Tratamento cirúrgico de ruptura do músculo peitoral maior por via deltopeitoral
Keywords:
pectoralis muscles, rupture/surgery, shoulder, anabolic steroids, reconstructive surgical procedures/methods, treatment outcomeAbstract
The rupture of the pectoralis major muscle (MPM) has the main mechanism of injury as forced abduction, external rotation and shoulder extension against resistance. In many cases, proper guidance on personal limitations is lacking, and abuse of steroidal anabolics can lead athletes (professionals or amateurs) to complete breakdowns of MPM. Direct surgical repair is usually indicated for recent ruptures in young patients, especially for recovery of muscle power. This case report addresses the surgical treatment of total MPM rupture of the delta pectoral access with suture and humeral fixation with metal anchors.
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References
Canale ST, Beaty JH. Cirurgia ortopédica de Campbell. 12ed. Barueri, SP: Manole; 2017. vol 3, p. 2345.
Pochini AC, Andreoli CV, Belangero PS, Figueiredo EA, Terra BB, Cohen C, Andrade Mdos S, Cohen M, Ejnisman B. Clinical considerations for the surgical treatment of pectoralis major
muscle ruptures based on 60 cases: a prospective study and literature review. Am J Sports Med. 2014;42(1):95-102.
Pochini AC, Rodrigues A, Yamashita L, Belangero PS, Andreoli CV, Ejnisman B. Surgical treatment of pectoralis major muscle rupture with adjustable cortical button. Rev Bras Ortop. 2017; 53(1):60-6.
Garrigues GE1, Kraeutler MJ, Gillespie RJ, O’Brien DF, Lazarus MD. Repair of pectoralis major ruptures: single-surgeon case series. Orthopedics. 2012;35(8):e1184-90.
Haley CA, Zacchilli MA. Pectoralis major injuries: evaluation and treatment. Clin Sports Med. 2014;33(4):739-56.
Wolfe SW, Wickiewicz TL, Cavanaugh JT. Ruptures of the pectoralis major muscle: an anatomic and clinical analysis. Am J Sports Med. 1992;20(5):587-93.
Tietjen R. Closed injuries of the pectoralis major muscle J Trauma. 1980;20(3):262-4.
Provencher MT, Handfield K, Boniquit NT, Reiff SN, Sekiya JK, Romeo AA. Injuries to the pectoralis major muscle: diagnosis and management. Am J Sports Med. 2010;38(8):1693-705.
Aärimaa V, Rantanen J, Heikkilä J, Helttula I, Orava S. Rupture of the pectoralis major muscle. Am J Sports Med. 2004;32(5): 1256-62.
Kretzler HH Jr, Richardson AB. Rupture of the pectoralis major muscle. Am J Sports Med. 1989;17(4):453-8.
Figueiredo EA, Terra BB, Cohen C, Monteiro GC, Pochini .C, Andreoli CV, Cohen M, Ejnisman B. Footprint do tendão do peitoral maior: estudo anatômico. Rev Bras Ortop. 2013;48(6):519-23.
Rabuck SJ1, Lynch JL, Guo X, Zhang LQ, Edwards SL, Nuber GW, Saltzman MD. Biomechanical comparison of 3 methods to repair pectoralis major ruptures. Am J Sports Med. 2012;40(7):1635-40.