Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal
The complete rupture of the pectoralis major tendon is an uncommon injury but has become increasingly common among athletes in recent years. This may be due to a higher number of individuals taking part in high-impact sports and weightlifting as well as the use of anabolic substances, which can make...
Saved in:
Published in | Open Access Journal of Sports Medicine Vol. 1; no. default; pp. 201 - 205 |
---|---|
Main Authors | , , , , , |
Format | Journal Article Book Review |
Language | English |
Published |
New Zealand
Taylor & Francis Ltd
11.10.2010
Dove Medical Press |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | The complete rupture of the pectoralis major tendon is an uncommon injury but has become increasingly common among athletes in recent years. This may be due to a higher number of individuals taking part in high-impact sports and weightlifting as well as the use of anabolic substances, which can make muscles and tendons vulnerable to injury. In recent literature, there are only few recommendations to rely on conservative treatment alone, but there are a number of reports and case series recommending early surgical intervention. Comparing the results of the two treatment regimens, there is clear evidence for a superior outcome after surgical repair with better cosmesis, better functional results, regaining of muscle power, and return to sports compared with the conservative treatment. In summary, anatomic surgical repair is the treatment of choice for complete acute ruptures of the pectoralis major tendon or muscle in athletes. |
---|---|
AbstractList | The complete rupture of the pectoralis major tendon is an uncommon injury but has become increasingly common among athletes in recent years. This may be due to a higher number of individuals taking part in high-impact sports and weightlifting as well as the use of anabolic substances, which can make muscles and tendons vulnerable to injury. In recent literature, there are only few recommendations to rely on conservative treatment alone, but there are a number of reports and case series recommending early surgical intervention. Comparing the results of the two treatment regimens, there is clear evidence for a superior outcome after surgical repair with better cosmesis, better functional results, regaining of muscle power, and return to sports compared with the conservative treatment. In summary, anatomic surgical repair is the treatment of choice for complete acute ruptures of the pectoralis major tendon or muscle in athletes. Jörn Kircher, Christoph Ziskoven, Thilo Patzer, Daniela Zaps, Bernd Bittersohl, Rüdiger KrauspeUniversity Hospital, Orthopaedic Department, Heinrich-Heine University Düsseldorf, Düsseldorf, GermanyAbstract: The complete rupture of the pectoralis major tendon is an uncommon injury but has become increasingly common among athletes in recent years. This may be due to a higher number of individuals taking part in high-impact sports and weightlifting as well as the use of anabolic substances, which can make muscles and tendons vulnerable to injury. In