectoralis major muscle and tendon tears: diagnosis and grading using magnetic resonance imaging.  Skeletal Radiol. 2000;  29(6) 305-313
• 11 Potter B K, Lehman Jr R A, Doukas W C. Pectoralis major ruptures.  Am J Orthop (Belle Mead NJ). 2006;  35(4) 189-195
• 12 Petilon J, Carr D R, Sekiya J K, Unger D V. Pectoralis major muscle injuries: evaluation and management.  J Am Acad Orthop Surg. 2005;  13(1) 59-68
• 13 Weaver J S, Jacobson J A, Jamadar D A, Theisen S E, Ebrahim F, Kalume-Brigido M. Sonographic findings of pectoralis major tears with surgical, clinical, and magnetic resonance imaging correlation in 6 patients.  J Ultrasound Med. 2005;  24(1) 25-31
• 14 Ohashi K, El-Khoury G Y, Albright J P, Tearse D S. MRI of complete rupture of the pectoralis major muscle.  Skeletal Radiol. 1996;  25(7) 625-628
• 15 Zvijac J E, Schurhoff M R, Hechtman K S, Uribe J W. Pectoralis major tears: correlation of magnetic resonance imaging and treatment strategies.  Am J Sports Med. 2006;  34(2) 289-294
• 16 Merolla G, Campi F, Paladini P, Porcellini G. Surgical approach to acute pectoralis major tendon rupture.  G Chir. 2009;  30(1–2) 53-57
• 17 Humphries D, Jamison M. Clinical and magnetic resonance imaging features of cricket bowler's side strain.  Br J Sports Med. 2004;  38(5) E21
• 18 Obaid H, Nealon A, Connell D. Sonographic appearance of side strain injury.  AJR Am J Roentgenol. 2008;  191(6) W264-W267
• 19 Connell D A, Jhamb A, James T. Side strain: a tear of internal oblique musculature.  AJR Am J Roentgenol. 2003;  181(6) 1511-1517
• 20 Mankin H J. Rickets, osteomalacia, and renal osteodystrophy. An update.  Orthop Clin North Am. 1990;  21(1) 81-96
• 21 Singh R K, Pooley J. Complete rupture of the triceps brachii muscle.  Br J Sports Med. 2002;  36(6) 467-469
• 22 Van den Berghe G R, Queenan J F, Murphy D A. Isolated rupture of the brachialis: a case report.  J Bone Joint Surg Am. 2001;  83-A(7) 1074-1075
• 23 Noonan T J, Garrett Jr W E. Muscle strain injury: diagnosis and treatment.  J Am Acad Orthop Surg. 1999;  7(4) 262-269
• 24 Nishida Y, Tsukushi S, Yamada Y, Hosono K, Ishiguro N. Brachialis muscle tear mimicking an intramuscular tumor: a report of two cases.  J Hand Surg [Am]. 2007;  32(8) 1237-1241
• 25 Tuncali D, Yavuz N, Terzioglu A, Aslan G. The rate of upper-extremity deep-structure injuries through small penetrating lacerations.  Ann Plast Surg. 2005;  55(2) 146-148
• 26 Kragh Jr J F, Basamania C J. Surgical repair of acute traumatic closed transection of the biceps brachii.  J Bone Joint Surg Am. 2002;  84-A(6) 992-998
• 27 Aso K, Torisu T. Muscle belly tear of the triceps.  Am J Sports Med. 1984;  12(6) 485-487
• 28 O'Driscoll S W. Intramuscular triceps rupture.  Can J Surg. 1992;  35(2) 203-207
• 29 Dragoni S, Giombini A, Candela V, Rossi F. Isolated partial tear of subscapularis muscle in a competitive water skier. A case report.  J Sports Med Phys Fitness. 1994;  34(4) 407-410
• 30 Motta F, Carletti T. Spontaneous rupture of the infraspinatus muscle. A case report.  Int Orthop. 1990;  14(4) 351-353
• 31 Chen C C, Chiou H J, Kao C L, Chan R C. Sonographic appearance of a partial rupture of the supinator muscle.  J Clin Ultrasound. 2008;  36(4) 247-250
• 32 De Smet A A, Fisher D R, Heiner J P, Keene J S. Magnetic resonance imaging of muscle tears.  Skeletal Radiol. 1990;  19(4) 283-286