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. 2024 May 19;59(Suppl 2):e199-e202.
doi: 10.1055/s-0044-1785448. eCollection 2024 Nov.

Pectoralis Major Rupture in a 15-year-old Teenager: Case Report

Paulo César Faiad Piluski  1 , João Artur Bonadiman  1   2 , Eduardo Necher Moreira  1 , Carlos Humberto Castillo Rodriguez  1 , Osvandré Lech  1
Affiliations

Pectoralis Major Rupture in a 15-year-old Teenager: Case Report

Paulo César Faiad Piluski et al. Rev Bras Ortop (Sao Paulo). .

Abstract

Rupture of the pectoralis major muscle is extremely rare in adolescents. The current literature contains only 5 reports of this condition in patients under 20 years old, with 2 reports in subjects under 16. In the present article, we report the case of a 15-year-old volleyball player who suffered a traumatic rupture of the pectoralis major in a match during the serve movement. After excluding endocrinological abnormalities as a cause of tendon weakening, the patient underwent surgical treatment due to muscle retraction, strength deficit, high demand, and esthetic concerns. Early diagnosis is crucial to successful outcomes, and the surgical intervention enabled early rehabilitation and a provided a higher likelihood of return to high-level competitive sports.

Keywords: pectoralis muscles; shoulder/surgery; sports medicine; tendon injuries.

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Conflict of interest statement

Conflito de Interesses Os autores não têm conflito de interesses a declarar.

Figures

Fig. 1
Fig. 1
T2-weighted magnetic resonance imaging scans showing rupture of the pectoralis major muscle in the axial ( A ) and oblique coronal ( B ) sections, with details of retraction (red arrow).
Fig. 2
Fig. 2
Intraoperative images showing injury to the pectoralis major tendon with retraction ( A ), insertion of a metal anchor next to the footprint of the pectoralis major ( B ), and the final appearance after reattachment ( C ).
Fig. 3
Fig. 3
Follow-up radiograph of the position of the metallic anchor (red arrow).
Fig. 4
Fig. 4
Postoperative clinical follow-up after 15 weeks. ( A ) Internal rotation. ( B ) Surgical scar. ( C ) External rotation.
Fig. 1
Fig. 1
Imagens de ressonância magnética ponderadas em T2 que mostram ruptura do músculo peitoral maior nos cortes axial ( A ) e coronal oblíquo ( B ), com detalhes da retração (seta vermelha).
Fig. 2
Fig. 2
Imagens do transoperatório que mostram lesão do tendão peitoral maior com retração ( A ), inserção de âncora metálica junto ao footprint do peitoral maior ( B ) e aspecto final após reinserção ( C ).
Fig. 3
Fig. 3
Radiografia de controle do posicionamento da âncora metálica (seta vermelha).
Fig. 4
Fig. 4
Controle clínico pós-operatório após 15 semanas. ( A ) Rotação interna. ( B ) Cicatriz operatória. ( C ) Rotação externa.
See this image and copyright information in PMC

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