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Semin Musculoskelet Radiol 2022; 26(05): 535-545
DOI: 10.1055/s-0042-1756687
DOI: 10.1055/s-0042-1756687
Review Article
Muscle Injury Around the Shoulder
Abstract
Acute shoulder tendon and intra-articular injuries are common and their imaging well described. However, a subset of patients present with more unusual acute shoulder muscle injury. Of these, pectoralis major muscle injuries are encountered the most often and are increasingly prevalent due to a focus on personal fitness, particularly bench-press exercises. Other muscle injuries around the shoulder are rare. This article reviews the anatomy, mechanism of injury, and the imaging findings in relation to injuries of these muscles around the shoulder. We focus on pectoralis major injury but also review proximal triceps, latissimus dorsi, teres major, and deltoid muscle injuries, providing imaging examples.
Publication History
Article published online:
19 December 2022
© 2022. Thieme. All rights reserved.
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References
- 1 Järvinen TAH, Järvinen TLN, Kääriäinen M, Kalimo H, Järvinen M. Muscle injuries: biology and treatment. Am J Sports Med 2005; 33 (05) 745-764
- 2 Finlay K, Friedman L. Common tendon and muscle injuries: upper extremities. Ultrasound Clin 2007; 2 (04) 577-594
- 3 Palmer WE, Kuong SJ, Elmadbouh HM. MR imaging of myotendinous strain. AJR Am J Roentgenol 1999; 173 (03) 703-709
- 4 Flores DV, Mejía Gómez C, Estrada-Castrillón M, Smitaman E, Pathria MN. MR imaging of muscle trauma: anatomy, biomechanics, pathophysiology, and imaging appearance. Radiographics 2018; 38 (01) 124-148
- 5 Guermazi A, Roemer FW, Robinson P, Tol JL, Regatte RR, Crema MD. Imaging of muscle injuries in sports medicine: sports imaging series. Radiology 2017; 282 (03) 646-663
- 6 Connell DA, Schneider-Kolsky ME, Hoving JL. et al. Longitudinal study comparing sonographic and MRI assessments of acute and healing hamstring injuries. AJR Am J Roentgenol 2004; 183 (04) 975-984
- 7
Koulouris G,
Connell DA,
Brukner P,
Schneider-Kolsky M.
Magnetic resonance imaging parameters for assessing risk of recurrent hamstring injuries
in elite athletes. Am J Sports Med 2007; 35 (09) 1500-1506
MissingFormLabel
- 8 Moore KL, Dailey AF, Agur AMR. Clinically Oriented Anatomy. 7th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013
- 9 Provencher MT, Handfield K, Boniquit NT, Reiff SN, Sekiya JK, Romeo AA. Injuries to the pectoralis major muscle: diagnosis and management. Am J Sports Med 2010; 38 (08) 1693-1705
- 10 Fung L, Wong B, Ravichandiran K, Agur A, Rindlisbacher T, Elmaraghy A. Three-dimensional study of pectoralis major muscle and tendon architecture. Clin Anat 2009; 22 (04) 500-508
- 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 Chiavaras MM, Jacobson JA, Smith J, Dahm DL. Pectoralis major tears: anatomy, classification, and diagnosis with ultrasound and MR imaging. Skeletal Radiol 2015; 44 (02) 157-164
- 13 Lee J, Brookenthal KR, Ramsey ML, Kneeland JB, Herzog R. MR imaging assessment of the pectoralis major myotendinous unit: an MR imaging-anatomic correlative study with surgical correlation. AJR Am J Roentgenol 2000; 174 (05) 1371-1375
