Isolated Spontaneous Pectoralis Minor Tendon Rupture in a Patient with Chronic Renal Failure

Year 2016, Volume: 69 Issue: 2, 117 - 119, 20.09.2016

Merve Örücü Atar

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

Ethical Statement

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Supporting Institution

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Thanks

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Kronik Böbrek Yetmezlikli Hastada Spontan İzole Pektoralis Minör Tendon Rüptürü

Abstract

Pektoralis minör tendonunun izole rüptürü son derece nadirdir ve 4 hastada 3 kez bildirilmiștir. Bu makale uzun süredir hemodiyalize giren ve bilateral kuadriseps tendonlarında rüptür hikayesi olan, son dönem böbrek yetmezliği (SDBY) bulunan hastadaki ilk izole spontan pektoralis minör tendon rüptürüdür. Hasta sol ön omuz ve korakoid üzerinde palpasyonla hassasiyet veren göğüs ön duvarı ağrısıyla bașvurdu. Manyetik rezonans görüntülemede sağlam pektoralis major tendonuyla birlikte pektoralis minör tendonu izole rüptürü mevcuttu. Hasta konservatif tedavi sonrası eski aktivite düzeyine döndü. Nadir olmakla birlikte pektoralis minör tendon rüptürü tanısı ön omuz ağrısıyla bașvuran, öncesinde travma öyküsü olmayan SDBY hastalarında düșünülmelidir.

Keywords

Son Dönem Böbrek Yetmezliği , Pektoralis Minör , Tendon Rüptürü , Hemodiyaliz

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