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学科主题: 临床医学
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Twelve cases of the pectoralis major muscle tendon rupture with surgical treatment-an average of 6.7-year follow-up
作者: He Zhen-ming; Ao Ying-fang; Wang Jian-quan; Hu Yue-lin; Yin Yu
关键词: pectoralis major ; muscle rupture ; surgical treatment
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2010-01-05
DOI: 10.3760/cma.j.issn.0366-6999.2010.01.010
卷: 123, 期:1, 页:57-60
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: TEARS
英文摘要:

Background Pectoralis major tendon rupture is a relatively rare injury leading to both functional and cosmetic deficiency. The peak torque of the pectoralis major is significantly decreased after conservational treatment of a total rupture. We suppose that surgical intervention is better choice.

Methods We retrospectively evaluated 12 patients who were diagnosed with distal pectoralis major muscle rupture and underwent operation in our institute from 1993 to 2007. All patients were male with a mean age of 32 (19-54) years. In 4 patients, tendon reconstruction was accomplished by fixing the tendon to the humerus using sutures passed through predrilled humeral bone tunnels. In 8 patients, tendon reconstruction was accomplished by directly suturing the muscle to the tendon. All patients followed an accelerated rehabilitation protocol. Treatment results were evaluated according to the following criteria: (1) visual analogue pain scale, (2) isokinetic strength measurements, (3) range of motion of shoulder joint, (4) cosmetic result, and (5) postoperative sports activity performance. In this study, we aimed to describe our surgical technique of reconstruction of the rupture of pectoralis major muscle and to summarize the clinical results of the operative treatment.

Results At the final follow-up examination (6.5 years postoperatively), only nine patients were available for evaluation. Three of them had excellent results, and five had good results, while one had poor results. Eight of the patients were able to return to their preinjury level of sporting activity. In summary, 89% of the patients achieved excellent or good results.

Conclusion Surgical treatment by anatomic tendon repair and accelerated rehabilitation can make recovery of strength and function of the pectoralis major muscle. Chin Med J 2010;123(1):57-60

语种: 英语
WOS记录号: WOS:000273899000011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/57780
Appears in Collections:北京大学第三临床医学院_运动医学研究所_期刊论文

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作者单位: Peking Univ, Hosp 3, Inst Sports Med, Beijing 100191, Peoples R China

Recommended Citation:
He Zhen-ming,Ao Ying-fang,Wang Jian-quan,et al. Twelve cases of the pectoralis major muscle tendon rupture with surgical treatment-an average of 6.7-year follow-up[J]. CHINESE MEDICAL JOURNAL,2010,123(1):57-60.
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