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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Flail Chest-I01:24

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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Pneumothorax-I01:26

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Muscles of the Shoulder01:23

Muscles of the Shoulder

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
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Muscles of the Thorax01:25

Muscles of the Thorax

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The thorax muscles are central to the body's respiration and provide essential support and movement for the upper body. They are intricately designed to facilitate the complex breathing process while also contributing to the structural integrity and mobility of the chest and upper limbs.
The diaphragm is at the core of thoracic musculature, the primary muscle involved in breathing. This expansive, dome-shaped muscle marks the division between the thoracic and abdominal cavities. It...
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Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
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Pectoralis Major Rupture.

Joshua D Shumway, Danielle N Anderson, Dana J Hess

    The Journal of Orthopaedic and Sports Physical Therapy
    |August 2, 2017
    PubMed
    Summary
    This summary is machine-generated.

    A complete pectoralis major tendon rupture occurred in a military member during a bench-press competition. Magnetic resonance imaging confirmed the rupture and significant tendon retraction, necessitating further evaluation.

    Keywords:
    magnetic resonance imagingradiographyshoulderupper extremity

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    Area of Science:

    • Sports Medicine
    • Orthopaedic Surgery
    • Diagnostic Imaging

    Background:

    • Pectoralis major tendon ruptures are uncommon injuries, often associated with forceful exertion.
    • This case highlights a specific instance in a competitive bench-press scenario.

    Observation:

    • A 33-year-old military service member experienced acute right shoulder pain during a bench-press attempt.
    • Inability to complete the lift due to sharp, stabbing pain was reported.

    Findings:

    • Magnetic resonance imaging (MRI) revealed a complete rupture of the pectoralis major tendon.
    • A significant tendon retraction of up to 5 cm was noted.

    Implications:

    • This case underscores the importance of considering pectoralis major rupture in athletes presenting with shoulder pain after forceful activities.
    • Accurate diagnosis via MRI is crucial for appropriate management and surgical planning.
    • Rehabilitation protocols should address the extent of tendon retraction and muscle tear.