Presenter Information

Pooja Shah, LSUHSC

Location

LSU Health Science Center - New Orleans

Event Website

https://alliedhealth.lsuhsc.edu/admin/sahpresearchday.aspx

Document Type

Event

Start Date

8-4-2024 3:00 PM

End Date

8-4-2024 5:00 PM

Description

Introduction

Pectoralis major tendon ruptures are rare injuries due to excessive tension on a maximally eccentrically contracted muscle. This case reports aims to depict the timeliness of diagnosis and treatment for pectoralis major injuries and the efficacy of surgical repair combined with rehabilitation in achieving optimal patient outcomes.

Purpose

The purpose of this case report is to highlight how factors such as tissue healing and the potential impact of psychological factors may have contributed to the rehabilitation of a grade III pectoralis major tendon rupture.

Case Description

The patient was an 18-year-old football player who suffered a grade III right pectoral major tendon rupture in March 2023 while bench pressing 300 pounds. Physical therapy interventions included patient education, joint mobilizations, neuromuscular re-education, therapeutic exercise, and manual therapy, but lacked a psychosocial assessment.

Outcomes

The patient demonstrated improved movement patterns, improved range of motion in the right upper extremity, improved strength in the right upper extremity, and improved scapular movement control. His pain rating score improved from 7/10 on initial evaluation to 1/10 on re-evaluation #2 in accordance to NPRS.

Discussion

Positive outcomes were observed in the patient; however, challenges such as apprehension about re-injury and delayed therapy initiation may have influenced results. Despite limited evidence on physical therapy management for pectoralis major repairs, the treatment plan focused on existing research, the surgeon's protocol, and clinical experience. Further research is needed to explore optimal management strategies, especially regarding therapy initiation timing.

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Apr 8th, 3:00 PM Apr 8th, 5:00 PM

Rehabilitation Strategies and Outcomes in Pectoralis Major Tendon Rupture: A Case Study

LSU Health Science Center - New Orleans

Introduction

Pectoralis major tendon ruptures are rare injuries due to excessive tension on a maximally eccentrically contracted muscle. This case reports aims to depict the timeliness of diagnosis and treatment for pectoralis major injuries and the efficacy of surgical repair combined with rehabilitation in achieving optimal patient outcomes.

Purpose

The purpose of this case report is to highlight how factors such as tissue healing and the potential impact of psychological factors may have contributed to the rehabilitation of a grade III pectoralis major tendon rupture.

Case Description

The patient was an 18-year-old football player who suffered a grade III right pectoral major tendon rupture in March 2023 while bench pressing 300 pounds. Physical therapy interventions included patient education, joint mobilizations, neuromuscular re-education, therapeutic exercise, and manual therapy, but lacked a psychosocial assessment.

Outcomes

The patient demonstrated improved movement patterns, improved range of motion in the right upper extremity, improved strength in the right upper extremity, and improved scapular movement control. His pain rating score improved from 7/10 on initial evaluation to 1/10 on re-evaluation #2 in accordance to NPRS.

Discussion

Positive outcomes were observed in the patient; however, challenges such as apprehension about re-injury and delayed therapy initiation may have influenced results. Despite limited evidence on physical therapy management for pectoralis major repairs, the treatment plan focused on existing research, the surgeon's protocol, and clinical experience. Further research is needed to explore optimal management strategies, especially regarding therapy initiation timing.

https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/31