scholarly journals Bilateral Pectoralis Major Tendon Rupture While Performing Intermediate Level Bench Press

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.

scholarly journals 1256 Orthopaedics and The COVID19 Pandemic: Was Achilles Just A “Weekend Warrior”?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
B Murphy ◽  
C Hurson
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Return To Play ◽  
Phase 3 ◽  
Orthopaedic Surgeons ◽  
Period 2 ◽  
Tendon Ruptures ◽  
Short Space

Abstract Background The COVID19 pandemic has affected the types of trauma being operated on by Orthopaedic surgeons. Lifting of restrictions pertaining to sports saw a sudden return to play for many people after a period of inactivity. Achilles tendon ruptures are associated with these episodic athletes. In our institution, we appeared to have a large number of these injuries within a short space of time. We hypothesised that Phase 3 of “Lockdown”, where all sports were allowed to return, led to increased Achilles tendon rupture rates vs. the same period in 2019 due to a prolonged period of inactivity. Method Data from electronic theatre logbooks of all operations performed in the trauma theatre from 27th March 2020 (Lockdown begins) to 31st July 2020 and 27th March 2019 to 31st July 2019 was collected. Results 772 cases were performed in 2019. There were 17 Achilles tendon ruptures in that period (2.2%). 14 of these occurred after Phase 3. 555 cases were performed in 2020. There were 13 Achilles tendon ruptures in that period (2%). 11 of these occurred after Phase 3. Conclusions Overall, there was a greater number and greater rate of Achilles tendon ruptures in 2019 vs. the equivalent “Lockdown” period in 2020. 8 of the 11 occurring after Phase 3 in 2020 occurred in the month of July. This led the authors to believe they were occurring more frequently. In conclusion, the COVID19 pandemic restrictions and subsequent return to play after inactivity does not increase the rate of Achilles tendon rupture.

Bone suture anchor repair and functional outcome of a triceps tendon rupture, a rare clinical entity

2021 ◽  
Vol 14 (7) ◽  
pp. e241773
Author(s):  
Pieter Willem Johannes Lozekoot ◽  
Juul Jeanne Wilhelmus Tegels ◽  
Raoul van Vugt ◽  
Erik Robert de Loos
Keyword(s):  
Tendon Rupture ◽  
Suture Repair ◽  
Bone Anchor ◽  
Rare Injury ◽  
Accident And Emergency ◽  
Active Range Of Motion ◽  
Triceps Tendon Rupture ◽  
Elbow Function ◽  
Triceps Tendon ◽  
Anchor Suture

Triceps tendon rupture is rare and easily missed on presentation. A 58-year-old man was seen in our accident and emergency department with an inability to extend his right elbow against gravity after he fell. Ultrasound and MRI confirmed the suspected diagnosis of a traumatic triceps tendon rupture and excluded additional injuries. Surgical repair was carried out by a bone anchor suture reinsertion of the tendon to the olecranon. After 2 weeks of cast immobilisation, an early active range of motion (ROM) rehabilitation schedule was followed, resulting in excellent elbow function at 12 weeks postoperatively.In conclusion, it is important to suspect this rare injury and use additional studies to confirm the diagnosis of triceps tendon rupture. Also, good clinical outcome with regards to function can be achieved using bone anchor suture repair and an early active ROM rehabilitation schedule.

scholarly journals The Influence of Diabetes on Acute Achilles Tendon Rupture Repair

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0028
Author(s):  
Jonathan Kaplan ◽  
Jeffery Hillam ◽  
Amiethab Aiyer ◽  
Niall Smyth
Keyword(s):  
Diabetes Mellitus ◽  
Postoperative Complications ◽  
Achilles Tendon ◽  
Power Analysis ◽  
Tendon Rupture ◽  
Surgical Repair ◽  
Achilles Tendon Rupture ◽  
The United States ◽  
Foot And Ankle ◽  
Tendon Ruptures

