Pectoralis Major Tear - Everything You Need To Know - Dr. Nabil Ebraheim

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  • čas přidán 10. 02. 2019
  • Dr. Ebraheim’s educational animated video describes the condition of pectoralis major tendon tear.
    Follow me on twitter:
    #!/DrEbraheim_UTMC
    Pectoralis Major Tear
    The pectoralis major insertion is just lateral to the long head of the biceps tendon. The pectoralis major insertion is just lateral to the long head of the biceps tendon. Insertion of the tendons in the proximal part of the humerus: medial to the long head of the biceps is the latissimus dorsi tendon insertion and medial to the latissimus dorsi is the teres major muscle insertion. The subscapularis tendon inserts superiorly on the lesser tuberosity, medial to the biceps tendon. Pectoralis major tear usually occurs in young, male weight lifters during bench pressing from eccentric contraction or lengthening of the muscle. Usually there is pain around the shoulder area, and the patient will feel a “pop” in the shoulder area while performing the bench press. There will be discoloration and burning over the pectoralis into the axilla. There will be swelling, ecchymosis and a palpable defect. The patient will have loss of contour of the axillary fold. MRI will confirm the diagnosis, will localize the site of the tear, and will also differentiate between partial and complete tear. Tendon avulsion is the most common type of injury to the pectoralis major muscle, and the tear is usually a complete tear. Hemorrhage and edema at the level of the proximal humeral shaft indicates a pectoralis major tendon rupture. To treat, reinsert the involved tendon into the humeral shaft, lateral to the biceps tuberosity. Chronic tears will need tendon graft, which is a more complicated surgery. The tendon is usually retracted, and the outcome is not as good as in case of acute repair.

Komentáře • 97

  • @Amin2k
    @Amin2k Před rokem

    Amazing work doctor Nabil

  • @NickDove
    @NickDove Před rokem

    Thank you. Very informative.

  • @chotug1695
    @chotug1695 Před 3 lety +54

    *WHO IS HERE AFTER LARRY WHEELS* RYAN CROWLEY

    • @Trevornator99
      @Trevornator99 Před 3 lety +1

      Wow, yes

    • @skbzy4710
      @skbzy4710 Před 3 lety

      💪🏻

    • @yonatangebrehiwet9546
      @yonatangebrehiwet9546 Před 3 lety

      Me

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

  • @anonnona6940
    @anonnona6940 Před 2 lety

    Thanks for the video

  • @onlinegymstudio
    @onlinegymstudio Před 5 lety +10

    Thank you so much Dr Nabil.... your video really helps me a lot to prepare for my exam

    • @jimmyraymond7318
      @jimmyraymond7318 Před 2 lety

      You tore your pec? I just torn mine can i ask you a question about it?

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

  • @fieldgeneral1640
    @fieldgeneral1640 Před rokem

    Very, very informative..

  • @alberto-4642
    @alberto-4642 Před 5 lety +1

    Thanks doc !

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

  • @jordancollazo1456
    @jordancollazo1456 Před 2 lety +3

    tore my pec during football practice, definitely really painful and surgery and recovery process is long but will be worth it

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

  • @laithhasm4380
    @laithhasm4380 Před 5 lety +4

    جزاك الله خير ...الله يكتب أجرك
    اجر العلم النافع ....
    ممكن spinal cord inj
    Many thanks ⛤🏅

    • @smartphysio1587
      @smartphysio1587 Před 5 lety +1

      شرح من قبل عن spinal cord injury

    • @laithhasm4380
      @laithhasm4380 Před 5 lety +1

      @@smartphysio1587 yes .
      Need more esp' infection.

    • @mohammedkj1239
      @mohammedkj1239 Před 5 lety

      Laith Hasm سوي التمرين لا تخاف بس سويه من الأرض يعني مو على البنچ !

  • @asuszenfone1550
    @asuszenfone1550 Před 2 lety +1

    I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

  • @CharlieMortan
    @CharlieMortan Před 2 lety +2

    I believe I take toriel major about 6 or 7 months ago and neglected it.. to my detriment. Is surgery a possible paths action recovery or is it probably too late.

