#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Pectoralis Maior Tendon Rupture and Anabolic Steroids in Anamnesis – a Case Review


Authors: J. März;  P. Novotný
Published in: Rozhl. Chir., 2008, roč. 87, č. 7, s. 380-383.
Category: Monothematic special - Original

Overview

Introduction:
Muscle building, gaining in popularity, and availability of anabolic steroids are connected with raised incidence of tendon injuries in uncommon locations.

Case Review:
The author describes a case of an injured body builder treated for the major pectoral muscle’s tendon rupturing, and, later on, for the quadriceps tendon and distal bicipital tendon ruptures. The m.pectoralis maior tendon rupture was managed surgically-including tendon reinsertion, temporary immobilization and gradual rehabilitation with dosed loading. The treatment resulted in full recovery and the patient was able to resume common and sport activities.

Discussion:
The study assessed the role of steroids in development of tendon injuries, as well as their treatment methods.Based on his experience, the author, as well as other authors, favours indication for early surgical management to conservative treatment.

Key words:
tendon rupture – m. pectoralis maior – anabolic steroids


Sources

1. Bakalim, G. Rupture of the pectoralis major muscle. Acta orthop. Scandinav., 1965; 36: 274–279.

2. Borovanský, L., Hromada, J., Kos, J., Zrzavý, J., Žlábek, K. Sústavná anatómia člověka. Osveta, Martin, 1979.

3. Evans, N. A., Bowrey, D. J., Newman, G. R. Ultrastructural analysis of ruptured tendon from anabolic steroids users. Injury, 1998, Dec; 29(10): 769–773.

4. Gautschi, O. P., Zellweger, R. A complete tear of the pectoralis major muscle from a seat belt injury. Eur. J. Emerg. Med., 2007, Apr; 14(2): 90–91.

5. Hanna, C. M., Glenny, A. B., Stanley, S. N., Caughey, M. A. Pectoralis major tears: comparison of surgical and conservative treatment. Br. J. Sports Med., 2001, Jun; 35(3): 202–206.

6. Inhofe, P. D., Grana, W. A., Egle, D., Min, K. W., Tomasek, J. The effects of anabolic steroids on rat tendon. An ultrastructural, biomechanical and biochemical analysis. Am. J. Sports Med., 1995, Mar-Apr; 23(2): 227–232.

7. Kakwani, R. G., Matthews, J. J., Kumar, K. M., Pimpalnerkar, A., Mohtadi, N. Rupture of the pectoralis major muscle: surgical treatment in athlets. Int. Orthop., 2007, Apr; 31(2): 159–163.

8. Kehl, T., Holzach, P., Matter, P. Ruptur des Musculus pectoralis major. Unfallchirurg, 1987; 90: 363–366.

9. Marqueti, R. C., Parizotto, N. A., Chriquer, R. S., Perez, S. E., Selistre-de-Araujo, H. S. Androgenic-anabolic steroids asociated with mechanical loading inhibit matrix metallopeptidase activity and affect the remodeling of the achilles tendon in rats. Am. J. Sports Med., 2006, Aug; 34(8): 1274–1280.

10. Pavlik, A., Csépai, D., Berkes, I. Surgical treatment of pectoralis major rupture in athletes. Knee Surg. Sports Traumatol. Arthrosc., 1998; 6(2): 129–133.

11. Quinlan, J. F., Molloy, M., Hurson, B. J. Pectoralis major tendon ruptures: when to operate. Br. J. Sports Med., 2002, Jun; 36(3): 226–228.

12. Rijnberg, W. J., van Linge, B. Rupture of the pectoralis majr muscle in body-builders. Arch. Orthop. Trauma Surg., 1993; 112(2): 104–105.

13. Roller, A., Becker, U., Bauer, G. Rupture of the pectoralis major muscle: classification of injuries and results of operative treatment. Z. Orthop. Ihre Grenzgeb., 2006, May-Jun; 144(3): 316–321.

14. Simek, K, Václavec, L. Traumatic rupture of the greater pectoral muscle tendon. Rozhl. Chir. 1995, Sept; 74(6): 241–242.

15. Strohm, P. C., Bley, T. A., Südkamp, N. P., Köstler, W. Rupture of the pectoralis major muscle – causes, diagnosis, treatment. Acta Chir. Orthop. Traumatol. Cech., 2005; 72(6): 371–374.

Labels
Surgery Orthopaedics Trauma surgery
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#