de Roguin B
Service Universitaire d'Orthopédie et de Traumatologie, Hôpital Orthopédique de la Suisse Romande, Lausanne.
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(4):248-50.
Rupture of pectoralis major tendon is a rare lesion, often undiagnosed. We present 2 cases of complete rupture and one case of partial rupture. The 2 complete ruptures were treated surgically with, at follow up, a normally strong, painless shoulder and improved esthetics. The partial rupture remained nearly asymptomatic after conservative treatment. We recommend surgical repair of pectoralis major rupture, a lesion that remains symptomatic in the long term. Surgery should be done early, late repairs being technically more difficult and esthetic result less convincing.
胸大肌肌腱断裂是一种罕见的损伤,常常未被诊断出来。我们报告2例完全断裂和1例部分断裂的病例。2例完全断裂通过手术治疗,随访时肩部力量正常、无痛且美观改善。部分断裂经保守治疗后几乎无症状。我们建议对胸大肌断裂进行手术修复,这种损伤长期会持续有症状。手术应尽早进行,晚期修复在技术上更困难且美观效果更不理想。