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Pronator Teres Myotendinous Tear.

Usama Qayyum, Diego Villacis, Charles M Jobin1

  • 1Department of Orthopaedic Surgery, New York Presbyterian/Columbia University Medical Center, New York, NY. jobin@columbia.edu.

American Journal of Orthopedics (Belle Mead, N.J.)
|April 25, 2017
PubMed
Summary

Pronator teres muscle strain is a rare elbow injury in sports like golf and cricket. Conservative treatment offers an excellent prognosis, with athletes typically returning to sport within six weeks.

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Area of Science:

  • Sports Medicine
  • Orthopedic Surgery

Background:

  • Pronator teres muscle strain is a rare sporting injury.
  • It typically occurs in sports involving forceful swings, such as golf and cricket.
  • The injury mechanism involves eccentric forces during resisted elbow flexion and pronation.

Observation:

  • Initial symptoms can mimic medial ulnar collateral ligament injury or medial epicondylitis.
  • Physical examination may reveal bruising and tenderness distal to the elbow.
  • Advanced imaging is crucial for diagnosis and injury grading.

Findings:

  • A case of pronator teres muscle strain treated conservatively is presented.
  • The patient returned to sport and function within six weeks.
  • Prognosis is excellent, even for high-grade strains, with expected full recovery.

Implications:

  • Early and accurate diagnosis is important to differentiate from other elbow injuries.
  • Conservative management, including rest and activity modification, is effective.
  • Full return to sporting function is achievable with appropriate treatment.