Category: Sports Introduction/Purpose: Diabetes Mellitus (DM) is an epidemic affecting millions of individuals in the United States. Multiple studies have demonstrated an increase in complications in foot and ankle surgery in patients with DM, including wound healing complications, surgical site infections (SSI), or surgical failure. The goal of this study was to retrospectively review outcomes data from the National Surgical Quality Improvement Program (NSQIP) to determine the impact of DM on operative treatment of achilles tendon ruptures. Methods: Using the NSQIP from 2006-2015, patients were identified using common procedure terminology (CPT) for Achilles tendon ruptures. Diabetic and non-diabetic cohorts were evaluated to compare demographics, comorbidities, perioperative details and 30-day outcomes. Statistical evaluation included a power analysis for the primary outcome measure of wound disruption as well as univariate analysis was performed using chi-squared or Fisher’s exact and Wilcoxon signed-rank tests. Results: A total of 2,014 patients were identified having sustained an Achilles tendon rupture. There were 1,981 patients without DM and 33 patients with DM. There were no significant differences in postoperative complications, including SSI, medical complications, and 30-day outcomes between patients with DM and non-DM patients undergoing surgical repair of acute Achilles tendon ruptures. The power analysis for wound disruption showed a P=0.9 with an alpha of 0.05, sample size of n=2014, and Pearson correlation coefficient of r=0.0721 Conclusion: While DM has been shown to have an increase in complications in various foot and ankle procedures, this study demonstrates that there is no significant difference in postoperative complications and 30-day outcomes between patients with DM and non-DM patients undergoing surgical repair of acute Achilles tendon ruptures using the NSQIP database from 2006-2015. Based on this data, patients with diabetes mellitus can be considered adequate surgical candidates for acute Achilles tendon rupture repair.

scholarly journals Gouty Tenosynovitis of the Distal Biceps Tendon Insertion Complicated by Partial Rupture

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. NP1-NP5 ◽  
Author(s):  
Rick J. Fairhurst ◽  
Arnold M. Schwartz ◽  
Leo M. Rozmaryn
Keyword(s):  
Tendon Rupture ◽  
Biceps Tendon ◽  
Partial Rupture ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
First Case ◽  
Biceps Tendon Rupture ◽  
History Of ◽  
Tendon Ruptures ◽  
Tendon Insertion

Background: Given the appreciable prevalence of gout, gout-induced tendon ruptures in the upper extremity are extremely rare. Although these events have been reported only 5 times in the literature, all in patients with a risk factor for or history of gout, they have conspicuously never been diagnosed in the shoulder or elbow. Methods: A 45-year-old, right-hand-dominant man with a history of gout presented with pain in his right anterior elbow and weakness in his forearm after a trivial injury. Results: Here, we report the first case of gouty tenosynovitis of the distal biceps tendon insertion complicated by partial rupture, a composite diagnosis supported by both intraoperative and histological observations. Conclusions: In patients who are clinically diagnosed with biceps tendon rupture and have a history of gout, it is important to consider the possibility of a gout-related pathological manifestation causing or simulating tendon rupture.

scholarly journals Pectoralis major tendon rupture: A biomechanical analysis of repair techniques

2011 ◽  
Vol 29 (11) ◽  
pp. 1783-1787 ◽  
Author(s):  
Nathan D. Hart ◽  
Derek P. Lindsey ◽  
Timothy R. McAdams
Keyword(s):  
Tendon Rupture ◽  
Pectoralis Major ◽  
Biomechanical Analysis ◽  
Repair Techniques

scholarly journals Análisis de la incidencia de lesiones y hábitos usados durante el calentamiento en el baloncesto femenino (Analysis of the incidence of injuries and routines used during warm-up in female basketball players)

