Compartment Syndrome of the Flexor Compartment of the Arm Secondary to Pectoralis Major Tendon Rupture

Case. Compartment syndrome following muscle rupture is a rare entity with few mentions in the literature. We present a case of pectoralis major rupture in a 38-year-old male that evolved into compartment syndrome of the anterior compartment of the arm. Rupture of the pectoralis is uncommon and most often occurs during weight lifting. Compartment syndrome secondary to this injury is extremely uncommon, with only one reported case in the pectoralis major itself and several cases of biceps compartment syndrome. Due to the potentially devastating consequences of a missed compartment syndrome, it is imperative that physicians maintain a high level of suspicion in patients with these unusual injuries presenting with severe swelling and pain.

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Treatment of a Combined Pectoralis Major Tear, Anterior Labral Tear, and Humeral Avulsion of the Glenohumeral Ligament (HAGL) in an Active Duty Soldier

Military Medicine ◽

10.1093/milmed/usaa422 ◽

2021 ◽

Author(s):

Cortney N Wolfley ◽

Mikalyn T DeFoor ◽

Ivan J Antosh ◽

Stephen A Parada

Keyword(s):

Shoulder Dislocation ◽

Tendon Rupture ◽

Active Duty ◽

Pectoralis Major ◽

Weight Lifting ◽

Anterior Shoulder Dislocation ◽

Special Forces ◽

Glenohumeral Ligament ◽

Shoulder Dysfunction ◽

First Case

ABSTRACT Anterior glenohumeral instability is an increasingly common injury among young military servicemen. First-time dislocations occurring in combination with anterior labral tears and humeral avulsion of glenohumeral ligament lesions, although rare, significantly contribute to further shoulder dysfunction with recurrent instability and pain. Tears of the pectoralis major are also a type of injury more common in the military population, with operative management resulting in decreased strength. We present a unique case of a young, active duty male that sustains an anterior shoulder dislocation with a concomitant pectoralis major tendon rupture while bench press weight lifting in preparation for the Army Special Forces selection. To the best of our knowledge, this is the first case presented in the literature describing management of a simultaneous anterior shoulder dislocation, humeral avulsion of glenohumeral ligament lesion, and pectoralis major tendon rupture treated with a single operation. After aggressive rehabilitation, the patient was able to successfully pass Special Forces selection and has near full function of the operative shoulder with remarkable satisfaction scores.

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A 45-year-old man presenting with anterior compartment syndrome three weeks following conservative treatment of an Achilles tendon rupture

Scottish Medical Journal ◽

10.1258/smj.2011.011103 ◽

2011 ◽

Vol 56 (2) ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Michael Van Niekerk ◽

Farrah Jawad ◽

James S Huntley ◽

Stuart Mccowan

Keyword(s):

Conservative Treatment ◽

Achilles Tendon ◽

Compartment Syndrome ◽

Tendon Rupture ◽

Achilles Tendon Rupture ◽

Anterior Compartment

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Compartment syndrome secondary to acute pectoralis major tendon rupture

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2014.10.023 ◽

2015 ◽

Vol 24 (3) ◽

pp. e78-e81 ◽

Cited By ~ 1

Author(s):

Adam J. Smith ◽

Stefan Bajada ◽

Phillip Wardle ◽

David Morgan

Keyword(s):

Compartment Syndrome ◽

Tendon Rupture ◽

Pectoralis Major

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Coexistence of two accessory flexor pollicis longus heads or coexistence of two-headed flexor pollicis longus with an unrecognized anatomical structure?

Surgical and Radiologic Anatomy ◽

10.1007/s00276-021-02721-w ◽

2021 ◽

Author(s):

Nicol Zielinska ◽

Bartłomiej Szewczyk ◽

R. Shane Tubbs ◽

Łukasz Olewnik

Keyword(s):

Clinical Significance ◽

Morphological Variation ◽

Tendon Rupture ◽

Anatomical Structure ◽

Nerve Compression ◽

Interosseous Membrane ◽

Flexor Pollicis Longus ◽

Anterior Compartment

AbstractThe flexor pollicis longus (FPL) is located in the anterior compartment of the forearm. It is morphologically variable in both point of origin and insertion. An additional head of the FPL can lead to anterior interosseous syndrome. This report presents a morphological variation of the FPL (additional head in proximal attachment and bifurcated tendinous insertion in distal attachment) and an unrecognized structure that has not so far been described in the literature. This structure originates in six heads (attached to the FPL or interosseous membrane) that merge together, and inserts on to the FPL. All the variations noted have clinical significance, ranging from potential nerve compression to prevention of tendon rupture.

