What is pectoralis major contracture test?
Pectoralis major contracture test : Into supine position & claps the hand together behind the head. The arms are then lowered until the elbows touch the examining table. Result = a positive test occurs if the elbows do not reach the table & indicate a tight pectoralis major muscle.
What kind of doctor treats pec tears?
The injured athlete should seek treatment from an orthopaedic surgeon who has a specific focus and experience with pectoralis major tendon repair.
What is Bilaminar insertion?
The pectoralis major tendon is bilaminar and approximately 5 cm in breadth. It is inserted into the lateral lip of the bicipital groove of the humerus (Figs 30.1, 30.2, 30.3, 30.4, 30.5, 30.6, and 30.7).
How is pec minor syndrome treated?
The best test for PMS is a pectoralis minor muscle block. Physical therapy is the initial treatment. Cutting the pectoralis minor tendon at its insertion on the bone below the collar bone (the coracoid process) is the surgical treatment.
How can you tell the difference between contracture and tightness?
Spasticity and contractures are conditions in which muscle imbalance across a joint leads to abnormal positioning and tightness. Spasticity refers to involuntary tightening or stiffening of muscles. The term contracture refers to abnormal positioning of a joint.
How do you assess contracture?
A goniometer can measure residual range of motion and document changes over time. Joint deformities may also be present and palpable, and skin must be inspected for scars or thickening that may contribute to, or be the source of, contractures (eg. burns). Pressure ulcers may also be present.
How is a torn pectoral muscle diagnosed?
Pectoralis major tear MRI For example, both ultrasound and MRI can diagnose a torn pec muscle. However, we think that MRI is better at assessing the severity of the tear. Low-grade tears of the pectoralis major muscle involve the muscle only. High-grade tears involve the tendon.
Do all pec tears require surgery?
Surgery is usually required to repair pectoralis major injuries, except when there is a partial tear of the tendon, when there is a rupture of the center of the muscle, or in elderly patients. Athletes who injure the pectoralis major muscle usually desire a full return of strength to return to their sport.
What is the Clavipectoral fascia?
The clavipectoral fascia (costocoracoid membrane; coracoclavicular fascia) is a strong fascia situated under cover of the clavicular portion of the pectoralis major. It occupies the interval between the pectoralis minor and subclavius, and protects the axillary vessels and nerves.
What is rectus Sternalis muscle?
Rectus Sternalis is one of the important muscles of anterior chest wall musculature. The location of muscle and direction of fibres suggest that this muscle may help in elevating the lower chest wall. Occurrence of Rectus Sternalis is rare but it is not the rarest and it has racial and regional variations.