recent literature, there are only few recommendations to rely on conservative treatment alone, but there are a number of reports and case series recommending early surgical intervention. Comparing the results of the two treatment regimens, there is clear evidence for a superior outcome after surgical repair with better cosmesis, better functional results, regaining of muscle power, and return to sports compared with the conservative treatment. In summary, anatomic surgical repair is the treatment of choice for complete acute ruptures of the pectoralis major tendon or muscle in athletes.Keywords: pectoralis major, rupture, athlete, conservative treatment, surgical treatment, steroid, tendon, sports injury |
Author | Ziskoven, Christoph Bittersohl, Bernd Zaps, Daniela Krauspe, Rüdiger Patzer, Thilo Kircher, Jörn |
AuthorAffiliation | University Hospital, Orthopaedic Department, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany |
AuthorAffiliation_xml | – name: University Hospital, Orthopaedic Department, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany |
Author_xml | – sequence: 1 givenname: Jörn surname: Kircher fullname: Kircher, Jörn organization: University Hospital, Orthopaedic Department, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany – sequence: 2 givenname: Christoph surname: Ziskoven fullname: Ziskoven, Christoph – sequence: 3 givenname: Thilo surname: Patzer fullname: Patzer, Thilo – sequence: 4 givenname: Daniela surname: Zaps fullname: Zaps, Daniela – sequence: 5 givenname: Bernd surname: Bittersohl fullname: Bittersohl, Bernd – sequence: 6 givenname: Rüdiger surname: Krauspe fullname: Krauspe, Rüdiger |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24198558$$D View this record in MEDLINE/PubMed |
BookMark | eNpdkk1v1DAQhi1UREvpiTuyxAUJbfFHHDsckKqKj6KiHhbO1sSe7GaVxMF2kDjw3zG7bdUyF3vGr54Zjd_n5GgKExLykrNzwSv97ubi6_rb-bphdf2EnHCumxVXlTx6cD8mZyntWAnFpGnUM3IsKt4YpcwJ-bNe4qZ3MFCYPC3wdJfniJBHnDINHc0hl1Jc5rxE3Be2SGd0OUQY-kRH2IVIxyW5AWk_UcjbATOm93SZPWTc013s86HVPEfoEwwvyNMOhoRnt-cp-fHp4_fLL6vrm89XlxfXK1cxlVeikk4L2XS81h6lR2yFU8B9p0GJVrWulkyjE41BbxTXppNMSK85Fw3rjDwlVweuD7Czc-xHiL9tgN7uCyFuLMQy24BWOYCqNaDrylfO6dK01ch8rVstOWBhfTiw5qUd0buyobKDR9DHL1O_tZvwy0ptuNGsAN7cAmL4uWDKduyTw2GACcOSbPkzxnkjTFWkr_-T7sISp7IqK0oYVle1Kqq3B5WLIaWI3f0wnNl_LrF7l9i9S4r61cP577V3npB_AWNQvCE |
CitedBy_id | crossref_primary_10_1177_1941738118818060 crossref_primary_10_1177_17585732231152251 crossref_primary_10_1177_2325967117745834 crossref_primary_10_1177_0363546516637177 crossref_primary_10_1016_j_jse_2015_08_037 crossref_primary_10_1111_sae_12044 crossref_primary_10_7759_cureus_29512 crossref_primary_10_1016_j_jse_2011_04_035 crossref_primary_10_1007_s00256_021_03794_9 crossref_primary_10_1177_2325967120925019 crossref_primary_10_2106_JBJS_CC_20_00698 crossref_primary_10_1002_ccr3_6118 crossref_primary_10_1177_1941738119885867 crossref_primary_10_7717_peerj_2231 crossref_primary_10_1080_00913847_2019_1637301 crossref_primary_10_1186_s12891_023_06382_1 crossref_primary_10_7759_cureus_55569 crossref_primary_10_2106_JBJS_RVW_20_00224 crossref_primary_10_1016_j_jse_2019_11_024 |
