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Войти в исследования Journal of hand therapy : official journal of the American Society of Hand Therapists · 2026
Case report of a 54-year-old line specialist following surgical reconstruction of a complete chronic pectoralis major muscle tear.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bakshi Priya, Aubry Grace I, Gebreyohannes Nardos H, Jassman Amy L, Willman Grace A, Wyrick Caitlyn E
Аннотация
BACKGROUND: Literature on management of pectoralis major muscle injuries mostly describe acute injuries in young athletic males. Rehabilitation guidelines vary in the limited studies following reconstruction of chronic pectoralis major muscle tears.
PURPOSE: To add to the literature on postoperative rehabilitation guidelines, outcomes following chronic pectoralis major muscle tear reconstruction in an older individual.
STUDY DESIGN: Single case report.
METHODS: Consensus-based clinical case reporting guidelines were referenced.
RESULTS: 54-year-old linesman with complete pectoralis major muscle tear had reconstruction with Achilles allograft 7months post injury. Allograft revascularization under no tension guided first 6 weeks of rehabilitation. This included continuous sling wear, no shoulder external rotation, abduction past neutral, passive flexion limited to 90°. Next 6 weeks focused on range of motion remediation and last 6 weeks on strengthening. Challenge of first 2 weeks was axillary skin breakdown from strict adduction in sling. Capsular tightness was not experienced after 6 weeks of immobilization. Full active range of motion was restored by 11 weeks, 5/5 strength by 18 weeks, with return to full duty at 19 weeks. Final QuickDASH score was 0%, and Single Assessment Numerical Evaluation 80%.
CONCLUSIONS: This study highlights absence of capsular tightness, minimal complications with good outcomes in an older individual with moderate to heavy work demands.
PURPOSE: To add to the literature on postoperative rehabilitation guidelines, outcomes following chronic pectoralis major muscle tear reconstruction in an older individual.
STUDY DESIGN: Single case report.
METHODS: Consensus-based clinical case reporting guidelines were referenced.
RESULTS: 54-year-old linesman with complete pectoralis major muscle tear had reconstruction with Achilles allograft 7months post injury. Allograft revascularization under no tension guided first 6 weeks of rehabilitation. This included continuous sling wear, no shoulder external rotation, abduction past neutral, passive flexion limited to 90°. Next 6 weeks focused on range of motion remediation and last 6 weeks on strengthening. Challenge of first 2 weeks was axillary skin breakdown from strict adduction in sling. Capsular tightness was not experienced after 6 weeks of immobilization. Full active range of motion was restored by 11 weeks, 5/5 strength by 18 weeks, with return to full duty at 19 weeks. Final QuickDASH score was 0%, and Single Assessment Numerical Evaluation 80%.
CONCLUSIONS: This study highlights absence of capsular tightness, minimal complications with good outcomes in an older individual with moderate to heavy work demands.