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Pectoralis tendon avulsion in the skeletally immature
1University of Washington School of Medicine, Seattle, USA.
American Journal of Orthopedics (Belle Mead, N.J.)
|August 1, 1996
Insights
Pectoralis tendon avulsion, a rare injury, usually affects adult men. This case highlights an obvious diagnosis in an adolescent male due to clear bone and palpable evidence at the injury site.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Pediatric orthopedics
Background:
- Pectoralis tendon avulsions are uncommon injuries, predominantly seen in skeletally mature males.
- Diagnosis can be challenging and frequently delayed, leading to suboptimal outcomes.
Observation:
- This report details a unique case of a complete bony avulsion of the pectoralis tendon.
- The injury occurred at the tendon's insertion point on the humerus in a skeletally immature male patient.
Findings:
- The diagnosis in this adolescent was notably straightforward.
- Palpable evidence and radiographic findings of ossification at the avulsion site facilitated an obvious diagnosis.
Implications:
- This case expands the understanding of pectoralis tendon avulsions in younger populations.
- Highlights the importance of considering tendon avulsions even in skeletally immature individuals.
- Emphasizes how ossification can aid diagnosis in pediatric cases.
Abstract:
Pectoralis tendon avulsion is a rare injury typically occurring in skeletally mature men. The diagnosis can be difficult to make and is often delayed. We report a case of a complete bony avulsion of the pectoralis tendon at the site of its humeral insertion in a skeletally immature male. The palpable and radiographic evidence of ossification at the injury site made the diagnosis in this adolescent case uniquely obvious.