Isolated Spontaneous Pectoralis Minor Tendon Rupture in a Patient with Chronic Renal Failure
Abstract
Isolated rupture of the pectoralis minor tendon is extremely rare and has been reported 3 times in 4 patients.
This article describes the first case of an isolated spontaneous pectoralis minor tendon tear in an endstage
renal disease (ESRD) patient undergoing long-term hemodialysis and with a previous history of bilateral
rupture of the quadriceps tendons.He presented with left anterior shoulderand chest wall pain with
direct tenderness on palpation over the coracoid. Magnetic resonance imaging revealed an isolated tear of
the pectoralis minor tendon with an intact pectoralis major tendon. The patient returned to full activities
after conservative management. Although rare, the diagnosis of pectoralis minor tendon rupture should be
considered in ESRD patients who present with anterior shoulder pain in the absence of an antecendent
trauma.
Keywords
End-Stage Renal Disease, Pectoralis Minor, Tendon Rupture, Hemodialysis
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