Retos ◽  
2019 ◽  
pp. 159-165
Author(s):  
Víctor Toro Román ◽  
David Guerrero Ramos ◽  
Diego Muñoz Marín ◽  
Jesús Siquier Coll ◽  
Ignacio Bartolomé Sánchez ◽  
...  
Keyword(s):  
Sports Injury ◽  
Knee Joints ◽  
Basketball Players ◽  
Chi Square ◽  
Warm Up ◽  
Significant Relationships ◽  
Predominant Type ◽  
Chi Square Test ◽  
Extrinsic Risk ◽  
Type Of Injury

Objetivo: Los objetivos del presente estudio fueron conocer la frecuencia de lesiones en una temporada, analizar hábitos de calentamiento, identificar factores de riesgos intrínsecos y extrínsecos relacionados con lesiones y establecer relaciones entre las variables del cuestionario y las lesiones en jugadoras de baloncesto. Método: Setenta jugadoras (23±6 años) de baloncesto federadas participaron en este estudio descriptivo retrospectivo utilizando una adaptación de un cuestionario de lesiones deportivas autocompletado por las jugadoras, el cual contenía variables relacionadas con la aparición y prevención de lesiones en el baloncesto. Se realizó un análisis de frecuencias y porcentajes y tablas de contingencia mediante el test de Chi-Cuadrado. Resultados: Se encontraron relaciones significativas entre el número de sesiones y las jugadoras lesionadas (p <.05), así como la realización de la práctica en diferentes pavimentos a lo largo de la temporada (p <.05). Las jugadoras utilizaban una tipología de calentamiento tradicional, alejado de las recomendaciones actuales. La estructura anatómica más afectada fue el tobillo/pie seguido de la rodilla, siendo el esguince el tipo de lesión predominante. Conclusión: Aumentar el número de sesiones semanales está relacionado con un incremento del número de lesiones. Las lesiones de las articulaciones del tobillo/pie y la rodilla son las más frecuentes en este deporte. Realizar la práctica de baloncesto en distintas superficies a lo largo de la temporada podría incrementar el número de lesiones. Abstract. Objective: The aim of this study was to assess the frequency of injuries over a season, analyse warm-up routines, identify intrinsic and extrinsic risk factors related to injuries, and establish relationships between the variables of the questionnaire and injuries in female basketball players. Methods: Seventy female players (23±6 years) from federated basketball teams participated in this retrospective descriptive study, which used an adaptation of a sports injury questionnaire filled by the players and containing variables related to the occurrence and prevention of injuries in basketball. Analysis of frequencies and percentages and contingency tables was carried out using the Chi-Square test. Results: Significant relationships were found between number of sessions and injured players (p <.05), as well as the carrying out of practices on different surfaces throughout the season (p <.05). The players used a typology of traditional warm-up, far from the current recommendations. The most affected anatomical structure was the ankle/foot followed by the knee, sprain being the predominant type of injury. Conclusions: Increasing the number of weekly sessions is associated to an increase in the number of injuries. Injuries to ankle/foot and knee joints are the most common in this sport. Playing basketball on different surfaces throughout the season may increase the number of injuries.

scholarly journals Management of Missed Traumatic Achilles Tendon Rupture in a Pediatric Patient: A Case Report

2021 ◽  
Vol 9 (4) ◽  
pp. 465-470
Author(s):  
Saad Andaloussi
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Tendon Repair ◽  
Skin Wound ◽  
Plantaris Tendon ◽  
First Case ◽  
Tendon Ruptures ◽  
Post Traumatic

