Pectoralis major rupture in the elderly: clinical and sonographic findings.
We describe clinical and sonographic features of pectoralis major rupture in the elderly, which is relatively rare and unknown. Patients presented with a large pectoral ecchymosis extending to the axilla, chest wall, breast and arm. The pectoral area was sensitive, sometimes with a visible and palpable defect in the axilla. Ultrasound examination showed a large hypoechoic, well-circumscribed structure representing a hematoma within the pectoralis major muscle, partially replacing the normal echo muscle pattern. Ultrasonography is a useful, low cost diagnostic tool, and is recommended in the investigation of pectoralis major rupture in the elderly.
Beloosesky
Yichayaou
Y
Department of Geriatrics, Rabin Medical Center, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. belo-7@zahav.net.il
Grinblat
Joseph
J
Katz
Miriam
M
Hendel
David
D
Sommer
Rochelle
R
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D010369:Pectoralis Muscles / Q000000981:diagnostic imaging* / Q000293:injuries*; D012421:Rupture / Q000000981:diagnostic imaging; D015599:Trauma Severity Indices; D014463:Ultrasonography