Document Type
Article
Publication Date
10-13-2022
Abstract
Traumatic anterior shoulder dislocation is frequently associated with injury to the static soft tissue stabilizers of the glenohumeral joint, with the most common injury being an anterior inferior labral avulsion (Bankart lesion) in 73% of patients after a first time dislocation1. Bony injury can also occur from a single episode of instability. Glenoid rim fractures occur in 5.4%-11% of patients. Greater tuberosity fractures occur in 12%-15% in primary anterior shoulder dislocations. Hill-Sachs lesions occur in 38%-90% of primary anterior shoulder dislocations. Less commonly there can be vascular and nerve injury. Additionally, in patients over the age of 40, rotator cuff tears can occur with anterior shoulder dislocation.
Pectoralis major tendon rupture commonly occurs in 20- to 40-year-old males secondary to a rapid eccentric contraction. Of 365 identified pectoralis injuries, 83% were due to indirect trauma, 48% of those occurring in weight-training activities. To our knowledge, this is the first report of a pectoralis major tendon rupture and a Bankart lesion with both lesions treated surgically, and only the second report in the literature of this combined pathology resulting from traumatic injury. In this report, a 20-year-old male patient dislocated his shoulder during an incline bench press causing pectoralis major rupture, Hill-Sachs defect, and an acute Bankart lesion. Only the pectoralis major tendon was repaired in this case. In a retrospective study looking at pectoralis major tendon rupture in the military, 53% of tears occurred during bench pressing. There have been few cases described where pec rupture occurred by another mechanism.
Recommended Citation
Vaughan, Alayna; Luthringer, Tyler; and Abboud, Joseph, "Traumatic Anterior Shoulder Dislocation With Concomitant Pectoralis Rupture and Bankart Lesion" (2022). Rothman Institute Faculty Papers. Paper 199.
https://jdc.jefferson.edu/rothman_institute/199
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Language
English
Comments
This article is the author's final published version in JSES Reviews, Reports, and Techniques, Volume 3, Issue 1, February 2023, Pg. 88 - 93.
The published version is available at https://doi.org/10.1016/j.xrrt.2022.09.002. Copyright © 2022 Published by Elsevier Inc. on behalf of American Shoulder & Elbow Surgeons.