Clinical Considerations for the Surgical Treatment of Pectoralis Major Muscle Ruptures Based on 60 Cases A Prospective Study and Literature Review
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/37167 http://dx.doi.org/10.1177/0363546513506556 |
Resumo: | Background: Early recognition of the clinical signs of ruptures of the pectoralis major muscle (PMM) in athletes by orthopaedic surgeons, physical therapists, and physical trainers may prove to be critical for patient access to surgical treatment while the injury is still in the acute phase.Hypothesis: Total ruptures of the PMM may yield a better outcome with surgical treatment than with nonoperative treatment in athletes.Study Design: Cohort study; Level of evidence, 2.Methods: A prospective study was performed on 60 patients with total ruptures of the PMM. the patients were followed from 1997 to 2012, with a physical examination every 6 months for the first 2 years and every 12 months thereafter. the patients' mean age was 31.21 years, and the mean length of follow-up was 48.25 months. the surgical treatment methods included reinsertion of the tendon in 51% of the patients and nonoperative treatment in 49% of the patients. All of the patients were evaluated using the Bak criteria.Results: the bench-press exercise was associated with 80% of the PMM ruptures (48 patients). Forty-one of the patients with chronic ruptures were seen after 3 months (80%). the outcomes were poor in 9 patients from the nonoperative group (31%) and in 3 patients from the surgical group (9.7%); the outcomes were fair in 12 patients from the nonoperative group and in no patients from the surgical group. Excellent results were not observed in any patient from the nonoperative group and were observed in 21 patients from the surgical group (67.7%). the isokinetic evaluation at 60 deg/s showed a decrease in strength of 41.7% in the nonsurgical group and 14.3% for the surgical group, which was significant at P < .05.Conclusion: Total ruptures of the PMM exhibit better outcomes with surgical treatment than with nonoperative treatment based on the Bak criteria in athletes. |
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Pochini, Alberto de Castro [UNIFESP]Andreoli, Carlos Vicente [UNIFESP]Belangero, Paulo Santoro [UNIFESP]Figueiredo, Eduardo Antonio [UNIFESP]Terra, Bernardo Barcellos [UNIFESP]Cohen, Carina [UNIFESP]Andrade, Marilia dos Santos [UNIFESP]Cohen, Moises [UNIFESP]Ejnisman, Benno [UNIFESP]Universidade Federal de São Paulo (UNIFESP)2016-01-24T14:34:57Z2016-01-24T14:34:57Z2014-01-01American Journal of Sports Medicine. Thousand Oaks: Sage Publications Inc, v. 42, n. 1, p. 95-102, 2014.0363-5465http://repositorio.unifesp.br/handle/11600/37167http://dx.doi.org/10.1177/036354651350655610.1177/0363546513506556WOS:000329325600017Background: Early recognition of the clinical signs of ruptures of the pectoralis major muscle (PMM) in athletes by orthopaedic surgeons, physical therapists, and physical trainers may prove to be critical for patient access to surgical treatment while the injury is still in the acute phase.Hypothesis: Total ruptures of the PMM may yield a better outcome with surgical treatment than with nonoperative treatment in athletes.Study Design: Cohort study; Level of evidence, 2.Methods: A prospective study was performed on 60 patients with total ruptures of the PMM. the patients were followed from 1997 to 2012, with a physical examination every 6 months for the first 2 years and every 12 months thereafter. the patients' mean age was 31.21 years, and the mean length of follow-up was 48.25 months. the surgical treatment methods included reinsertion of the tendon in 51% of the patients and nonoperative treatment in 49% of the patients. All of the patients were evaluated using the Bak criteria.Results: the bench-press exercise was associated with 80% of the PMM ruptures (48 patients). Forty-one of the patients with chronic ruptures were seen after 3 months (80%). the outcomes were poor in 9 patients from the nonoperative group (31%) and in 3 patients from the surgical group (9.7%); the outcomes were fair in 12 patients from the nonoperative group and in no patients from the surgical group. Excellent results were not observed in any patient from the nonoperative group and were observed in 21 patients from the surgical group (67.7%). the isokinetic evaluation at 60 deg/s showed a decrease in strength of 41.7% in the nonsurgical group and 14.3% for the surgical group, which was significant at P < .05.Conclusion: Total ruptures of the PMM exhibit better outcomes with surgical treatment than with nonoperative treatment based on the Bak criteria in athletes.Universidade Federal de São Paulo, Sports & Traumatol Ctr, São Paulo, BrazilUniversidade Federal de São Paulo, Sports & Traumatol Ctr, São Paulo, BrazilWeb of Science95-102engSage Publications IncAmerican Journal of Sports Medicinehttp://www.uk.sagepub.com/aboutus/openaccess.htminfo:eu-repo/semantics/openAccessshouldergeneralbench presspectoralis major muscle rupturemuscle injuriescortical buttonClinical Considerations for the Surgical Treatment of Pectoralis Major Muscle Ruptures Based on 60 Cases A Prospective Study and Literature Reviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlereponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/371672016-01-24 12:34:57.844metadata only accessoai:repositorio.unifesp.br:11600/37167Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652016-01-24T14:34:57Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Clinical Considerations for the Surgical Treatment of Pectoralis Major Muscle Ruptures Based on 60 Cases A Prospective Study and Literature Review |
title |
