Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics13910.21823/2311-2905-139ReviewsОбзорыReviewsUnknownRuptures of the pectoralis major muscle and it’s tendon: review of the literature and our experience in the treatmentРазрывы большой грудной мышцы и её сухожилия: обзор литературы и наш опыт леченияKavalerskyG. M.КавалерскийГ. М.
Russian Federation
SeredaA. P.СередаА. П.
Russian Federation
drsereda@gmail.comNikiforovD. A.НикифоровД. А.
Russian Federation
KoshelevI. M.КошелевИ. М.
Russian Federation
KapyshevS. V.КапышевС. В.
Russian Federation
I.M. Sechenov First Moscow State Medical UniversityГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава РоссииFederal Research and Clinical Center of Medicine and Rehabilitation of Federal Medical Biological AgencyФГБУ «Федеральный научно-клинический центр спортивной медицины и реабилитации ФМБА России»1209201521211713112092016Copyright ©; 2015,Copyright ©; 2015,2015https://journal.rniito.org/jour/article/view/139

Tendon ruptures of the pectoralis major muscle are considered a rare type of injury, but there is a tendency for a greater frequency of occurrence in such cases, which is associated with an increased interest in sport and fitness among the population. Despite the seeming simplicity of diagnosis, many complete ruptures remain unrecognized and many patients do not seek medical help or being treated for bruises, sprains and partial damage, although in fact there a complete ruptures of the pectoralis major muscle or it’s tendon. Currently there is no consensus on diagnostic tactics, surgical approach, the optimal method of fixation, indications for use of plastic material; disputable tactics of chronic ruptures and rehabilitation program in the treatment of tendon ruptures of the pectoralis major muscle.

Разрывы сухожилия большой грудной мышцы считаются редким видом травмы, но существует тенденция к увеличению частоты встречаемости подобных случаев, что связано с возросшим интересом к спорту и фитнесу среди населения. Несмотря на кажущуюся простоту диагноза, часто полные разрывы остаются нераспознанными, и многие пациенты либо вообще не обращаются за медицинской помощью, либо проходят лечение по поводу ушибов, растяжений и частичных повреждений, хотя на самом деле имеется полные разрывы большой грудной мышцы или её сухожилия. В настоящее время не существует единого мнения о диагностической тактике, хирургическом подходе, оптимальном методе фиксации, показаниях к использованию пластического материала. Дискутабельны тактика при застарелых разрывах и реабилитационная программа при лечении разрывов сухожилия большой грудной мышцы.

разрыв большой грудной мышцыконсервативное лечениехирургическая рефиксациярераптураruptures of pectoralis major muscleconservative treatmentsurgical refixsationreraptureЕфименко Н.А., Зеленский А.А., Середа А.П. Антибиотикопрофилактика в хирургии. Инфекции в хирургии. 2007; 5(4):14-20.Ефименко Н.А., Грицюк А.А., Середа А.П. Антибиотикопрофилактика в травматологии и ортопедии. Инфекции в хирургии. 2008; 6 (2):9-14.Синєльников Е.Д. Атлас анатомии человека. 1963. Т. 1. С. З46-З50.Аагітаа V., Rantanen J., Heikkila J., Helttula I., Orava S. Rupture of the pectoralis major muscle. Am J Sports Med. 2004; 32(5):1256-1262.Bak K., Cameron E.A., Henderson I.J. Rupture of the pectoralis major: a meta-analysis of 112 cases. Knee Surg Sports TraumatolArthrosc. 