Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal

Jörn Kircher, Christoph Ziskoven, Thilo Patzer, Daniela Zaps, Bernd Bittersohl, Rüdiger KrauspeUniversity Hospital, Orthopaedic Department, Heinrich-Heine University Düsseldorf, Düsseldorf, GermanyAbstract: The complete rupture of the pectoralis ma...

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Main Authors: Jörn Kircher, Christoph Ziskoven, Thilo Patzer, et al
Format: Article
Language:English
Published: Dove Medical Press 2010-10-01
Series:Open Access Journal of Sports Medicine
Online Access:http://www.dovepress.com/surgical-and-nonsurgical-treatment-of-total-rupture-of-the-pectoralis--a5461
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author Jörn Kircher
Christoph Ziskoven
Thilo Patzer
et al
author_facet Jörn Kircher
Christoph Ziskoven
Thilo Patzer
et al
author_sort Jörn Kircher
collection DOAJ
description Jörn Kircher, Christoph Ziskoven, Thilo Patzer, Daniela Zaps, Bernd Bittersohl, Rüdiger KrauspeUniversity Hospital, Orthopaedic Department, Heinrich-Heine University Düsseldorf, Düsseldorf, GermanyAbstract: The complete rupture of the pectoralis major tendon is an uncommon injury but has become increasingly common among athletes in recent years. This may be due to a higher number of individuals taking part in high-impact sports and weightlifting as well as the use of anabolic substances, which can make muscles and tendons vulnerable to injury. In recent literature, there are only few recommendations to rely on conservative treatment alone, but there are a number of reports and case series recommending early surgical intervention. Comparing the results of the two treatment regimens, there is clear evidence for a superior outcome after surgical repair with better cosmesis, better functional results, regaining of muscle power, and return to sports compared with the conservative treatment. In summary, anatomic surgical repair is the treatment of choice for complete acute ruptures of the pectoralis major tendon or muscle in athletes.Keywords: pectoralis major, rupture, athlete, conservative treatment, surgical treatment, steroid, tendon, sports injury
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spelling doaj.art-5caa4b8a764d4cc79f1b7e0d67b731ae2022-12-21T20:47:20ZengDove Medical PressOpen Access Journal of Sports Medicine1179-15432010-10-012010default201205Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisalJörn KircherChristoph ZiskovenThilo Patzeret alJörn Kircher, Christoph Ziskoven, Thilo Patzer, Daniela Zaps, Bernd Bittersohl, Rüdiger KrauspeUniversity Hospital, Orthopaedic Department, Heinrich-Heine University Düsseldorf, Düsseldorf, GermanyAbstract: The complete rupture of the pectoralis major tendon is an uncommon injury but has become increasingly common among athletes in recent years. This may be due to a higher number of individuals taking part in high-impact sports and weightlifting as well as the use of anabolic substances, which can make muscles and tendons vulnerable to injury. In recent literature, there are only few recommendations to rely on conservative treatment alone, but there are a number of reports and case series recommending early surgical intervention. Comparing the results of the two treatment regimens, there is clear evidence for a superior outcome after surgical repair with better cosmesis, better functional results, regaining of muscle power, and return to sports compared with the conservative treatment. In summary, anatomic surgical repair is the treatment of choice for complete acute ruptures of the pectoralis major tendon or muscle in athletes.Keywords: pectoralis major, rupture, athlete, conservative treatment, surgical treatment, steroid, tendon, sports injuryhttp://www.dovepress.com/surgical-and-nonsurgical-treatment-of-total-rupture-of-the-pectoralis--a5461
spellingShingle Jörn Kircher
Christoph Ziskoven
Thilo Patzer
et al
Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal
Open Access Journal of Sports Medicine
title Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal
title_full Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal
title_fullStr Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal
title_full_unstemmed Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal
title_short Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal
title_sort surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes update and critical appraisal
url http://www.dovepress.com/surgical-and-nonsurgical-treatment-of-total-rupture-of-the-pectoralis--a5461
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AT thilopatzer surgicalandnonsurgicaltreatmentoftotalruptureofthepectoralismajormuscleinathletesupdateandcriticalappraisal
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