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety +1

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

    • @Flokeeylo
      @Flokeeylo Před rokem +1

      My surgery was a year and a half after the complete tear. No donor tissue needed either. So maybe not too late for you

  • @mrelsonk
    @mrelsonk Před 2 lety +4

    Cody Rhodes

  • @hjboss09
    @hjboss09 Před 6 měsíci

    What if you avoid surgery ?

  • @karimelammouchi4324
    @karimelammouchi4324 Před 4 lety +5

    I had this injury two months ago and I didn't have an operation. Can I be cured without an operation and go back to the exercise? Thanks

    • @brentg8600
      @brentg8600 Před 3 lety +1

      @Elvir Cehajic I torn my pec 4 months ago. Just had surgery a week ago... doctor said ideally you wanna have surgery done before 3 months after injury, max 6 months....

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

  • @kefka4203
    @kefka4203 Před rokem +1

    I never felt any pop or got any discoloration but the corner of my chest/shoulder area hurts after intense chest lifts, and that pec(right) is a little smaller and shaped differently. Could it be a partial tear?

    • @goboogi8282
      @goboogi8282 Před rokem +3

      The corner of your chest/shoulder area can hurt if you’re using front delts while chest exercising. Try arching a little more(and “tuck” in your back) to engage the chest more and less shoulder.

    • @suhaib5285
      @suhaib5285 Před rokem

      Similar situation here any updates?

  • @hashishmat
    @hashishmat Před 2 lety +2

    What happens if you wait too long to get surgery?

  • @dexp4968
    @dexp4968 Před 4 lety +3

    Unfortunately this very thing happened to me while benching 5 days ago. MRI shows complete rupture. Pain is subsiding but dreading surgery and recovery.

    • @lorenjones2733
      @lorenjones2733 Před 3 lety +1

      How did it go?

    • @dexp4968
      @dexp4968 Před 3 lety

      @@lorenjones2733 Thanks for asking. The surgery itself was a success. The recovery is very very tough. I don’t usually take pain meds but had to take a ton. It’s been 11 months now and I’m still recovering. Partly because of covid and not going to the gym or PT. But I know I had to get it done and glad I did.

    • @dexp4968
      @dexp4968 Před 3 lety

      @Elvir Cehajic well the longer you wait the less success the surgery will be. I had my surgery within 3 weeks of the injury. My surgery was a success.

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

    • @connorlewis5712
      @connorlewis5712 Před rokem

      Question. I have pain (not severe) & swelling on the very left side of my chest & shoulder pain that goes to my chest & bicep at times, also popping in the shoulder at times. But the pain comes & goes. Is this how it was for you?

  • @Phleemflam
    @Phleemflam Před 2 lety +1

    Ripped mine lifting 325 smh. Doesn't hurt that much it just sucks the amount of time you have to take off🥺

  • @faisalakram6825
    @faisalakram6825 Před 2 lety

    I had pain in right side of chest just behind the heart is that same issue ???

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

    • @derekcarruthers2197
      @derekcarruthers2197 Před rokem

      @@asuszenfone1550 dude you've replied with the same thing over and over. What Is wrong with you bot?

  • @jimmynickles804
    @jimmynickles804 Před rokem

    I did my mine doing pull ups, but first actually started feeling the slight pain while doing decline bench... It finally popped while I was doing pull-ups... This happened yesterday haven't went to the doctor yet but I'm pretty sure I tore it I felt the rupture when I was pulling up.

    • @monsieurpatate1573
      @monsieurpatate1573 Před rokem +1

      Did it heal yet? I felt a pain doing bench press yesterday and i could barely sleep the pain dont stop while im laying

    • @jimmynickles804
      @jimmynickles804 Před rokem +1

      @@monsieurpatate1573 I went to a doctor at a patient first facility, it's not torn, which I agree with, he said I tweaked it...basically told me to do what I already was doing that was icing it and if it's not better in 2 weeks he was saying something about physical therapy. Well it's been 2 weeks,,when I touch it it doesn't hurt like it used to, but when I make certain movements it still is painful... like yesterday I tried to swim and it hurts, bad, so this is more than a tweak, probably a sprain at the very least or partial tear at the most... I think I'm going to have to get an MRI

    • @monsieurpatate1573
      @monsieurpatate1573 Před rokem +1

      @@jimmynickles804 dam i wish you the best i put ice on it for the moment hopefully that helps my problem i really dont wanna go to the doctor if possible

    • @jimmynickles804
      @jimmynickles804 Před rokem

      @@monsieurpatate1573 I was the same way, I didn't want to go to the doctor either but it was hurting so bad and I know I couldn't work out with it. The bad thing is I had just got back into the rhythm after taking two years off... But yeah go get it checked out reply back and let me know what happened. I wish you the best..