ContentType | Journal Article Book Review |
Copyright | 2010. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2010 Kircher et al, publisher and licensee Dove Medical Press Ltd 2010 |
Copyright_xml | – notice: 2010. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2010 Kircher et al, publisher and licensee Dove Medical Press Ltd 2010 |
DBID | NPM AAYXX CITATION 3V. 7TS 7XB 8FK 8G5 ABUWG AFKRA AZQEC BENPR CCPQU DWQXO GNUQQ GUQSH M2O MBDVC PIMPY PQEST PQQKQ PQUKI PRINS Q9U 7X8 5PM DOA |
DOI | 10.2147/OAJSM.S9066 |
DatabaseName | PubMed CrossRef ProQuest Central (Corporate) Physical Education Index ProQuest Central (purchase pre-March 2016) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni Edition) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials AUTh Library subscriptions: ProQuest Central ProQuest One Community College ProQuest Central ProQuest Central Student Research Library Prep ProQuest research library Research Library (Corporate) Access via ProQuest (Open Access) ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
DatabaseTitle | PubMed CrossRef Publicly Available Content Database Research Library Prep ProQuest Central Student ProQuest Central Basic ProQuest Central Essentials ProQuest One Academic Eastern Edition ProQuest Central (Alumni Edition) ProQuest One Community College Research Library (Alumni Edition) ProQuest Central China Physical Education Index ProQuest Central ProQuest One Academic UKI Edition ProQuest Central Korea ProQuest Research Library ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic PubMed Publicly Available Content Database |
Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: BENPR name: AUTh Library subscriptions: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1179-1543 |
EndPage | 205 |
ExternalDocumentID | oai_doaj_org_article_5caa4b8a764d4cc79f1b7e0d67b731ae 10_2147_OAJSM_S9066 24198558 |
Genre | Journal Article Review |
GroupedDBID | 0YH 5VS 8G5 ABUWG ADBBV ADRAZ AFKRA ALMA_UNASSIGNED_HOLDINGS AOIJS AZQEC BAWUL BCNDV BENPR BPHCQ CCPQU DIK DWQXO DXH GNUQQ GROUPED_DOAJ GUQSH GX1 HYE IAO IHR IPNFZ KQ8 M2O M48 M~E NPM OK1 P2P PGMZT PIMPY PQQKQ PROAC RIG RPM VDV AAYXX CITATION IHW ITC 3V. 7TS 7XB 8FK MBDVC PQEST PQUKI PRINS Q9U 7X8 5PM |
ID | FETCH-LOGICAL-c405t-243c7239f167de3deeb2c5a1df7a52b5bc6307ec298ed85178f3023d711290f83 |
IEDL.DBID | RPM |
ISSN | 1179-1543 |
IngestDate | Tue Oct 22 15:16:27 EDT 2024 Tue Sep 17 21:11:48 EDT 2024 Sat Oct 26 06:01:19 EDT 2024 Thu Oct 10 19:59:44 EDT 2024 Thu Sep 26 16:24:33 EDT 2024 Sat Nov 02 12:23:04 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | default |
Keywords | pectoralis major tendon conservative treatment athlete sports injury surgical treatment rupture steroid |
Language | English |
License | This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c405t-243c7239f167de3deeb2c5a1df7a52b5bc6307ec298ed85178f3023d711290f83 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 |
OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3781870/ |
PMID | 24198558 |
PQID | 2222806465 |
PQPubID | 3933324 |