2000; 8(2):113-119.Bal G., Basamania C. Pectoralis major tendon ruptures: diagnosis and treatment. Tech Shoulder Elbow Surg. 2005; 6(З):128-1З4.Beloosesky Y., Grinblat J., Weiss А. et al: Pectoralis major rupture in elderly patients. Clin Orthop. 200З; (413):164-169.Burke C.V. Congenital Absence of Pectoral Muscles. Med. Rec. 1902; 62: 976.Connell D.A., Potter H.G., Sherman M.F, Wickiewicz T.L. Injuries of pectoralis major muscle: Evaluation with MRI imaging. Radiology. 1999; 210:785-791.Davis C.B. Plastic repair of the deltoid muscle. Surg Clin. 1919; 3:287-289.de Castro Pochini А., Ejnisman B., Andreoli C.V., Monteiro G.C., Silva A.C., Cohen M., Albertoni W.M. Pectoralis major muscle rupture in athletes: a prospective study. Am J Sports Med. 2010; 38(1):92-98.Elazab E.B., Nabil N.M. Pectoralis major muscle: anatomical features of its arterial supply. Eur J Plastic Surg. 2012; З5 (1):9-18.Elliot B.C., Wilson G.J., Kerr G.K. А biomechanical analysis of the sticking region in the bench press. Med Sci Sports Exerc. 1989; 21:450-462.Fleury А.М., Silva А.С., Pochini А.С., Ejnisman B., Lira C.A.B., Andrade M.S. Isokinetic muscle assessment after treatment of pectoralis major muscle rupture using surgical or non-surgical procedures. Clinics. 2011; 66(2):З1З-З20.Hanna M., Glenny А.В., Stanley S.N., Caughey М.А. Pectoralis major tears: comparison of surgical and conservative treatment. Br J Sports Med. 2001; 35:202-206.Hart N.D., Lindsey D.P., McAdams T.R. Pectoralis major tendon rupture: a biomechanical analysis of repair techniques. J Orthop Res. 2011; 29:1783-1787.Hasegawa K., Schofer J.M. Rupture of the pectoralis major: А case report and review. J Emerg Med. 2010; З8(2):196-200.Hayes W.M. Rupture of the pectoralis major muscle: review of the literature and report of two cases. J Int Coll Surg. 1950; 14(1):82-88.He Z.M., Ao Y.F, Wang J.Q., Hu Y.L., Yin Y. Twelve cases of the pectoralis major muscle tendon rupture with surgical treatment-an average of 6.7-year follow-up. Chin Med J (Engl). 2010; 123(1):57-60.Horan F.T., Bonafede R.P. Bilateral absence of the trapezius and sternal head of the pectoralis major muscles. А case report. J Bone Joint Surg Am. 1977; 59(1):133.Joseph Т.А., DeFranco M.J., Weiker G.G. Delayed repair of a pectoralis major tendon rupture with allograft: А case report. J Shoulder Elbow Surg. 200З; 12(1):101-104.Kakwani R.G., Matthews J.J., Kumar K.M., Pimpalner- kar A., Mohtadi N. Rupture of the pectoralis major muscle: surgical treatment in athletes. Int Orthop. 2007; 31(2):159-163.Kircher J. et al. Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal. Open access journal of sports medicine. 2010; 1:201-205.Kretzler Jr H.H., Richardson А.В. Rupture of the pectoralis major muscle. Am J Sports Med. 1989; 17:453-458.Lewis W.H. Observations on the pectoralis major muscle in man. Johns Hopkins Hosp. Bull, 1901; 12:172-177.McEntire J.E., Hess W.E., Coleman S. Rupture of the pectoralis major muscle. J Bone Joint Surg Am. 1972; 54:1040-1046.McKelvey D. Subcutaneous rupture of the pectoralis major muscle. Br Med J. 1928; 2:611-614.Merolla G., Campi F, Paladini P., Porcellini G. Surgical approach to acute pectoralis major tendon rupture. G Chir. 2009; З0(1-2):5З-57.Moulonguet G. Rupture spontanee du grand pectoral chezunvieillard. Enormehematome. Mort Bull Mem Soc Anat Paris. 