Document Detail

MedLine Citation:
PMID:  17138640     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Tendinopathies of the rotator cuff muscles, biceps tendon and pectoralis major muscle are common causes of shoulder pain in athletes. Overuse insertional tendinopathy of pectoralis minor is a previously undescribed cause of shoulder pain in weightlifters/sportsmen.
OBJECTIVES: To describe the clinical features, diagnostic tests and results of an overuse insertional tendinopathy of the pectoralis minor muscle. To also present a new technique of ultrasonographic evaluation and injection of the pectoralis minor muscle/tendon based on use of standard anatomical landmarks (subscapularis, coracoid process and axillary artery) as stepwise reference points for ultrasonographic orientation.
METHODS: Between 2005 and 2006, seven sportsmen presenting with this condition were diagnosed and treated at the Cape Shoulder Institute, Cape Town, South Africa.
RESULTS: In five patients, the initiating and aggravating factor was performance of the bench-press exercise (hence the term "bench-presser's shoulder"). Medial juxta-coracoid tenderness, a painful active-contraction test and bench-press manoeuvre, and decrease in pain after ultrasound-guided injection of a local anaesthetic agent into the enthesis, in the absence of any other clinically/radiologically apparent pathology, were diagnostic of pectoralis minor insertional tendinopathy. All seven patients were successfully treated with a single ultrasound-guided injection of a corticosteroid into the enthesis of pectoralis minor followed by a period of rest and stretching exercises.
CONCLUSIONS: This study describes the clinical features and management of pectoralis minor insertional tendinopathy, secondary to the bench-press type of weightlifting. A new pain site-based classification of shoulder pathology in weightlifters is suggested.
Deepak N Bhatia; Joe F de Beer; Karin S van Rooyen; Francis Lam; Donald F du Toit
Publication Detail:
Type:  Journal Article     Date:  2006-11-30
Journal Detail:
Title:  British journal of sports medicine     Volume:  41     ISSN:  1473-0480     ISO Abbreviation:  Br J Sports Med     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-24     Completed Date:  2007-09-10     Revised Date:  2013-09-04    
Medline Journal Info:
Nlm Unique ID:  0432520     Medline TA:  Br J Sports Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  e11     Citation Subset:  IM    
Cape Shoulder Institute, Medgroup Anlin House, Plattekloof, Cape Town, South Africa.
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MeSH Terms
Adrenal Cortex Hormones / administration & dosage
Analysis of Variance
Cumulative Trauma Disorders / diagnosis*,  drug therapy,  etiology
Follow-Up Studies
Injections, Intra-Articular
Injury Severity Score
Middle Aged
Pectoralis Muscles / drug effects,  physiopathology*,  ultrasonography
Risk Factors
Rotator Cuff / drug effects,  pathology*
Shoulder Joint / physiopathology
Shoulder Pain / diagnosis*,  drug therapy,  etiology
Sports / physiology
Statistics, Nonparametric
Tendinopathy / diagnosis*,  drug therapy,  etiology
Treatment Outcome
Ultrasonography, Doppler
Reg. No./Substance:
0/Adrenal Cortex Hormones

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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