[Traumatic ruptures of the pectoralis major muscle. Apropos of 3 cases]. / Les ruptures traumatiques du grand pectoral. A propos de trois observations.
Rev Chir Orthop Reparatrice Appar Mot
; 85(6): 612-6, 1999 Oct.
Article
en Fr
| MEDLINE
| ID: mdl-10575723
INTRODUCTION: Three ruptures of the pectoralis major are reported. The mechanism of injury was excessive external rotation with high muscular tension. Rupture of muscle often occurs at the humeral insertion or musculotendinous junction. MATERIAL AND METHODS: In the three cases, surgical repair was performed. Suture could be made without excessive tension. Patients were immobilized in a sling for three weeks. Passive exercises were begun at 3 weeks. RESULTS: All patients recovered and had postoperatively the same sport level as before. In late surgical repair the consistent fibrosis makes dissection of the ruptured tendon difficult and it's retraction hinders the suture. DISCUSSION: The symptoms are sometimes initially under evaluated. In limited number of cases the treatment may be delayed: functional disability and strength limitation justify surgical treatment. The results, however, are usually good according to the score of Mc Entire. Surgical repair is recommended in distal ruptures in active patients to restore previous muscle strength and contour.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Músculos Pectorales
/
Traumatismos en Atletas
/
Deportes
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
Fr
Revista:
Rev Chir Orthop Reparatrice Appar Mot
Año:
1999
Tipo del documento:
Article
Pais de publicación:
Francia