Jessica F. Billham DC, DACBR, RMSK , Aaron Welk DC, DACBR , Patricia Estrada DC , Norman W. Kettner DC, DACBR, FICC
{"title":"30 岁举重运动员胸大肌撕裂的诊断成像：病例报告","authors":"Jessica F. Billham DC, DACBR, RMSK , Aaron Welk DC, DACBR , Patricia Estrada DC , Norman W. Kettner DC, DACBR, FICC","doi":"10.1016/j.jcm.2024.02.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this report is to describe the presentation of a patient with a pectoralis major tendon (PMJ) tear.</div></div><div><h3>Clinical Features</h3><div>A 30-year-old male weightlifter presented to a chiropractor with localized left arm pain that began while bench-pressing. Ecchymosis and swelling were present, but no contour abnormalities were seen. All active shoulder ranges of motion were painful with the exception of adduction, which was palliative but weak. A 4-week trial-of-care alleviated pain, but weakness persisted.</div></div><div><h3>Intervention and Outcome</h3><div>Diagnostic ultrasound (US) and magnetic resonance imaging (MRI) were ordered. Disruption and retraction of the PMJ were identified on US, and MRI confirmed a PMJ tear. The tear was surgically repaired, and the patient achieved optimal recovery.</div></div><div><h3>Conclusion</h3><div>This case report provides a clinical example that complete PMJ tears may be difficult to clinically differentiate from a partial tear and must be clarified with imaging.</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 1","pages":"Pages 59-63"},"PeriodicalIF":0.0000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diagnostic Imaging for a Pectoralis Major Muscle Tear in a 30-Year-Old Weightlifter: A Case Report\",\"authors\":\"Jessica F. Billham DC, DACBR, RMSK , Aaron Welk DC, DACBR , Patricia Estrada DC , Norman W. Kettner DC, DACBR, FICC\",\"doi\":\"10.1016/j.jcm.2024.02.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>The purpose of this report is to describe the presentation of a patient with a pectoralis major tendon (PMJ) tear.</div></div><div><h3>Clinical Features</h3><div>A 30-year-old male weightlifter presented to a chiropractor with localized left arm pain that began while bench-pressing. Ecchymosis and swelling were present, but no contour abnormalities were seen. All active shoulder ranges of motion were painful with the exception of adduction, which was palliative but weak. A 4-week trial-of-care alleviated pain, but weakness persisted.</div></div><div><h3>Intervention and Outcome</h3><div>Diagnostic ultrasound (US) and magnetic resonance imaging (MRI) were ordered. Disruption and retraction of the PMJ were identified on US, and MRI confirmed a PMJ tear. The tear was surgically repaired, and the patient achieved optimal recovery.</div></div><div><h3>Conclusion</h3><div>This case report provides a clinical example that complete PMJ tears may be difficult to clinically differentiate from a partial tear and must be clarified with imaging.</div></div>\",\"PeriodicalId\":94328,\"journal\":{\"name\":\"Journal of chiropractic medicine\",\"volume\":\"23 1\",\"pages\":\"Pages 59-63\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of chiropractic medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1556370724000051\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of chiropractic medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1556370724000051","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Diagnostic Imaging for a Pectoralis Major Muscle Tear in a 30-Year-Old Weightlifter: A Case Report
Objective
The purpose of this report is to describe the presentation of a patient with a pectoralis major tendon (PMJ) tear.
Clinical Features
A 30-year-old male weightlifter presented to a chiropractor with localized left arm pain that began while bench-pressing. Ecchymosis and swelling were present, but no contour abnormalities were seen. All active shoulder ranges of motion were painful with the exception of adduction, which was palliative but weak. A 4-week trial-of-care alleviated pain, but weakness persisted.
Intervention and Outcome
Diagnostic ultrasound (US) and magnetic resonance imaging (MRI) were ordered. Disruption and retraction of the PMJ were identified on US, and MRI confirmed a PMJ tear. The tear was surgically repaired, and the patient achieved optimal recovery.
Conclusion
This case report provides a clinical example that complete PMJ tears may be difficult to clinically differentiate from a partial tear and must be clarified with imaging.
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