1924; 94:24-28.Orava S., Sorasto A., Aalto K., Kvist H. Total rupture of the pectoralis major muscle in athletes. Int J Sports Med. 1984; 5:272-274.Pai V.S., Simison A.J. А rare complication of pectoralis major rupture. Aust N ZJ Surg. 1995; 65:694-695.Park J.Y., Espiniella J.L. Rupture of pectoralis major muscle: А case report and review of literature. J Bone Joint Surg Am. 1970; 52:577-581.Patissier P., Ramazzini B. Traite des Maladies des Artisans, et de Celles qui Resultent des Diverses Professions, d’apres Ramazzini. Paris: J-B Balliere, 1822. P. 162-164.Purnell R. Rupture of the pectoralis major muscle: А complication. Injury. 1988; 19:284.Rockwood Ch.A. The shoulder. Philadelphia: Saunders/ Elsevier, 2009. 1709 p.Roller A., Becker U., Bauer G. Rupture of the pectoralis major muscle: classification of injuries and results of operative treatment. Z Orthop Ihre Grenzgeb. 2006; 144(З):З16-З21.Ronchetti G. Rottura SottocutaneaParziale del MuscoIo Grande Pettorale Con Formazione di pseudocisti ematica. Minerva Chir. 1959; 14:22-28.Ryan S.A., Bernard A.W. Pectoralis major rupture. The Journal of emergency medicine. 2011; 40(2):208-209.Schepsis A.A., Grafe M.W., Jones H.P., Lemos M.J. Rupture of the pectoralis major muscle: Outcome after repair of acute and chronic injuries. Am J Sports Med. 2000; 28:9-15.Scott B.W., Wallace W.A., Barton M.A. Diagnosis and assessment of pectoralis major rupture by dynamometry. J Bone Joint Surg Br. 1992; 74:111-113.Sherman S.L., Lin E.C., Verma N.N., Mather R.C., Gregory J.M., Dishkin J., Harwood D.P., Wang VM., Shewman E.F., Cole B.J., Romeo A.A. Sherman Biomechanical Analysis of the Pectoralis Major Tendon and Comparison of Techniques for Tendo-osseous Repair. Am J Sports Med. 2012; 40(8):1887-1894.Shindle M.K. et al. Surgical Treatment of a Tear of the Pectoralis Major Muscle at Its Sternal Origin. J Bone Joint Surg Am. 2007; (9):2040-2043.Sikka R.S., Neault M., Guanche C.A. Reconstruction of the pectoralis major tendon with fascia lata allograft. Orthopedics. 2005; 28(10):1199-1201.Silverstein J.A., Goldberg B., Wolin P. Proximal humerus shaft fracture after pectoralis major tendon rupture repair. Orthopedics. 2011; 34(6):222.Smith F.C. Rupture of the pectoralis major muscle: A caveat. Injury. 1988; 19:282-28з.Strohm P.C., Bley T.A., Sudkamp N.P., Kostler W. Rupture of the pectoralis major muscle - causes, diagnosis, treatment. Acta Chir Orthop Traumatol Cech. 2005; 72(6):371-374.Tietjen R. Closed injuries of the pectoralis major muscle. J Trauma.1980; 20(3):262-264.Uchiyama Y., Miyazaki S., Tamaki T., Shimpuku E., Handa A., Omi H., Mochida J. Clinical results of a surgical technique using endobuttons for complete tendon tear of pectoralis major muscle: report of five cases. Sports Med Arthrosc Rehabil Ther Technol. 2011; 3:20.Williams G.A. Pectoral muscle defects. Cases illustrating three varieties. J Bone Joint Surg Am. 1930; 12(2):417-41B.Wolfe S.W., Wickiewicz T.L., Cavanaugh J.T. Ruptures of the pectoralis major muscle. An anatomic and clinical analysis. Am J Sports Med. 1992; 20:587-593.Zafra M., Munoz F, Carpintero P. Chronic rupture of the pectoralis major muscle: Report of two cases. Acta Orthop Belg. 2005; 71:107-110.Zeman S.C., Rosenfeld R.T., Lipscomb P.R. Tears of the pectoralis major muscle. Am J Sports Med. 1979; 7:343-347.Zvijac J.E. et al. Pectoralis Major Tears Correlation of Magnetic Resonance Imaging and Treatment Strategies. AmJ Sports Med. 2006; 34(2):289-294.