- 14 Bak K, Cameron EA, Henderson IJP. Rupture of the pectoralis major: a meta-analysis of 112 cases. Knee Surg Sports Traumatol Arthrosc 2000; 8 (02) 113-119
- 15 Wolfe SW, Wickiewicz TL, Cavanaugh JT, Shirley P. Ruptures of the pectoralis major muscle. An anatomic and clinical analysis. Am J Sports Med 1992; 20 (05) 587-593
- 16 Aärimaa V, Rantanen J, Heikkilä J, Helttula I, Orava S. Rupture of the pectoralis major muscle. Am J Sports Med 2004; 32 (05) 1256-1262
- 17 Lee SJ, Jacobson JA, Kim SM. et al. Distal pectoralis major tears: sonographic characterization and potential diagnostic pitfalls. J Ultrasound Med 2013; 32 (12) 2075-2081
- 18 Connell DA, Potter HG, Sherman MF, Wickiewicz TL. Injuries of the pectoralis major muscle: evaluation with MR imaging. Radiology 1999; 210 (03) 785-791
- 19 Lee YK, Skalski MR, White EA. et al. US and MR imaging of pectoralis major injuries. Radiographics 2017; 37 (01) 176-189
- 20 Baker JC, Pacheco RA, Bansal D, Shah VA, Rubin DA. The diagnostic performance of MRI signs to distinguish pectoralis major tendon avulsions from myotendinous injuries. Skeletal Radiol 2021; 50 (12) 2395-2404
- 21 Chang ES, Zou J, Costello JM, Lin A. Accuracy of magnetic resonance imaging in predicting the intraoperative tear characteristics of pectoralis major ruptures. J Shoulder Elbow Surg 2016; 25 (03) 463-468
- 22 Godoy IRB, Martinez-Salazar EL, Simeone FJ, Bredella MA, Palmer WE, Torriani M. MRI of pectoralis major tears: association between ancillary findings and tear severity. Skeletal Radiol 2018; 47 (08) 1127-1135
- 23 Belentani C, Pastore D, Wangwinyuvirat M. et al. Triceps brachii tendon: anatomic-MR imaging study in cadavers with histologic correlation. Skeletal Radiol 2009; 38 (02) 171-175
- 24 Anzel SH, Covey KW, Weiner AD, Lipscomb PR. Disruption of muscles and tendons; an analysis of 1, 014 cases. Surgery 1959; 45 (03) 406-414
- 25 Vidal AF, Drakos MC, Allen AA. Biceps tendon and triceps tendon injuries. Clin Sports Med 2004; 23 (04) 707-722 , xi
- 26 Tagliafico A, Gandolfo N, Michaud J, Perez MM, Palmieri F, Martinoli C. Ultrasound demonstration of distal triceps tendon tears. Eur J Radiol 2012; 81 (06) 1207-1210
- 27 Tom JA, Kumar NS, Cerynik DL, Mashru R, Parrella MS. Diagnosis and treatment of triceps tendon injuries: a review of the literature. Clin J Sport Med 2014; 24 (03) 197-204
- 28 Dunn JC, Kusnezov N, Fares A. et al. Triceps tendon ruptures: a systematic review. Hand (N Y) 2017; 12 (05) 431-438
- 29 Morelli M, Nagamori J, Gilbart M, Miniaci A. Latissimus dorsi tendon transfer for massive irreparable cuff tears: an anatomic study. J Shoulder Elbow Surg 2008; 17 (01) 139-143
- 30 Schickendantz MS, Kaar SG, Meister K, Lund P, Beverley L. Latissimus dorsi and teres major tears in professional baseball pitchers: a case series. Am J Sports Med 2009; 37 (10) 2016-2020
- 31 Waters G, D'Alessandro P, McGrath B, Leith J. A unique case of latissimus dorsi tendon avulsion injury in an athlete cycling anabolic steroids and successful delayed repair utilizing an intracortical button technique.
