Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder: A Complication of Home Stretching Pulley System
Pectoralis major injuries are uncommon, typically affecting young male athletes engaging in high-intensity activities like weightlifting. A 62-yr-old man, who previously suffered a stroke leading to left hemiparesis, hemisensory loss, and spasticity, exhibited a left chest swelling during a rehabili...
Published in: | American Journal of Physical Medicine and Rehabilitation |
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Lippincott Williams and Wilkins
2024
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2-s2.0-85206959645 Zainudin M.F.; Cha M.Y.; Aziz A.F.A. Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder: A Complication of Home Stretching Pulley System 2024 American Journal of Physical Medicine and Rehabilitation 103 11 10.1097/PHM.0000000000002525 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85206959645&doi=10.1097%2fPHM.0000000000002525&partnerID=40&md5=86433089d4820862a4f11d7e0129c06c Pectoralis major injuries are uncommon, typically affecting young male athletes engaging in high-intensity activities like weightlifting. A 62-yr-old man, who previously suffered a stroke leading to left hemiparesis, hemisensory loss, and spasticity, exhibited a left chest swelling during a rehabilitation clinic visit. Subsequent inquiries revealed his recent incorporation of a home-based pulley system for stretching exercises. On examination, the swelling was diffuse, firm, and nontender, located at the midclavicular line of his left chest, with a positive dropped nipple sign and loss of the left anterior axillary fold sign. An ultrasound confirmed a low-grade injury to the left pectoralis major tendon. Spastic muscle ruptures are extremely rare, with only three published reports linked to traumatic brain injury, multiple sclerosis, and spinal cord injury. Spasticity increases muscle vulnerability due to structural and mechanical changes to the skeletal muscles. This is the first report of a spastic pectoralis major tendon rupture and the first after a stroke. This case highlights the need for optimized multimodal spasticity management and reinforces the importance of comprehensive patient education on the safe execution of home-based stretching exercises. © 2024 Wolters Kluwer Health, Inc. All rights reserved. Lippincott Williams and Wilkins 8949115 English Article |
author |
Zainudin M.F.; Cha M.Y.; Aziz A.F.A. |
spellingShingle |
Zainudin M.F.; Cha M.Y.; Aziz A.F.A. Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder: A Complication of Home Stretching Pulley System |
author_facet |
Zainudin M.F.; Cha M.Y.; Aziz A.F.A. |
author_sort |
Zainudin M.F.; Cha M.Y.; Aziz A.F.A. |
title |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder: A Complication of Home Stretching Pulley System |
title_short |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder: A Complication of Home Stretching Pulley System |
title_full |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder: A Complication of Home Stretching Pulley System |
title_fullStr |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder: A Complication of Home Stretching Pulley System |
title_full_unstemmed |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder: A Complication of Home Stretching Pulley System |
title_sort |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder: A Complication of Home Stretching Pulley System |
publishDate |
2024 |
container_title |
American Journal of Physical Medicine and Rehabilitation |
container_volume |
103 |
container_issue |
11 |
doi_str_mv |
10.1097/PHM.0000000000002525 |
url |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85206959645&doi=10.1097%2fPHM.0000000000002525&partnerID=40&md5=86433089d4820862a4f11d7e0129c06c |
description |
Pectoralis major injuries are uncommon, typically affecting young male athletes engaging in high-intensity activities like weightlifting. A 62-yr-old man, who previously suffered a stroke leading to left hemiparesis, hemisensory loss, and spasticity, exhibited a left chest swelling during a rehabilitation clinic visit. Subsequent inquiries revealed his recent incorporation of a home-based pulley system for stretching exercises. On examination, the swelling was diffuse, firm, and nontender, located at the midclavicular line of his left chest, with a positive dropped nipple sign and loss of the left anterior axillary fold sign. An ultrasound confirmed a low-grade injury to the left pectoralis major tendon. Spastic muscle ruptures are extremely rare, with only three published reports linked to traumatic brain injury, multiple sclerosis, and spinal cord injury. Spasticity increases muscle vulnerability due to structural and mechanical changes to the skeletal muscles. This is the first report of a spastic pectoralis major tendon rupture and the first after a stroke. This case highlights the need for optimized multimodal spasticity management and reinforces the importance of comprehensive patient education on the safe execution of home-based stretching exercises. © 2024 Wolters Kluwer Health, Inc. All rights reserved. |
publisher |
Lippincott Williams and Wilkins |
issn |
8949115 |
language |
English |
format |
Article |
accesstype |
|
record_format |
scopus |
collection |
Scopus |
_version_ |
1818940551289896960 |