    • @joshuaparsons8800
      @joshuaparsons8800 Před rokem

      @@jimmynickles804 what was your outcome? I just did this benching. I felt a tear and the weight was light enough I was able to just roll it off me. Did you end up having surgery? Have you been able to get back to the gym?

  • @stazz9392
    @stazz9392 Před 3 lety +13

    I just came from tiktok

    • @carljohnsoncj6896
      @carljohnsoncj6896 Před 3 lety +2

      Larry wheels

    • @yunan9610
      @yunan9610 Před 3 lety +4

      Go away

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

  • @Vilar04
    @Vilar04 Před 2 lety +1

    Cody rhodes enters the chat

  • @AK-th1jm
    @AK-th1jm Před 4 lety +1

    Doctor, my case is already more than 2 month old now, am I already late ??????

    • @greggusan
      @greggusan Před 4 lety

      I just had mine operated on 7 months after I tore mine. Am just recovering now. Did you get yours treated yet? If so, how did it go?

    • @carlosmartinpavon3434
      @carlosmartinpavon3434 Před 3 lety

      @@greggusan Hi, how was that recover? Do you hace pain in your shoulder? Do you hace full ROM? and What about strength? I had tear in both sides two months ago and importante thinking on surgery, but would be in two More months.

    • @AK-th1jm
      @AK-th1jm Před 3 lety +1

      @Elvir Cehajic do it as fast as you can, make sure the doctor is an expert, the full recovery will take around 6 months, also ask the doctor not to give you a scar , I got a big one 😕, good luck

    • @hustlewithjulian5118
      @hustlewithjulian5118 Před 3 lety

      ​@@greggusan DId it make things worse that you waited to get surgery until later?

    • @hustlewithjulian5118
      @hustlewithjulian5118 Před 3 lety

      @Elvir Cehajic DId it make things worse that you waited to get surgery until later?

  • @poe_sydon4061
    @poe_sydon4061 Před 2 lety

    I’m here because I’ve torn mine 😢

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

  • @aianubis5454
    @aianubis5454 Před rokem

    I am a gym rat and that loves knowing about muscles....I don't even study science

  • @nicholasramos7785
    @nicholasramos7785 Před 7 měsíci

    You sound like Arnold…

  • @jokuvain97
    @jokuvain97 Před 3 lety +16

    Thanks for info. Lord Jesus died for our sins on the cross and rose from the dead on the third day. If we repent and believe + trust in Lord Jesus, we will be saved, from hell and lake of fire, to everlasting life.

    • @AzrestYT
      @AzrestYT Před 2 lety +4

      Why you bring religion stuff here

    • @OhManTFE
      @OhManTFE Před 2 lety +4

      Santa claus goes down chimneys to deliver presents to everyone around the word.

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help

    • @moses1488
      @moses1488 Před 2 lety +1

      Amen🙏I love JESUS my LORD ❤

    • @rachkate76
      @rachkate76 Před rokem

      White Jesus 🫠

  • @freakazoid1980
    @freakazoid1980 Před 2 lety +4

    Cody Rhodes

  • @kmmoves823
    @kmmoves823 Před 3 lety

    WHO IS HERE AFTER LARRY WHEELS RYAN CROWLEY

    • @asuszenfone1550
      @asuszenfone1550 Před 2 lety

      I did seated chest press for the next 3 days it was sore like never before but I can manage then after 3 days my upper part of the right pec disappeared and when I wake up late night I feel some irritation ,there is no discoloration of any sort ,but I feel less muscle volume there ,any help