Complex shoulder injuries in sports.
A 26-year-old Olympic wrestling athlete presented with a pectoralis major muscle injury, glenohumeral instability and acromioclavicular joint dislocation separately. The patient underwent surgical treatment to repair these injuries. The pectoralis major muscle was reconstructed with a semitendinosus tendon graft using the endobutton technique, as described by Pochini et al. Treatment of the traumatic anterior instability was performed using the technique described by Bristow-Latarjet, and the acromioclavicular joint dislocation was repaired using the modified technique of Weaver-Dunn with the aid of an anchor. The athlete exhibited a rapid recovery and could return to normal activities 6 months after surgery. At present, 18 months postoperatively, the patient is asymptomatic.
CETE-Centro de Traumatologia do Esporte, Universidade Federal de São Paulo, São Paulo, Brazil.
Eduardo Antônio
EA
de Figueiredo
Paulo Santoro
PS
Belangero
Benno
B
Ejnisman
Alberto de Castro
Ade C
Pochini
D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000328:Adult; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D007593:Joint Instability / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D010369:Pectoralis Muscles / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D012421:Rupture / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D012783:Shoulder Dislocation / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013708:Tendon Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014952:Wrestling / Q000293:injuries*