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Updated: May 1, 2026

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Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
Published on: March 12, 2021
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Complex shoulder injuries in sports
Eduardo Antônio de Figueiredo1, Paulo Santoro Belangero, Benno Ejnisman
1CETE-Centro de Traumatologia do Esporte, Universidade Federal de São Paulo, São Paulo, Brazil.
BMJ Case Reports
|April 4, 2014
Summary
This case study details the successful surgical repair of complex shoulder injuries in an Olympic wrestler. The athlete fully recovered and returned to sport within six months post-operation.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Athletic Injury Management
Background:
- Pectoralis major muscle injuries, glenohumeral instability, and acromioclavicular joint dislocations pose significant challenges for athletes.
- Prompt and effective surgical intervention is crucial for restoring function and enabling return to sport.
Observation:
- A 26-year-old Olympic wrestler presented with combined pectoralis major injury, anterior glenohumeral instability, and acromioclavicular joint dislocation.
- The patient underwent a multi-stage surgical reconstruction addressing each injury sequentially.
Findings:
- Pectoralis major reconstruction utilized a semitendinosus tendon graft with the endobutton technique.
- Anterior instability was managed with the Bristow-Latarjet procedure.
- Acromioclavicular joint dislocation repair involved the modified Weaver-Dunn technique with an anchor.
Implications:
- This comprehensive surgical approach facilitated a rapid recovery for the elite athlete.
- The patient achieved full functional recovery and returned to pre-injury activity levels within six months.
- The case highlights the efficacy of combined surgical techniques in managing complex shoulder trauma in high-level athletes.
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