Objective: The purpose of this report is to describe the presentation of a patient with a pectoralis major tendon (PMJ) tear.
Clinical Features: A 30-year-old male weightlifter presented to a chiropractor with localized left arm pain that began while bench-pressing. Ecchymosis and swelling were present, but no contour abnormalities were seen. All active shoulder ranges of motion were painful with the exception of adduction, which was palliative but weak. A 4-week trial-of-care alleviated pain, but weakness persisted.
Intervention And Outcome: Diagnostic ultrasound (US) and magnetic resonance imaging (MRI) were ordered. Disruption and retraction of the PMJ were identified on US, and MRI confirmed a PMJ tear. The tear was surgically repaired, and the patient achieved optimal recovery.
Conclusion: This case report provides a clinical example that complete PMJ tears may be difficult to clinically differentiate from a partial tear and must be clarified with imaging.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707370 | PMC |
http://dx.doi.org/10.1016/j.jcm.2024.02.007 | DOI Listing |
J Chiropr Med
September 2024
Norman W. Kettner, DC Imaging Center, Logan University, Chesterfield, Missouri.
Objective: The purpose of this report is to describe the presentation of a patient with a pectoralis major tendon (PMJ) tear.
Clinical Features: A 30-year-old male weightlifter presented to a chiropractor with localized left arm pain that began while bench-pressing. Ecchymosis and swelling were present, but no contour abnormalities were seen.
Ann Thorac Surg Short Rep
March 2023
Division of Infectious Diseases, David Geffen School of Medicine at UCLA, Los Angeles, California.
Background: As lung transplantation (LT) expands to older recipients, objective approaches to evaluate the aging are needed to optimize posttransplantation outcomes. Frailty assessment and sarcopenia have shown promise as tools for predicting clinical outcomes.
Methods: Patients older than 55 years undergoing evaluation for LT were enrolled in an institutional review board-approved study.
Ann Thorac Surg Short Rep
March 2023
Division of Cardiothoracic Surgery, Department of Surgery, University of California, San Francisco, California.
We present a case of tracheal anastomotic dehiscence requiring circumferential tracheal replacement. We developed a novel approach by deploying a silicone stent using a hybrid surgical and endobronchial technique, followed by pectoralis major flap coverage. The patient has remained free from dyspnea 6 months after the operation.
View Article and Find Full Text PDFBMC Geriatr
January 2025
James P. Wilmot Cancer Institute, Rochester, New York, USA.
Background: Older adults with cancer are vulnerable to declines in muscle performance (e.g., strength, speed, duration of muscular contraction), which are associated with worse cancer-related outcomes.
View Article and Find Full Text PDFArthrosc Tech
December 2024
Queensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Tenodesis of the long head of biceps is a common shoulder surgical procedure. Tenodesis can be performed either arthroscopically or open and within the glenohumeral joint, within the bicipital groove, or below the pectoralis major tendon insertion. Arthroscopic tenodesis of the biceps tendon reduces the risk of infection.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!