Author/Authors :
Pedrazzini, Alessio Orthopaedic Unit - Oglio Po Hospital, Vicomoscano (CR), Italy , Banchi, Massimo Orthopaedic Unit - Oglio Po Hospital, Vicomoscano (CR), Italy , Bertoni, Nicola Orthopaedic Unit - Oglio Po Hospital, Vicomoscano (CR), Italy , Pedrabissi, Bianca Orthopaedic Unit - Oglio Po Hospital, Vicomoscano (CR), Italy , Claudel Yewo Simo, Henry Orthopaedic Unit - Oglio Po Hospital, Vicomoscano (CR), Italy , Medina, Vanni Orthopaedic Unit - Oglio Po Hospital, Vicomoscano (CR), Italy , Bonassi, Pietro Studio Fisioterapico Pietro Bonassi, Chiozzola, Parma, Italy , Tocco, Silvio Centro Riabilitativo della Mano e Arto Superiore, Parma, Italy , Pogliacomi, Francesco Department of Surgical Sciences -Orthopaedic and Traumatology Clinic - University of Parma
Abstract :
Pectoralis major tendon (PMT) rupture is a rare event, and it was originally described by Patis-ser in 1822. The PMT is a thick lamina, which has two origins, one from the clavicle and the other from the ribcage sternum. PMT lesions are classified according to 3 levels of severity: Type 1 is contusions and strains, Type 2 is a partial tear and Type 3 is a complete tear. Diagnosis is made through a clinical examination which comprises a positive response to pain upon pressure over the axilla recess, the presence of bruising and limited motion, and is completed with an MRI. Type 3 injuries are treated exclusively through surgery, while Type 1 and 2 lesions are treated conservatively. In this article, we describe a rare case of PMT rupture in a 39-year-old weight lifter, the surgical treatment that was carried out through an open access at the Pectoralis and Deltoid junction and anchor suture, the post-surgical rehabilitation program and a 1-year follow-up assessment at which point return to sport was achieved. (www.actabiomedica.it)
Keywords :
tendon rupture , pectoralis major , sport , weight lifter
