Latissimus dorsi myotendinous junction tear

Case contributed by Dr Maulik S Patel

Presentation

Acitve cricket bowler - Few yrs (3 - 4 days a week). History of 'snap' while bowling a few days back. Presents with left axillary pain & swelling.

Patient Data

Age: 25
Gender: Male
Modality: Ultrasound

There is a fluid defect with echoes involving the 'posterior axillary fold'.

A large retracted muscle belly noted medially and posteriorly (latissimus dorsi).

Fluid with echoes is seen tracking to proximal antero-medial humerus deep to pectoralis major tendon.

Case Discussion

A 'snap' occurred when patient tried to give an extra bounce while bowling.

There is a complete tear at myotendinous junction of latoissimus dorsi. The teres major muscle appeared intact on ultrasound, but MRI done later showed both involvement of both muscles (not uploaded, no copyright).

Surgical repair was done.

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Case Information

rID: 35064
Case created: 20th Mar 2015
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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