Pectoralis Major Muscle Rupture in Athletes A Prospective Study

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dc.contributor.authorPochini, Alberto de Castro [UNIFESP]
dc.contributor.authorEjnisman, Benno [UNIFESP]
dc.contributor.authorAndreoli, Carlos Vicente [UNIFESP]
dc.contributor.authorMonteiro, Gustavo Cará [UNIFESP]
dc.contributor.authorSilva, Antonio Carlos da [UNIFESP]
dc.contributor.authorCohen, Moises [UNIFESP]
dc.contributor.authorAlbertoni, Walter Manna [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionSports & Physiol Ctr
dc.date.accessioned2016-01-24T13:59:10Z
dc.date.available2016-01-24T13:59:10Z
dc.date.issued2010-01-01
dc.description.abstractBackground: in the past 20 years, there has been an increase in the incidence of upper extremity tendinous injuries, especially in sports including strong physical activity, such as in weight lifting, as well as with the concurrent use of anabolic steroids. Today, there are more than 200 cases describing rupture of the pectoralis major muscle in athletes.Hypothesis: Surgical treatment will have a better outcome than nonsurgical treatment in total rupture of the pectoralis major muscle in athletes.Study Design: Cohort study; Level of evidence, 2.Methods: Twenty athletes with pectoralis major muscle (PMM) rupture were studied; 10 had surgical treatment, and the other 10 were treated nonoperatively. the mean age was 32.27 years (range, 27-47 years); all of them were men. the average follow-up was 36 months (range, 48-72 months). Injuries were diagnosed by history, physical examination, and subsidiary tests. Functional evaluation and isokinetic evaluation were performed on all 20 patients.Results: the clinical evaluation revealed 70% (n = 7) excellent, 20% good (n 2), and 10% poor (n = 1) outcomes for the cases treated with surgery and 20% good (n = 2), 50% fair (n = 5), and 40% poor (n 4) outcomes for the cases treated nonsurgically. the isokinetic evaluation at 60-deg/s speed showed a decrease in strength of 53.8% in the nonsurgical group and 13.7% for the surgical group.Conclusion: Total PMM rupture in athletes showed a better functional result after surgical treatment than after nonsurgical treatment.en
dc.description.affiliationUniversidade Federal de São Paulo, Sports & Traumatol Ctr, BR-01408000 São Paulo, Brazil
dc.description.affiliationSports & Physiol Ctr, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Sports & Traumatol Ctr, BR-01408000 São Paulo, Brazil
dc.description.provenanceMade available in DSpace on 2016-01-24T13:59:10Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-01-01en
dc.description.sourceWeb of Science
dc.description.sponsorshipSports and Traumatology Center, Federal University of São Paulo
dc.format.extent92-98
dc.identifierhttps://dx.doi.org/10.1177/0363546509347995
dc.identifier.citationAmerican Journal of Sports Medicine. Thousand Oaks: Sage Publications Inc, v. 38, n. 1, p. 92-98, 2010.
dc.identifier.doi10.1177/0363546509347995
dc.identifier.issn0363-5465
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/32159
dc.identifier.wosWOS:000273293300011
dc.language.isoeng
dc.publisherSage Publications Inc
dc.relation.ispartofAmerican Journal of Sports Medicine
dc.rightsAcesso restrito
dc.rights.licensehttp://www.uk.sagepub.com/aboutus/openaccess.htm
dc.subjectMuscle ruptureen
dc.subjectTendon ruptureen
dc.subjectPectoralis major muscleen
dc.subjectInjury in athletesen
dc.subjectIsokinetic evaluationen
dc.titlePectoralis Major Muscle Rupture in Athletes A Prospective Studyen
dc.typeArtigo
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