Part one of this two-part series on Pectoralis Major (PM) tendon ruptures discussed the mechanism of injury, signs, and symptoms of a ruptured PM tendon, and the resulting functional limitations. In part two, Chris Mallac explains the management of this condition and describes the post-operative rehabilitation protocol.
Most practitioners recommend surgical repair for PM ruptures, especially for athletes. Conservative management results in diminished peak force production and work capacity in the PM when compared to the unaffected side(1,2).
However, athlet
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Paper Title: Injury Trends in Irish Amateur Rugby: An epidemiological comparison of men and women Publication: Sports Health Publication date: March 2021 INTRODUCTION Despite its collisional nature and high injury incidence rate (IIR), rugby union is a popular global sport. Males and females play the sport at professional, semi-professional, and amateur levels. Although research exists... MORE
Part one of this article series discussed the patho-anatomy of thoracic outlet syndrome (TOS) and the typical symptoms associated with the different neurological and vascular TOS subtypes. In part two, Chris Mallac outlines the clinical tests used to diagnose TOS and discusses conservative management and surgical options to treat this injury. Clinical Tests There are... MORE
Injuries to the upper extremity’s nerves and blood vessels, although rare, can occur in the overhead athlete. Chris Mallac explores the different causes of thoracic outlet syndrome and the typical signs and symptoms that usually plague an athlete in this confusing, poorly defined, and difficult-to-diagnose problem. First described over 200 years ago and named as... MORE
Athletes with persistent and undiagnosed shoulder pain may suffer from the rare but painful quadrilateral space syndrome. Chris Mallac unravels this complex diagnosis and offers practical treatment solutions. Quadrilateral Space Syndrome (QSS), first described in 1983, is a rare and unusual shoulder pathology primarily seen in male volleyballers, swimmers, and baseball pitchers(1,2). Athletes with QSS... MORE
In the first of a two-part series, Chris Mallac explains the functional anatomy of the pectoralis major and its tendon, the situations that place the tendon at risk for injury, and the signs and symptoms of a ruptured tendon. The first reported case of pectoralis major (PM) tendon rupture occured in Paris in 1822. Up... MORE
In the second part of this two-part series, Chris Mallac highlights some clinically relevant exercises designed to retrain serratus anterior function. Overhead athletes need stable shoulders. Their power and performance comes directly from the stability and mobility offered in this joint. As reviewed in part I of this series, the serratus anterior (SA) helps stabilize... MORE
