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Traumatic rupture of the pectoralis major muscle with associated thrombosis of the cephalic vein as part of a seat belt injury following a motor vehicle accident: A case report
Traumatic rupture of the pectoralis major muscle is a rare concomitant injury in polytrauma patients often resulting in delayed diagnosis. We present the case of a young male patient who, among other injuries, suffered a complete rupture of the right-sided pectoralis major muscle at the humeral inse...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8025048/ https://www.ncbi.nlm.nih.gov/pubmed/33855155 http://dx.doi.org/10.1016/j.tcr.2021.100467 |
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author | Pozder, Peter Jessel, Matthias Jürgensen, Ingke Struewer, Johannes |
author_facet | Pozder, Peter Jessel, Matthias Jürgensen, Ingke Struewer, Johannes |
author_sort | Pozder, Peter |
collection | PubMed |
description | Traumatic rupture of the pectoralis major muscle is a rare concomitant injury in polytrauma patients often resulting in delayed diagnosis. We present the case of a young male patient who, among other injuries, suffered a complete rupture of the right-sided pectoralis major muscle at the humeral insertion point following a motor vehicle accident. Duplex sonography demonstrated an associated thrombosis of the cephalic vein, which was treated initially with intravenous heparin, and long-term with low-molecular weight heparin according to current guidelines. An open refixation of the muscle belly at the humeral insertion point was performed two weeks after the initial trauma. Post-operative follow-up presented a good overall outcome in terms of function and aesthetics. The authors emphasize the need of continuous clinical re-evaluation in the treatment of severely injured patients in order not to overlook relevant injuries. |
format | Online Article Text |
id | pubmed-8025048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-80250482021-04-13 Traumatic rupture of the pectoralis major muscle with associated thrombosis of the cephalic vein as part of a seat belt injury following a motor vehicle accident: A case report Pozder, Peter Jessel, Matthias Jürgensen, Ingke Struewer, Johannes Trauma Case Rep Case Report Traumatic rupture of the pectoralis major muscle is a rare concomitant injury in polytrauma patients often resulting in delayed diagnosis. We present the case of a young male patient who, among other injuries, suffered a complete rupture of the right-sided pectoralis major muscle at the humeral insertion point following a motor vehicle accident. Duplex sonography demonstrated an associated thrombosis of the cephalic vein, which was treated initially with intravenous heparin, and long-term with low-molecular weight heparin according to current guidelines. An open refixation of the muscle belly at the humeral insertion point was performed two weeks after the initial trauma. Post-operative follow-up presented a good overall outcome in terms of function and aesthetics. The authors emphasize the need of continuous clinical re-evaluation in the treatment of severely injured patients in order not to overlook relevant injuries. Elsevier 2021-03-17 /pmc/articles/PMC8025048/ /pubmed/33855155 http://dx.doi.org/10.1016/j.tcr.2021.100467 Text en © 2021 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Pozder, Peter Jessel, Matthias Jürgensen, Ingke Struewer, Johannes Traumatic rupture of the pectoralis major muscle with associated thrombosis of the cephalic vein as part of a seat belt injury following a motor vehicle accident: A case report |
title | Traumatic rupture of the pectoralis major muscle with associated thrombosis of the cephalic vein as part of a seat belt injury following a motor vehicle accident: A case report |
title_full | Traumatic rupture of the pectoralis major muscle with associated thrombosis of the cephalic vein as part of a seat belt injury following a motor vehicle accident: A case report |
title_fullStr | Traumatic rupture of the pectoralis major muscle with associated thrombosis of the cephalic vein as part of a seat belt injury following a motor vehicle accident: A case report |
title_full_unstemmed | Traumatic rupture of the pectoralis major muscle with associated thrombosis of the cephalic vein as part of a seat belt injury following a motor vehicle accident: A case report |
title_short | Traumatic rupture of the pectoralis major muscle with associated thrombosis of the cephalic vein as part of a seat belt injury following a motor vehicle accident: A case report |
title_sort | traumatic rupture of the pectoralis major muscle with associated thrombosis of the cephalic vein as part of a seat belt injury following a motor vehicle accident: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8025048/ https://www.ncbi.nlm.nih.gov/pubmed/33855155 http://dx.doi.org/10.1016/j.tcr.2021.100467 |
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