Effective surgical solution to a complete rupture of the pectoralis major
Background: The rupture of the pectoralis major muscle is rare, occurring typically in young male athletes. When the break is complete and the patient active, surgical treatment is the choice.Clinical case: 48-year-old man with severe pain in left shoulder after lifting weights. He presents impotenc...
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| Autores principales: | , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/24282 |
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I10-R10-article-24282 |
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Universidad Nacional de Córdoba |
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I-10 |
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Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
músculos pectorales tendones rotura reconstrucción músculos peitorais tendões ruptura reconstrução pectoralis muscles tendons rupture reconstruction |
| spellingShingle |
músculos pectorales tendones rotura reconstrucción músculos peitorais tendões ruptura reconstrução pectoralis muscles tendons rupture reconstruction Pinilla-Gracia, Cristian Rodríguez-Nogué, Luis Hernández-Fernandez, Alberto Martín Hernández, Carlos Carbonel-Bueno, Ignacio Ripalda-Marin, Jorge Effective surgical solution to a complete rupture of the pectoralis major |
| topic_facet |
músculos pectorales tendones rotura reconstrucción músculos peitorais tendões ruptura reconstrução pectoralis muscles tendons rupture reconstruction |
| author |
Pinilla-Gracia, Cristian Rodríguez-Nogué, Luis Hernández-Fernandez, Alberto Martín Hernández, Carlos Carbonel-Bueno, Ignacio Ripalda-Marin, Jorge |
| author_facet |
Pinilla-Gracia, Cristian Rodríguez-Nogué, Luis Hernández-Fernandez, Alberto Martín Hernández, Carlos Carbonel-Bueno, Ignacio Ripalda-Marin, Jorge |
| author_sort |
Pinilla-Gracia, Cristian |
| title |
Effective surgical solution to a complete rupture of the pectoralis major |
| title_short |
Effective surgical solution to a complete rupture of the pectoralis major |
| title_full |
Effective surgical solution to a complete rupture of the pectoralis major |
| title_fullStr |
Effective surgical solution to a complete rupture of the pectoralis major |
| title_full_unstemmed |
Effective surgical solution to a complete rupture of the pectoralis major |
| title_sort |
effective surgical solution to a complete rupture of the pectoralis major |
| description |
Background: The rupture of the pectoralis major muscle is rare, occurring typically in young male athletes. When the break is complete and the patient active, surgical treatment is the choice.Clinical case: 48-year-old man with severe pain in left shoulder after lifting weights. He presents impotence to adduction and internal rotation of the shoulder with thinning of the axillary fold. MRI confirms the diagnosis of complete rupture of the pectoralis major. Surgical treatment was decided, performing a deltopectoral approach and reinserting the pectoralis major tendon with three cortical buttons.Conclusion: The rupture of the pectoralis major is a typical lesion of active young patients with an increasing incidence. Although there have been no significant differences between the different repair options, in our experience the use of cortical buttons provides very satisfactory results. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/24282 |
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I10-R10-article-242822020-02-20T15:28:01Z Effective surgical solution to a complete rupture of the pectoralis major Eficaz solución quirúrgica a una rotura completa del pectoral mayor Solução cirúrgica eficaz para uma ruptura completa do músculo peitoral maior. Pinilla-Gracia, Cristian Rodríguez-Nogué, Luis Hernández-Fernandez, Alberto Martín Hernández, Carlos Carbonel-Bueno, Ignacio Ripalda-Marin, Jorge músculos pectorales tendones rotura reconstrucción músculos peitorais tendões ruptura reconstrução pectoralis muscles tendons rupture reconstruction Background: The rupture of the pectoralis major muscle is rare, occurring typically in young male athletes. When the break is complete and the patient active, surgical treatment is the choice.Clinical case: 48-year-old man with severe pain in left shoulder after lifting weights. He presents impotence to adduction and internal rotation of the shoulder with thinning of the axillary fold. MRI confirms the diagnosis of complete rupture of the pectoralis major. Surgical treatment was decided, performing a deltopectoral approach and reinserting the pectoralis major tendon with three cortical buttons.Conclusion: The rupture of the pectoralis major is a typical lesion of active young patients with an increasing incidence. Although there have been no significant differences between the different repair options, in our experience the use of cortical buttons provides very satisfactory results. Antecedentes: La rotura del músculo pectoral mayor es una entidad poco frecuente, aconteciendo típicamente en varones jóvenes deportistas. Cuando la rotura es completa y el paciente activo, el tratamiento quirúrgico es de elección.Caso clínico: Varón de 48 años con dolor intenso en hombro izquierdo tras levantamiento de pesas. A la exploración, impotencia a la aducción y rotación interna del hombro con adelgazamiento del pliegue axilar. La RMN confirma el diagnóstico de rotura completa del pectoral mayor. Se decide tratamiento quirúrgico, realizando un abordaje deltopectoral y reinsertando el tendón del pectoral mayor con tres dispositivos de anclaje endocortical. Conclusión: La rotura del pectoral mayor es una lesión típica de pacientes jóvenes activos con una incidencia creciente. Aunque no se han evidenciado diferencias significativas entre las distintas opciones de reparación, en nuestra experiencia la utilización de dispositivos de anclaje endocortical aporta unos resultados muy satisfactorios Introdução: A ruptura do músculo peitoral maior é uma entidade rara, ocorrendo tipicamente em atletas jovens do sexo masculino. Quando a ruptura está completa e o paciente está ativo, o tratamento cirúrgico é a escolha.Relato de caso: Um homem de 48 anos com dor intensa no ombro esquerdo após levantar pesos. Ao exame, impotência à adução e rotação interna do ombro com afilamento da prega axilar. A ressonância magnética confirma o diagnóstico de ruptura completa do músculo peitoral maior. O tratamento cirúrgico foi decidido, realizando uma abordagem deltopeitoral e reinserindo o tendão peitoral maior com três dispositivos de ancoragem endocortical.Conclusão: A ruptura do peitoral maior é uma lesão típica de pacientes jovens ativos com incidência crescente. Embora não tenha havido diferenças significativas entre as diferentes opções de reparo, em nossa experiência, o uso de dispositivos de ancoragem endocortical fornece resultados muito satisfatórios. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-08-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/24282 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 76 No. 3 (2019); 185-188 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 76 Núm. 3 (2019); 185-188 Revista da Faculdade de Ciências Médicas de Córdoba; v. 76 n. 3 (2019); 185-188 1853-0605 0014-6722 10.31053/1853.0605.v76.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/24282/24483 https://revistas.unc.edu.ar/index.php/med/article/view/24282/24558 Derechos de autor 2019 Universidad Nacional de Córdoba |