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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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
Dysfunction in the serratus anterior can lead to shoulder injuries and affect performance. In the first of a two-part series, Chris Mallac looks at its anatomy and biomechanics, Shoulder pain is a common complaint in overhead athletes involved in sports such as swimming, tennis and the throwing sports. Overhead arm movements place high demands on... MORE
A scapular fracture is rare in athletes, but one with potentially serious implications. Andrew Hamilton explains how it can occur, its diagnosis, and how the injury mechanism can affect the fracture type and rehab prognosis. Most scapular fractures in the human body occur as a result of a high-energy impact, such as a motor vehicle... MORE
In 2018 Jeremy Lewis, Ph.D. raised a controversial point in his editorial titled The End of an Era?(1) He proposed that surgery for subacromial pain may be unnecessary as the acromion may not impinge structures as once believed. He also presents physical therapy and exercise for shoulder pain as an equally effective strategy. He makes an... MORE
