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Orthopedics and Osteoporosis 2018
N o v e m b e r 2 9 - 3 0 , 2 0 1 8
Am s t e r d a m , N e t h e r l a n d s
Page 38
Journal of Clinical & Experimental Orthopaedics
ISSN: 2471-8416
E u r o p e a n C o n f e r e n c e o n
Orthopedics and
Osteoporosis
M
ore cases of pectoralis major muscle (PMM) tear in its insertion have
been reported lately, and its increasing incidence is due partly to a higher
rate of exercising and lack of professional supervision especially during
bodybuilding activities. We are presenting two cases treated surgically, one of
them being an acute PPM tear and the other a chronic one. In any case, early
diagnosis is essential because, similarly to Achilles tendon ruptures, chronic
tears are more likely to complications and difficulty during surgical treatment.
Both cases were in young male amateur athletes (27 and 29 years old) who felt
severe shoulder pain during bench press. The younger patient had the acute
tear diagnosed 2 months after the causal event, and the other patient only 2
years and 3 months of the event. They were presented with paresthesia, edema
and hematoma in the anterior and medial aspect of the thorax extending to
the proximal areas of the arm, which are typical findings in PMM rupture. They
had no loss in range of motion although reduced strength for adduction and
internal rotation was present, and in both cases the PMM tear was confirmed
with a shoulder MRI. For the surgical treatment we used anchors positioned in
its insertion in the proximal humerus under the subscapularis muscle, anterior
and laterally to the biceps brachii tendon. During the procedure inventory, the
PPM was significantly retracted but its anatomical reinsertion was successful
with minimum loss of superficial muscle tissue. Physiotherapy rehabilitation
started six weeks after surgery and after 5 months the patients had returned
to their physical activities. PMM tears are uncommon injuries and its early
diagnosis is very important, for precocious intervention will bring better
results for the patients. Regarding acute tears, surgical treatment brings
superior results with better strength recovery when compared to conservative
treatments
Biography
Marcio Alberto de Lima Cavalcanti (Marcio Cavalcanti) has
graduated in Medical School at Faculdade de Medicina do
Recife (UFPE) in 2003. His Residency Program was at Hospital
Regional do Agrestre with his specialty in Shoulder and Elbow
Surgery at Instituto de Ortopedia e Traumatologia – Passo
Fundo/RS. He also was Staff of the Residency Program in
Orthopedics and Traumatology (Shoulder and Elbow surgery)
at Hospital Regional do Agrestre. He has presented several
(about 18) of his publications both in national and international
Congress as well as participating in courses and surgical
training at Ecole de Chirurgie du Fer a Molin (Paris/FRA) and
Presbyterian Hospital of Columbia University (New York/USA).
marcioacavalcanti@hotmail.comPectoralis Major Muscle Tear
Marcio Alberto de Lima Cavalcanti
1
, Igel de Souza Aquino
2
and
Daniel Brasil Araújo Nicolletti
3
1
Instituto de Ortopedia e Traumatologia de Campina Grande-PB (IOT-CG), Brazil
2
Hospital do Servidor Público Estadual, Brazil
3
Hospital Getúlio Vargas, Brazil
Marcio Alberto de Lima Cavalcanti et al., J Clin Exp Orthop 2018, Volume: 4
DOI: 10.4172/2471-8416-C1-005