




Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
Surgical repair of the pectoralis major tendon rupture has been shown to provide the best outcomes for strength return, because of this surgical repair is the ...
Typology: Study notes
1 / 8
This page cannot be seen from the preview
Don't miss anything!
The pectoralis major muscle is the large muscle in front of the upper chest. There are two parts of the pectoralis muscle, the pectoralis major and the pectoralis minor. The pectoralis major is the larger of the two and works to push the arms in front of the body like doing a push-up or bench press exercise. Pectoralis major tendon rupture is a rare shoulder injury, commonly seen in weightlifters and football players. This injury is being seen more often due to the increased emphasis on healthy lifestyles and weightlifting in older age groups. Most injuries occur as a bone-tendon avulsion injury. Surgical repair of the pectoralis major tendon rupture has been shown to provide the best outcomes for strength return, because of this surgical repair is the most common choice for those wishing to return to competitive or recreational athletic activity. Without surgery it is highly likely that the injury will cause persistent weakness, which may be acceptable for some people with more sedentary lifestyles.
Surgical repair involves using cortical buttons or suture anchors to re-approximate and attach the tendon to the bone. The pec major muscle has 2 heads, sternal and clavicular. The tendon arises from the muscular portion and then inserts near the top of the humerus (upper arm bone). This muscle functions to assist in flexion, adduction and internal rotation of the shoulder. This is important to understand because motion in the opposite direction will be limited early on in post-operative rehab.
Rehabilitation appointments
Rehabilitation goals
Suggested therapeutic exercise (^) • Elbow, wrist and neck AROM
Cardiovascular exercise (^) • Walking and stationary bike with sling on
Rehabilitation appointments (^) • Rehab every 1-2 weeks
Rehabilitation goals (^) • Functional, gently progressive shoulder range of motion in
all planes with full range of motion by week 12
Precautions (^) • Slowly begin to wean out of the sling
Rehabilitation appointments (^) • Physician appointment 12 weeks after surgery
Rehabilitation goals (^) • Normal (rated 5/5) rotator cuff strength and endurance at
90 degrees of shoulder abduction and scaption
should begin and progress in a very gradual manner. Bench should include protecting the range and limiting to a maximum of 50% of pre-injury max for the first 18- weeks.
Cardiovascular exercise (^) • Walking, stationary bike and stair master
Rehabilitation appointments (^) • Physician appointment 18 weeks after surgery
Rehabilitation goals (^) • Normal (rated 5/5) strength at 90 degrees of shoulder
abduction
Cardiovascular exercise (^) • Use work and sport specific energy systems
Progression criteria (^) • Return to sport after receiving surgeon clearance and
passing upper extremity progressive testing
These rehabilitation guidelines were developed by the UW Health Sports Medicine group.
At UW Health, patients may have may receive direction or educational materials that vary from this information. This information is not intended to replace the care or advice given by your physician or health care provider. It is neither intended nor implied to be a substitute for professional advice. Call your health provider immediately if you think you may have a medical emergency. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any question you may have regarding a medical condition.