Latissimus Dorsi and Teres Major Tendon Avulsions in Cricketers: A Case Series and Literature Review.
BACKGROUND
Acute latissimus dorsi tendon injuries are uncommon, having not previously been described in cricketers. The leg spinner's stock ball bowling technique and the fast bowler's back-of-the-hand slow ball, which is used much more widely in T20 cricket, produce a significant eccentric contraction load on the latissimus dorsi muscle.


METHODS
A retrospective review of a case series of acute latissimus dorsi tendon injuries in 3 elite cricketers (2 fast bowlers and a leg-spin bowler). We compare the outcomes using patient-rated scales and objective strength testing. Two patients underwent operative repair and had excellent outcomes. One of the nonoperatively managed patients had mild ongoing symptoms at 7 months.


CONCLUSIONS
An associated injury to teres major did not affect the outcome of this injury. Operative repair is a viable alternative and may produce better outcomes in cricketers.


CONCLUSIONS
The short T20 form of cricket has lead to an increase in the number of back-of-the-hand slow balls, a risk factor for Latissimus injury, whereas leg-spin bowling is another risk.
*Olympic Park Sports Medicine Centre, AAMI Park, Olympic Boulevard, Melbourne, Victoria, Australia; †Lifecare Prahran Sports Medicine, Prahran, Victoria, Australia; ‡Victoria House Medical Imaging, Prahran, Victoria, Australia; and §Melbourne Orthopaedic Group, and Monash University Department of Surgery, Melbourne, Victoria, Australia.
Krishant S
KS
Naidu
Trefor
T
James
Andrew H
AH
Rotstein
Simon M
SM
Balster
Gregory A
GA
Hoy
D000328:Adult; D001265:Athletic Injuries / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D013177:Sports; D064171:Superficial Back Muscles / Q000473:pathology*; D013708:Tendon Injuries / Q000473:pathology* / Q000601:surgery