BACKGROUND: Missed traumatic Achilles tendon ruptures in children are rarely reported in the literature. Various techniques have been described to reconstruct delayed Achilles tendon ruptures for adults, but the long-term consequences in the growing child are unknown. CLINICAL CASE: The article presents a clinical observation of a 8-year-old girl with missed rupture of the Achilles tendon operated 7 weeks after the trauma by end-to-end Kessler-type sutures augmented with the plantaris tendon. At 2-year follow-up, the patient was completely asymptomatic. DISCUSSION: A review of the literature shows that this is the third neglected pediatric case of post-traumatic Achilles tendon rupture. The first case concerns a 10-year-old boy treated successfully six weeks after the traumat by open surgical repair using the Bunnell sutures technique. The second patient was a 7-year-old girl, she was operated 8 weeks after the trauma with a termino-terminal tenorrhaphy using the Bunnell technique augmented with the plantaris tendon. CONCLUSIONS: Using the plantaris tendon to reinforce the Achilles tendon repair offers satisfactory results with minimal morbidity. Prognosis depends on the extent of tendon defect which determines the long-term functional outcome. Any skin wound that sits on the back of the leg requires a systematic and careful physical examination to check the integrity of the Achilles tendon.

scholarly journals Ultrasonographic Classification of Achilles Tendon Ruptures as a Rationale for Individual Treatment Selection

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Michael H. Amlang ◽  
Hans Zwipp ◽  
Adina Friedrich ◽  
Adam Peaden ◽  
Alfred Bunk ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Individual Treatment ◽  
Reliable Instrument ◽  
Tendon Ruptures ◽  
Selection For ◽  
Sonographic Classification

Purpose. This work introduces a distinct sonographic classification of Achilles tendon ruptures which has proven itself to be a reliable instrument for an individualized and differentiated therapy selection for patients who have suffered an Achilles tendon rupture. Materials and Methods. From January 1, 2000 to December 31, 2005, 273 patients who suffered from a complete subcutaneous rupture of the Achilles tendon (ASR) were clinically and sonographically evaluated. The sonographic classification was organized according to the location of the rupture, the contact of the tendon ends, and the structure of the interposition between the tendon ends. Results. In 266 of 273 (97.4%) patients the sonographic classification of the rupture of the Achilles tendon was recorded. Type 1 was detected in 54 patients (19.8%), type 2a in 68 (24.9%), type 2b in 33 (12.1%), type 3a in 20 (7.3%), type 3b in 61 (22.3%), type 4 in 20 (7.3%), and type 5 in 10 (3.7%). Of the patients with type 1 and fresh ASR, 96% () were treated nonoperative-functionally, and 4% () were treated by percutaneous suture with the Dresden instrument (pDI suture). Of the patients classified as type 2a with fresh ASR, 31 patients (48%) were treated nonoperatively-functionally and 33 patients (52%) with percutaneous suture with the Dresden instrument (pDI suture). Of the patients with type 3b and fresh ASR, 94% () were treated by pDI suture and 6% () by open suture according to Kirchmayr and Kessler. Conclusion. Unlike the clinical classification of the Achilles tendon rupture, the sonographic classification is a guide for deriving a graded and differentiated therapy from a broad spectrum of treatments.

Partial Achilles Tendon Ruptures Associated with Fluoroquinolone Antibiotics: A Case Report and Literature Review

1996 ◽  
Vol 17 (8) ◽  
pp. 496-498 ◽  
Author(s):  
William C. McGarvey ◽  
Dishan Singh ◽  
Saul G. Trevino
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Literature Review ◽  
Achilles Tendon ◽  
Tendon Rupture ◽  
Resonance Imaging ◽  
Achilles Tendinitis ◽  
Fluoroquinolone Antibiotics ◽  
Tendon Ruptures

Fluoroquinolone antibiotics (such as ciprofloxacin, pefloxacin, ofloxacin, norfloxacin, temafloxacin, etc.) have recently been implicated in the etiology of Achilles tendinitis and subsequent tendon rupture. We report on a patient with bilateral partial Achilles tendon ruptures associated with ciprofloxacin therapy and present a review of the current literature on this increasingly recognized complication. Treatment with fluoroquinolones should be discontinued at the first sign of tendon inflammation so as to reduce the risk of subsequent rupture. Magnetic resonance imaging is useful in distinguishing between Achilles tendinitis and partial tendon rupture.

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