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Spontaneous Non-Traumatic Anterior Compartment Syndrome with Peroneal Neuropathy and Favorable Outcome

Neuropediatrics ◽

10.1055/s-2008-1073035 ◽

1994 ◽

Vol 25 (05) ◽

pp. 268-270 ◽

Cited By ~ 7

Author(s):

A. Sloane ◽

J. Vajsar ◽

R. Laxer ◽

P. Babyn ◽

E. Murphy

Keyword(s):

Compartment Syndrome ◽

Favorable Outcome ◽

Anterior Compartment ◽

Peroneal Neuropathy

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Unrecognized Anterior Compartment Syndrome Following Ankle Fracture Surgery

Journal of the American Podiatric Medical Association ◽

10.7547/0990438 ◽

2009 ◽

Vol 99 (5) ◽

pp. 438-442 ◽

Cited By ~ 2

Author(s):

Aksel Seyahi ◽

Serkan Uludag ◽

Senol Akman ◽

Mehmet Demirhan

Keyword(s):

Compartment Syndrome ◽

Ankle Fracture ◽

Open Reduction ◽

Malleolar Fracture ◽

Anterior Compartment ◽

Exercise Induced ◽

Patient’S History ◽

Fracture Surgery ◽

Compartmental Pressure ◽

Suspected Diagnosis

A 35-year-old male sustained a lateral malleolar fracture while playing football. The fracture was treated by open reduction and internal fixation with a tourniquet. The next day, the patient returned with pain and swelling of the ankle and was admitted again to the hospital with a suspected diagnosis of cellulitis. Ten hours later, the patient developed the symptoms of anterior compartment syndrome. Emergency open fasciotomy of the anterior compartment was performed. The retrospective analysis of the patient’s history was suggestive of a predisposition to an exercise-induced compartment syndrome. We think that exertional increase of the compartmental pressure before the injury and the tourniquet used during surgery contributed together to the development of compartment syndrome. Physicians should be vigilant in identifying the features of compartment syndrome when managing patients injured during a sporting activity. (J Am Podiatr Med Assoc 99(5): 438–442, 2009)

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Pectoralis major tendon rupture: A biomechanical analysis of repair techniques

Journal of Orthopaedic Research® ◽

10.1002/jor.21438 ◽

2011 ◽

Vol 29 (11) ◽

pp. 1783-1787 ◽

Cited By ~ 27

Author(s):

Nathan D. Hart ◽

Derek P. Lindsey ◽

Timothy R. McAdams

Keyword(s):

Tendon Rupture ◽

Pectoralis Major ◽

Biomechanical Analysis ◽

Repair Techniques

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Bilateral Pectoralis Major Tendon Rupture While Performing Intermediate Level Bench Press

Kansas Journal of Medicine ◽

10.17161/kjm.v12i3.11801 ◽

2019 ◽

Vol 12 (3) ◽

pp. 94-96

Author(s):

Jace E. Kusler ◽

Alexander C.M. Chong ◽

Bruce E Piatt

Keyword(s):

Bench Press ◽

Tendon Rupture ◽

Normal Load ◽

Pectoralis Major ◽

Intermediate Level ◽

Rare Injury ◽

Warm Up ◽

Period 2 ◽

Tendon Ruptures ◽

Type Of Injury

Simultaneous bilateral pectoralis major (PM) tendon rupture is a rare injury. To our knowledge, there have been only three previously reported cases of this type of injury.1–3 These patients sustained the injury while attempting a 360° turn on gymnastic rings,1 bench-pressing a heavier-than-normal load without an appropriate warm-up period,2 and performing dips on wide-grip parallel bars.3 We present a case of a patient who sustained simultaneous bilateral PM tendon ruptures while performing intermediate level bench-pressing with an appropriate warm-up period.

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