Clinical Considerations for the Surgical Treatment of Pectoralis Major Muscle Ruptures Based on 60 Cases A Prospective Study and Literature Review |
spellingShingle |
Clinical Considerations for the Surgical Treatment of Pectoralis Major Muscle Ruptures Based on 60 Cases A Prospective Study and Literature Review Pochini, Alberto de Castro [UNIFESP] shoulder general bench press pectoralis major muscle rupture muscle injuries cortical button |
title_short |
Clinical Considerations for the Surgical Treatment of Pectoralis Major Muscle Ruptures Based on 60 Cases A Prospective Study and Literature Review |
title_full |
Clinical Considerations for the Surgical Treatment of Pectoralis Major Muscle Ruptures Based on 60 Cases A Prospective Study and Literature Review |
title_fullStr |
Clinical Considerations for the Surgical Treatment of Pectoralis Major Muscle Ruptures Based on 60 Cases A Prospective Study and Literature Review |
title_full_unstemmed |
Clinical Considerations for the Surgical Treatment of Pectoralis Major Muscle Ruptures Based on 60 Cases A Prospective Study and Literature Review |
title_sort |
Clinical Considerations for the Surgical Treatment of Pectoralis Major Muscle Ruptures Based on 60 Cases A Prospective Study and Literature Review |
author |
Pochini, Alberto de Castro [UNIFESP] |
author_facet |
Pochini, Alberto de Castro [UNIFESP] Andreoli, Carlos Vicente [UNIFESP] Belangero, Paulo Santoro [UNIFESP] Figueiredo, Eduardo Antonio [UNIFESP] Terra, Bernardo Barcellos [UNIFESP] Cohen, Carina [UNIFESP] Andrade, Marilia dos Santos [UNIFESP] Cohen, Moises [UNIFESP] Ejnisman, Benno [UNIFESP] |
author_role |
author |
author2 |
Andreoli, Carlos Vicente [UNIFESP] Belangero, Paulo Santoro [UNIFESP] Figueiredo, Eduardo Antonio [UNIFESP] Terra, Bernardo Barcellos [UNIFESP] Cohen, Carina [UNIFESP] Andrade, Marilia dos Santos [UNIFESP] Cohen, Moises [UNIFESP] Ejnisman, Benno [UNIFESP] |
author2_role |
author author author author author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Pochini, Alberto de Castro [UNIFESP] Andreoli, Carlos Vicente [UNIFESP] Belangero, Paulo Santoro [UNIFESP] Figueiredo, Eduardo Antonio [UNIFESP] Terra, Bernardo Barcellos [UNIFESP] Cohen, Carina [UNIFESP] Andrade, Marilia dos Santos [UNIFESP] Cohen, Moises [UNIFESP] Ejnisman, Benno [UNIFESP] |
dc.subject.eng.fl_str_mv |
shoulder general bench press pectoralis major muscle rupture muscle injuries cortical button |
topic |
shoulder general bench press pectoralis major muscle rupture muscle injuries cortical button |
description |
Background: Early recognition of the clinical signs of ruptures of the pectoralis major muscle (PMM) in athletes by orthopaedic surgeons, physical therapists, and physical trainers may prove to be critical for patient access to surgical treatment while the injury is still in the acute phase.Hypothesis: Total ruptures of the PMM may yield a better outcome with surgical treatment than with nonoperative treatment in athletes.Study Design: Cohort study; Level of evidence, 2.Methods: A prospective study was performed on 60 patients with total ruptures of the PMM. the patients were followed from 1997 to 2012, with a physical examination every 6 months for the first 2 years and every 12 months thereafter. the patients' mean age was 31.21 years, and the mean length of follow-up was 48.25 months. the surgical treatment methods included reinsertion of the tendon in 51% of the patients and nonoperative treatment in 49% of the patients. All of the patients were evaluated using the Bak criteria.Results: the bench-press exercise was associated with 80% of the PMM ruptures (48 patients). Forty-one of the patients with chronic ruptures were seen after 3 months (80%). the outcomes were poor in 9 patients from the nonoperative group (31%) and in 3 patients from the surgical group (9.7%); the outcomes were fair in 12 patients from the nonoperative group and in no patients from the surgical group. Excellent results were not observed in any patient from the nonoperative group and were observed in 21 patients from the surgical group (67.7%). the isokinetic evaluation at 60 deg/s showed a decrease in strength of 41.7% in the nonsurgical group and 14.3% for the surgical group, which was significant at P < .05.Conclusion: Total ruptures of the PMM exhibit better outcomes with surgical treatment than with nonoperative treatment based on the Bak criteria in athletes. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014-01-01 |
dc.date.accessioned.fl_str_mv |
2016-01-24T14:34:57Z |
dc.date.available.fl_str_mv |
2016-01-24T14:34:57Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
American Journal of Sports Medicine. Thousand Oaks: Sage Publications Inc, v. 42, n. 1, p. 95-102, 2014. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/37167 http://dx.doi.org/10.1177/0363546513506556 |
dc.identifier.issn.none.fl_str_mv |
0363-5465 |
dc.identifier.doi.none.fl_str_mv |
10.1177/0363546513506556 |
dc.identifier.wos.none.fl_str_mv |
WOS:000329325600017 |
identifier_str_mv |
American Journal of Sports Medicine. Thousand Oaks: Sage Publications Inc, v. 42, n. 1, p. 95-102, 2014. 0363-5465 10.1177/0363546513506556 WOS:000329325600017 |
url |
http://repositorio.unifesp.br/handle/11600/37167 http://dx.doi.org/10.1177/0363546513506556 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
American Journal of Sports Medicine |
dc.rights.driver.fl_str_mv |
http://www.uk.sagepub.com/aboutus/openaccess.htm info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://www.uk.sagepub.com/aboutus/openaccess.htm |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
95-102 |
dc.publisher.none.fl_str_mv |
Sage Publications Inc |
publisher.none.fl_str_mv |
Sage Publications Inc |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
|
_version_ |
1802764123311702016 |