Acta Scientific Clinical Case Reports

Case ReportVolume 4 Issue 1

Repair of Pectoralis Major Rupture in a Professional Athlete - A Case Report

Usama Bin Saeed1, Asad Ramzan2*, Hamza Tariq3 and Huzaifa Tariq3

1Assistant Professor, Orthopedic Surgery, Abwa Medical College, Faisalabad, Punjab, Pakistan
2Intern, UBS Orthopedic, 4th-Year MBBS student at Shalamar Medical and Dental College, Lahore, Punjab, Pakistan
3PGR Orthopedic Surgery, Allied Hospital, Faisalabad Medical University, Pakistan

*Corresponding Author: Asad Ramzan, Intern, UBS Orthopedic, 4th-Year MBBS student at Shalamar Medical and Dental College, Lahore, Punjab, Pakistan.

Received: November 29, 2022; Published: December 13, 2022

Abstract

Pectoralis major (PM) tear is an uncommon athletic injury mainly affecting males between 20-40 years of age. The injury reportedly occurs during weightlifting and bench pressing but is not frequently reported for athletes like volleyball players. PM tears present with sudden-onset and sharp pain in the chest following any vigorous physically activity. We present a case of previously healthy 26-year-old male athlete who presented to the outpatient department with chronic (4 months) sharp pain in the right chest that got worse with activity. MRI revealed a tear at the sternal head of PM. After counselling the patient an informed consent was taken and surgical repair was performed. The ruptured part was retracted, mobilized, and sutured with Fiber wires. We used an EndoButton (tight rope) to fixate the muscle at its insertion. Close follow-up and guided strength training was employed. The patient was allowed to return to sports 6 months after surgery. This is the first of its kind surgery in the district of Faisalabad and the first reported case of pectoralis major rupture treatment in Pakistan.

Keywords: Pectoralis Muscles; Athletes; Return to Sport; Athletic Injuries; Pakistan

Bibliography

  1. Solari Francesca and Bracken Burns. “Anatomy, Thorax, Pectoralis Major Major”. StatPearls, July (2022).
  2. Bodendorfer, Blake M., et al. “Treatment of Pectoralis Major Tendon Tears: A Systematic Review and Meta-Analysis of Operative and Nonoperative Treatment”. Orthopaedic Journal of Sports Medicine2 (2020).
  3. Provencher Matthew T., et al. “Injuries to the Pectoralis Major Muscle: Diagnosis and Management”. The American Journal of Sports Medicine8 (2010): 1693-1705.
  4. Vance Danica D., et al. “Rare Isolated Pectoralis Minor Tear from a Noncontact Injury: Case Report and Review of the Literature”. Case Reports in Orthopedics 2019 (2019): 1-3.
  5. Miura Kazutomo., et al. “The Effects of Ball Impact Position on Shoulder Muscle Activation during Spiking in Male Volleyball Players”. JSES International2 (2020): 302-309.

Citation: Asad Ramzan., et al. “Repair of Pectoralis Major Rupture in a Professional Athlete - A Case Report". Acta Scientific Clinical Case Reports 4.1 (2023): 26-29.

Copyright: © 2022 Asad Ramzan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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