- 32 Ahmad AN, Hankins DA, Wascher DC. Simultaneous bilateral latissimus dorsi tendon ruptures: a case report. JBJS Case Connect 2021;11(04):
- 33 Pedret C, Balius R, Idoate F. Sonography and MRI of latissimus dorsi strain injury in four elite athletes. Skeletal Radiol 2011; 40 (05) 603-608
- 34 Friedman MV, Stensby JD, Hillen TJ, Demertzis JL, Keener JD. Traumatic tear of the latissimus dorsi myotendinous junction: case report of a CrossFit-related Injury. Sports Health 2015; 7 (06) 548-552
- 35 Le HBQ, Lee ST, Lane MD, Munk PL, Blachut PA, Malfair D. Magnetic resonance imaging appearance of partial latissimus dorsi muscle tendon tear. Skeletal Radiol 2009; 38 (11) 1107-1110
- 36 Butterwick DJ, Mohtadi NG, Meeuwisse WH, Frizzell JB. Rupture of latissimus dorsi in an athlete. Clin J Sport Med 2003; 13 (03) 189-191
- 37 Donohue BF, Lubitz MG, Kremchek TE. Sports injuries to the latissimus dorsi and teres major. Am J Sports Med 2017; 45 (10) 2428-2435
- 38
Erickson BJ,
Chalmers PN,
Potter HG,
Altchek DW,
Romeo AA.
Magnetic resonance imaging grading system for tears of the latissimus dorsi and teres
major. Orthop J Sports Med 2019; 7 (03) 2325967119826548
MissingFormLabel
- 39 Fysentzou C. Rehabilitation after a grade III latissimus dorsi tear of a soccer player: a case report. J Back Musculoskeletal Rehabil 2016; 29 (04) 905-916
- 40 Spinner RJ, Speer KP, Mallon WJ. Avulsion injury to the conjoined tendons of the latissimus dorsi and teres major muscles. Am J Sports Med 1998; 26 (06) 847-849
- 41 Anderson SE, Hertel R, Johnston JO, Stauffer E, Leinweber E, Steinbach LS. Latissimus dorsi tendinosis and tear: imaging features of a pseudotumor of the upper limb in five patients. AJR Am J Roentgenol 2005; 185 (05) 1145-1151
- 42 Moser T, Lecours J, Michaud J, Bureau NJ, Guillin R, Cardinal É. The deltoid, a forgotten muscle of the shoulder. Skeletal Radiol 2013; 42 (10) 1361-1375
- 43 Ilaslan H, Iannotti JP, Recht MP. Deltoid muscle and tendon tears in patients with chronic rotator cuff tears. Skeletal Radiol 2007; 36 (06) 503-507
- 44 Calcei JB, Calcei JG, Estis N, Miller TT, Taylor SA. Isolated traumatic tear of the middle head of the deltoid muscle: a case report. JBJS Case Connect 2021; 11 (01) 00305
- 45 Blazar PE, Williams GR, Iannotti JP. Spontaneous detachment of the deltoid muscle origin. J Shoulder Elbow Surg 1998; 7 (04) 389-392
- 46 Bianchi S, Martinoli C, Abdelwahab IF. Imaging findings of spontaneous detachment of the deltoid muscle as a complication of massive rotator cuff tear. Skeletal Radiol 2006; 35 (06) 410-415
- 47 Groh GI, Simoni M, Rolla P, Rockwood CA. Loss of the deltoid after shoulder operations: an operative disaster. J Shoulder Elbow Surg 1994; 3 (04) 243-253
- 48 Gumina S, Di Giorgio G, Perugia D, Postacchini F. Deltoid detachment consequent to open surgical repair of massive rotator cuff tears. Int Orthop 2008; 32 (01) 81-84
- 49 Colak C, Bullen JA, Entezari V, Forney M, Ilaslan H. Magnetic resonance imaging of deltoid muscle/tendon tears: a descriptive study. Skeletal Radiol 2021; 50 (10) 1995-2003
- 50 Chiba D, Sano H, Nakajo S, Fujii F. Traumatic deltoid rupture caused by seatbelt during a traffic accident: a case report. J Orthop Surg (Hong Kong) 2008; 16 (01) 127-129
- 51 Allen AA, Drakos MC. Partial detachment of the deltoid muscle. A case report. Am J Sports Med 2002; 30 (01) 133-134
- 52 Madi NS, Issa R, Koaik Y, Al-Taki M. Complete distal deltoid muscle detachment: a case report. Sportverletz Sportschaden 2022; 36 (01) 55-59