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News & Press: Quick Hit Content

Quick Hit - May Week 3

Friday, May 17, 2019   (2 Comments)
Posted by: AOASM
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This week's topic is a case presentation for our theme of weightlifting. Please review the case and find the answer (and source for the photo) in the comments. Let us know how you would approach this athlete!

 

A 47 y/o M presents with acute onset of anterior shoulder pain starting 2 days ago while attempting to max out on his bench press. He felt a tearing sensation. This morning he noted some bruising over his chest and upper arm and became concerned. There is a palpable deficit at the anterior axillary fold along with weakness in adduction and internal rotation of the arm. You perform a diagnostic ultrasound in clinic and find the following (see below). What is the diagnosis? How do you counsel the patient on his options for management base on his goals?

Comments...

Administration says...
Posted Friday, May 17, 2019
Answer: pectoralis major tendon rupture; if the patient wishes to continue weightlifting, consideration should be given to ordering an MRI and referring to a surgeon
Administration says...
Posted Friday, May 17, 2019
Picture source: https://images.radiopaedia.org/images/27621238/0a33bafc96de6118db0b01bef7c4c2.jpg

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