Immediate surgical repair of pectoralis major tendon rupture caused by weightlifting. Case Report
DOI:
https://doi.org/10.1016/j.rccot.2020.06.005Keywords:
pectoralis muscles, rupture, tendon injuries, weight liftingAbstract
The rupture of the pectoralis major muscle tendon in young and athletic patients is a rare event for which surgical repair is indicated. The repair can be acute or chronic, up to or after 8 weeks, respectively. Acute repair has shown excellent results, and so far there are no reports of surgical repairs within the first 24 hours of the injury. A case is presented of the immediate surgical repair of a ruptured pectoralis major muscle tendon occurring in a 45-year-old man with no history of steroid use, while lifting weights. The immediate diagnosis was confirmed with an emergency MRI plus clinical evaluation. The surgical intervention was performed in less than 24 hours. A protocol of gradual rehabilitation with passive exercises was established. Six months after surgery, there was recovery of range of motion and shoulder strength, as well as complete anatomical restoration. It is concluded that early surgical repair of a rupture of the pectoralis major muscle tendon on the first day of the injury, or in less than 24 hours, accompanied by a good surgical technique and a gradual rehabilitation protocol, yielded excellent results six months after the trauma, similar to that reported in the literature for acute repairs.
Evidence level: Level IV
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