Acta Ortopédica Mexicana

Cruz LF, Trueba VC, Morales DH, Gil OF, Hernández EP, Acuña TM, Ibarra PJC
Acute traumatic pectoralis major tendon ruptures. Case series with a new approach
Acta Ortop Mex 2018; 32 (6)

Language: Español
References: 20
Page: 310-315
PDF: 363.15 Kb.

[Fulltext - PDF]

ABSTRACT

Introduction: Described for the first time in 1822, being the treatment in acute the method of choice since the chronic injuries results in more complex procedures by the presence of fibrosis and muscular retraction. Material and methods: Report of 19 cases with injury after physical activity, averaging age 30 years and range 20-48 years. Average follow-up of 41 months, carrying out functional evaluations pre and post-operatively of CONSTANT, UCLA, SST and ASES, immobilization in internal rotation for five weeks. Results: They showed improvement in the scales SST, CONSTANT, UCLA and ASES, being made with the U of Mann-Whitney for related samples, stablishing the value of p in 0.05 in all tests. CONSTANT preoperative values range from 32 to 93, UCLA ranges from 10 to 34, aces from 11.6 to 80 and SST from 0 to 9; CONSTANT postoperative values ranging from 73 to 96, UCLA with a range of 15 to 35, ASES with a range of 55 to 100 and SST ranging from 6 to 12. Discussion: The use of this technique presented functional results, we consider has low level of difficulty, low risk of neurovascular injury, cosmetic and present functional recovery.


Key words: Rupture, acute, tendon, pectorales major, repair.


REFERENCES

  1. Hayes WM. Rupture of pectoralis major muscle. Review of the literature and report of two cases. J Imiternat Coil Surgeons. 1950; 14: 82-8.

  2. Aärimaa V, Rantanen J, Heikkilä J, Helttula I, Orava S. Rupture of the pectoralis major muscle. Am J Sports Med. 2004; 32(5): 1256-62.

  3. de Castro-Pochini A, Ejnisman B, Andreoli CV, Monteiro GC, Silva AC, Cohen M, et al. Pectoralis major muscle rupture in athletes: a prospective study. Am J Sports Med. 2010; 38(1): 92-8.

  4. Hanna CM, Glenny AB, Stanley SN, Caughey MA. Pectoralis major tears: comparison of surgical and conservative treatment. Br J Sports Med. 2001; 35(3): 202-6.

  5. Iannotti JP, Williams GR. Disorders of the shoulder: diagnosis and management. Philadelphia, PA: Lippincott Williams & Wilkins; 1999.

  6. Rockwood C. The shoulder. 3rd ed. Philadelphia, PA: Saunders; 2004.

  7. 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(4): 500-8.

  8. Wolfe SW, Wickiewicz TL, Cavanaugh JT. Ruptures of the pectoralis major muscle. An anatomic and clinical analysis. Am J Sports Med. 1992; 20(5): 587-93.

  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(8): 1693-705.

  10. Potter BK, Lehman RA Jr, Doukas WC. Simultaneous bilateral rupture of the pectoralis major tendon. A case report. J Bone Joint Surg Am. 2004; 86-A(7): 1519-21.

  11. Candiani P, Campigliq GL, Quattrone P, Lovaria A. Computerized angiographic study of the vascular supply of the pectoralis major muscle. Acta Chir Plast. 1991; 33(4): 185-93.

  12. de Castro-Pochini A, Ejnisman B, Andreoli CV, Monteiro GC, Fleury AM, Faloppa F, et al. Exact moment of tendon of pectoralis major muscle rupture captured on video. Br J Sports Med. 2007; 41(9): 618-9; discussion 619.

  13. Schepsis AA, Grafe MW, Jones HP, Lemos MJ. Rupture of the pectoralis major muscle. Outcome after repair of acute and chronic injuries. Am J Sports Med. 2000; 28(1): 9-15.

  14. Connell DA, Potter HG, Sherman MF, Wickiewicz TL. Injuries of the pectoralis major muscle: evaluation with MR imaging. Radiology. 1999; 210(3): 785-91.

  15. Cooper DE, O’Brien SJ, Warren RF. Supporting layers of the glenohumeral joint. An anatomic study. Clin Orthop Relat Res. 1993; (289): 144-55.

  16. Aszmann OC, Rab M, Kamolz L, Frey M. The anatomy of the pectoral nerves and their significance in brachial plexus reconstruction. J Hand Surg Am. 2000; 25(5): 942-7.

  17. Bak K, Cameron EA, Henderson IJ. Rupture of the pectoralis major: a meta-analysis of 112 cases. Knee Surg Sports Traumatol Arthrosc. 2000; 8(2): 113-9.

  18. Inhofe PD, Grana WA, Egle D, Min KW, Tomasek J. The effects of anabolic steroids on rat tendon. An ultrastructural, biomechanical, and biochemical analysis. Am J Sports Med. 1995; 23(2): 227-32.

  19. Berson BL. Surgical repair of pectoralis major rupture in an athlete. Case report of an unusual injury in a wrestler. Am J Sports Med. 1979; 7(6): 348-51.

  20. Sherman SL, Lin EC, Verma NN, Mather RC, Gregory JM, Dishkin J, et al. Biomechanical analysis of the pectoralis major tendon and comparison of techniques for tendo-osseous repair. Am J Sports Med. 2012; 40(8): 1887-94.