Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder
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 & REHABILITATION |
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Main Authors: | , , , |
Format: | Article |
Language: | English |
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LIPPINCOTT WILLIAMS & WILKINS
2024
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Online Access: | https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001338471400022 |
author |
Zainudin Muhamad Faizal; Cha Mei Yee; Aziz Ahmad Fuad Ab |
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spellingShingle |
Zainudin Muhamad Faizal; Cha Mei Yee; Aziz Ahmad Fuad Ab Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder Rehabilitation; Sport Sciences |
author_facet |
Zainudin Muhamad Faizal; Cha Mei Yee; Aziz Ahmad Fuad Ab |
author_sort |
Zainudin |
spelling |
Zainudin, Muhamad Faizal; Cha, Mei Yee; Aziz, Ahmad Fuad Ab Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION English Article 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. LIPPINCOTT WILLIAMS & WILKINS 0894-9115 1537-7385 2024 103 11 10.1097/PHM.0000000000002525 Rehabilitation; Sport Sciences WOS:001338471400022 https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001338471400022 |
title |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder |
title_short |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder |
title_full |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder |
title_fullStr |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder |
title_full_unstemmed |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder |
title_sort |
Pectoralis Major Tendon Rupture in a Spastic Hemiplegic Shoulder |
container_title |
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION |
language |
English |
format |
Article |
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. |
publisher |
LIPPINCOTT WILLIAMS & WILKINS |
issn |
0894-9115 1537-7385 |
publishDate |
2024 |
container_volume |
103 |
container_issue |
11 |
doi_str_mv |
10.1097/PHM.0000000000002525 |
topic |
Rehabilitation; Sport Sciences |
topic_facet |
Rehabilitation; Sport Sciences |
accesstype |
|
id |
WOS:001338471400022 |
url |
https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001338471400022 |
record_format |
wos |
collection |
Web of Science (WoS) |
_version_ |
1818940498725830656 |