Dunkelman N R, Collier F, Rook J L, Nagler W, Brennan M J
Department of Rehabilitation Medicine, New York Hospital-Cornell Medical Center, New York 10016.
Arch Phys Med Rehabil. 1994 Jul;75(7):819-21.
Board sailing (windsurfing) has become a popular water recreational activity. However, there is little in the medical literature concerning musculoskeletal complications resulting from participation in this sport. We present the first reported case of pectoralis major rupture sustained during board sailing. The patient was initially misdiagnosed, which happens commonly when this muscle ruptures. Only after conservative management failed was the correct diagnosis made and appropriate surgical intervention provided. Proper technique in board sailing requires sustained isometric contraction of the pectoralis major, deltoid and scapular stabilizers to maintain appropriate pull of the sail against wind resistance. Sharp increases in wind speed underly the mechanism of injury. Ruptures of the pectoralis major are usually complete, occur at or near the humeral insertion, and can be associated with misleading physical signs. Therefore, anatomy, clinical findings, surgical technique, and the postoperative rehabilitation program are stressed as to expedite diagnosis and maximize functional outcome.
帆板运动（风帆冲浪）已成为一项受欢迎的水上娱乐活动。然而，医学文献中关于参与这项运动导致的肌肉骨骼并发症的内容很少。我们报告了首例帆板运动期间发生的胸大肌断裂病例。该患者最初被误诊，胸大肌断裂时这种情况很常见。直到保守治疗失败后才做出正确诊断并进行了适当的手术干预。帆板运动的正确技术要求胸大肌、三角肌和肩胛稳定肌持续进行等长收缩，以保持帆对抗风阻力的适当拉力。风速急剧增加是损伤机制的基础。胸大肌断裂通常是完全性的，发生在肱骨附着点或其附近，并且可能伴有误导性的体征。因此，强调了解剖学、临床发现、手术技术和术后康复计划，以加快诊断并使功能结果最大化。
