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- W1968229707 abstract "A 29-year-old man presented with the chief complaint of pain in his right arm and chest. Three days before arrival, the patient was wrestling and sustained an injury. Specifically, in a motion similar to a bench press exercise, with his shoulder in abduction, he attempted to push the other wrestler off himself and felt a pop in his right arm. That night he had increased pain and swelling. He developed ecchymosis in his right arm in subsequent days. The patient also reported mild weakness of the affected limb. Physical examination revealed ecchymosis of the right arm (Figure 1). Tenderness to palpation was present throughout the upper arm, with its most prominent focus being at the site of insertion of the pectoralis major tendon. Upon abduction of the shoulder and external rotation of the arm, an asymmetry in the shape of the chest wall was appreciated (Figure 2). From this position the patient was asked to go through the motions of a push-up. Examination of this motion revealed 4/5 strength. All motions of the shoulder were subsequently tested, and 4/5 strength was present with adduction, internal rotation, or flexion. The affected arm was without neurovascular deficit. The patient had no physical complaints about the contralateral arm, and physical examination was normal except for some minor upper extremity ecchymosis. This was presumed to represent bruising from direct pressure applied by his opponent's grasp. A standard radiograph of the affected shoulder revealed no acute abnormality. An outpatient magnetic resonance imaging scan revealed a partial thickness tear of the pectoralis major muscle (Figure 3). Surgery revealed a complete rupture at the tendon insertion. The patient regained full strength after operative repair and rehabilitation." @default.
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- W1968229707 date "2011-02-01" @default.
- W1968229707 modified "2023-09-27" @default.
- W1968229707 title "Pectoralis Major Rupture" @default.
- W1968229707 cites W2151748966 @default.
- W1968229707 doi "https://doi.org/10.1016/j.jemermed.2008.05.002" @default.
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