PageCount | 5 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_5caa4b8a764d4cc79f1b7e0d67b731ae pubmedcentral_primary_oai_pubmedcentral_nih_gov_3781870 proquest_miscellaneous_1540119284 proquest_journals_2222806465 crossref_primary_10_2147_OAJSM_S9066 pubmed_primary_24198558 |
PublicationCentury | 2000 |
PublicationDate | 20101011 |
PublicationDateYYYYMMDD | 2010-10-11 |
PublicationDate_xml | – month: 10 year: 2010 text: 20101011 day: 11 |
PublicationDecade | 2010 |
PublicationPlace | New Zealand |
PublicationPlace_xml | – name: New Zealand – name: Macclesfield |
PublicationTitle | Open Access Journal of Sports Medicine |
PublicationTitleAlternate | Open Access J Sports Med |
PublicationYear | 2010 |
Publisher | Taylor & Francis Ltd Dove Medical Press |
Publisher_xml | – name: Taylor & Francis Ltd – name: Dove Medical Press |
SSID | ssj0000503895 |
Score | 1.9155418 |
SecondaryResourceType | review_article |
Snippet | The complete rupture of the pectoralis major tendon is an uncommon injury but has become increasingly common among athletes in recent years. This may be due to... Jörn Kircher, Christoph Ziskoven, Thilo Patzer, Daniela Zaps, Bernd Bittersohl, Rüdiger KrauspeUniversity Hospital, Orthopaedic Department,... |
SourceID | doaj pubmedcentral proquest crossref pubmed |
SourceType | Open Website Open Access Repository Aggregation Database Index Database |
StartPage | 201 |
SubjectTerms | Knee Review |
SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZQD4gL4k2gIFfqNTQbv7mVqlVVacthqdSbNX6pi2h2tbs58t8ZO-myi5C4IOUS20rsmbH92R5_Q8gxaAlaA6_Bi7bmPJkaTAuoEN5C2yQwxYlmei0vb_jVrbjdCfWVfcIGeuBBcCfCA3CnQUkeuPfKpIlTsQlSOcUmEMvo25idxdTA6p2J48QQWcXUiBPYcDkvh-U5-Xp6NZt-mpmmcCP-no4Ka__foOafHpM7U9DFM_J0xI70dKjzc_Iodi_I4-l4Ov6S_Jz1qzKQUegC7fLlyvF9605OF4luFgi46apf5sODknAX6bLs3mc2RHoP3xcret-v8Sd03tHib4GI9DPtl3l_oHzdjyESaCYlh_kafrwiNxfn384u6zG8Qu0RpW3qljOvWoYClSpEFiIusr2ASUgKROuE8xIHgOhbo2NAYKZ0yhGGgsoQrUmavSYH2JT4llDdMAFScxS541FJYBFhXXAhMXBJyIocP0jZLgcWDYurj6wMW5RhizIq8iVrYFskU1-XBDQIOxqE_ZdBVOTwQX927I9r2-aNLkRfUlTkaJuNPSkfj0AXF_3aopFkAjycryvyZlD3tiaIc4wWQldE7RnCXlX3c7r5XWHrZgoxkWre_Y-2vSdPivdCfiaH5GCz6uMHBEUb97HY_y8SYQ0F priority: 102 providerName: Directory of Open Access Journals – databaseName: AUTh Library subscriptions: ProQuest Central dbid: BENPR link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lb9QwELZgKyE48SZQkJF6Dc06foULoqhVVWkLYqnUWzSxnXYRTcJmc-S_M3a8KYsQUi6Jo2jisT2fZ8bfEHIAWoLWwFMwgqWc10UKBQNUCGfAshqKkESzOJenF_zsUlxGh1sf0yq3a2JYqG1rvI_8kHlXBdpPKT50P1NfNcpHV2MJjbtkj-FOIZuRvaPj8y9fJy_LSCAnxoN5viTP4eePZ8vFu2WRBV7EW1MUGPv_BTP_zpb8w_ycPCQP_JEEOvrxH5E7rnlM7i1iVPwJ-bUc1mEBo9BY2vhDlfF-SiOnbU03LQJtuh46HzQID64d7YLX3rMg0hv43q7pzdDjSKKrhoY8C0Si7-nQeb9A-LqJpRGoJyOHVQ8_npKLk-Nvn07TWFYhNYjONinjuVEsL-q5VNbl1uHm2giY21qBYJWojMSJ7wwrtLMIyJSufWUhqzw0y2qdPyMz_BX3glCd5QKk5tjFFXdKQu4QztnK1jlUtZAJOdj2cNmN7Bkl7jq8IsqgiDIoIiFHvvenVzzldXjQrq_KOINKYQB4pUFJbrkxCuWvlMusVJXK5-ASsr_VXRnnYV_ejpqEvJ2acQb5sAg0rh36EkGkJ75DO52Q56OqJ0kQ3xRaCJ0QtTMIdkTdbWlW14GlO1eIhVT28v9ivSL3Qz6Cv-b7ZLZZD-41wpxN9SaO5d-szQEc priority: 102 providerName: ProQuest – databaseName: Scholars Portal Journals: Open Access dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1La9wwEBZpCqU99V2naVEhV6d-6OVCCG1pCIFtD9uF3MxYkpstib31riE55L93RvYu3RAKvliyjTQzsr6RRt8wdgBGgTEgYrAyi4WoixiKDFAhIoMsqaEIQTST7-p0Js7O5fkOWyfjHAW4vNe1o3xSs-7y8PrPzTEO-CMKY06F_vjj89l0cjgtcPZ8wB5mAl10iuEbcf5A8k08cnI4n3f3na0ZKRD334c27wZN_jMLnTxlT-hkAh-W85-xHd88Z48m4-b4C3Y77bvwH-PQON7Q2crxfhNNztuar1rsKu_6Be0dhIILzxdh8Z7IEPkV_G47ftUv0aD4vOEh3AIB6SfeL2h5IHzdjhkSOHGSw3wJly_Z7OTbz6-n8ZhdIbYI0lYxysnqLC_qVGnnc-fRx7YSUldrkFklK6tw_HubFcY7xGXa1JRgyGlCaElt8ldsF7vi3zBuklyCMgJFXAmvFeQeUZ2rXJ1DVUsVsYO1hMvFQKJRovNBiiiDIsqgiIh9IelvHiHm61DQdr_KcSCV0gKIyoBWwglrNba_0j5xSlc6T8FHbH-tu3JtTWVG61wIvpSM2IdNNQ4k2h2Bxrf9skQsSfx3OF1H7PWg6k1LEOYURkoTMb1lBFtN3a5p5heBrDvXCIl0svf_Zr1lj0NYAl3pPttddb1_h2hnVb0PlvwXWd4B8A priority: 102 providerName: Scholars Portal |
Title | Surgical and nonsurgical treatment of total rupture of the pectoralis major muscle in athletes: update and critical appraisal |
URI | https://www.ncbi.nlm.nih.gov/pubmed/24198558 https://www.proquest.com/docview/2222806465 https://search.proquest.com/docview/1540119284 https://pubmed.ncbi.nlm.nih.gov/PMC3781870 https://doaj.org/article/5caa4b8a764d4cc79f1b7e0d67b731ae |
Volume | 1 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1La9wwEBZJCqWX0nedposKuXrXDz3s3pKQNASchm4DezMjWW62ZG3jXR_z3zuS7WW39FQwAkt-yJqR55M0-oaQU0gEJAkwHzSPfMbK1Ic0AhQIiyAKSkidE012K67v2c2CLw4IH_fCOKd9rZbT6nE1rZYPzreyWenZ6Cc2u8suYolmRgazQ3KICrozRO8JvS1nHO_34tkoPLPvZzfzbDpP0bpa7l-G42xuQ7zvGCLH1_8vkPm3r-SO8bl6RV4OqJGe9bV7TQ5M9YY8z4Z18bfkad617hdGoSpoZbdVDudbR3Jal3RTI9SmbdfYZQOX8WBo4-btLQ8iXcHvuqWrbo0vocuKOk8LxKJfadfYmQH3dD0ER6CWjhyWa3h8R-6vLn9eXPtDYAVfIz7b-BGLtYzitAyFLExcGBxeaw5hUUrgkeJKC-z6RkdpYgqEZDIpbWyhQlpwFpRJ_J4c4aeYj4QmQcxBJAxbXDEjBcQGAV2hijIGVXLhkdOxlfOm58_Icdxh5ZI7ueROLh45txLYXmJJr11G3f7KB9HnXAMwlYAUrGBaS6y_kiYohFQyDsF45GSUXz70xHUe2SkuxF2Ce-TLthj7kF0YgcrU3TpHGGmp79BSe-RDL-5tTUZ18YjcU4S9qu6XoNo6nu5BTY__-85P5IVzVrBHeEKONm1nPiMG2qgJeXZ-eXv3Y-LmEDD9tggxzVgycb3hD0yaDs0 |
link.rule.ids | 230,314,315,730,783,787,795,867,888,2109,2228,21400,24330,27934,27936,27937,33756,33757,43817,53804,53806,74630 |
linkProvider | National Library of Medicine |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lb9QwELaglXiceBMoYKReQ7OJHTtcEEWtltJdENtKvVkT26GLaBKSzZH_ztjxblmEkHJJHEUTj-35PDP-hpB9kDlICSwGzdOYsaqIoUgBFcJSSJMKCp9EM5vn03N2csEvgsOtD2mV6zXRL9Sm0c5HfpA6VwXaz5y_a3_GrmqUi66GEho3ya6jqsLN1-7h0fzL142XZSSQ4-PBPFeS5-Dz-5PF7M2iSDwv4rUp8oz9_4KZf2dL_mF-ju-Ru-5IAh39-PfJDVs_ILdmISr-kPxaDJ1fwCjUhtbuUGW436SR06aiqwaBNu2G1gUN_INLS1vvtXcsiPQKvjcdvRp6HEl0WVOfZ4FI9C0dWucX8F_XoTQCdWTksOzhxyNyfnx09mEah7IKsUZ0topTlmmRZkU1yYWxmbG4udYcJqYSwNOSlzrHiW91WkhrEJAJWbnKQkY4aJZUMntMdvBX7FNCZZJxyCXDLi6ZFTlkFuGcKU2VQVnxPCL76x5W7cieoXDX4RShvCKUV0REDl3vb15xlNf-QdN9U2EGKa4BWClB5MwwrQXKXwqbmFyUIpuAjcjeWncqzMNeXY-aiLzeNOMMcmERqG0z9ApBpCO-QzsdkSejqjeSIL4pJOcyImJrEGyJut1SLy89S3cmEAuJ5Nn_xXpFbk_PZqfq9OP803Nyx-cmuGuyR3ZW3WBfIORZlS_DuP4NCBUEFg |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3fb9MwELagkyZ44jeBAUbaa2ia2LHDC2KwagxaJsqkvUUX22FFLAlJ88j_ztlxM4oQUl4SR9HFd_Z9Pp-_I-QQZApSAgtB8ThkrMxCyGJAhbAY4qiEzCXRLJbpyTk7veAXPv-p82mV2znRTdS6VjZGPo1tqAL9Z8qnpU-LOHs_f9P8DG0FKbvT6stp3CR7gqVJNCF7R8fLsy9jxGUgk-PDIT1bnmf6-e3pavFqlUWOI_HaLTn2_n9Bzr8zJ_9wRfM75LY9nkCHmP5dcsNU98j-wu-Q3ye_Vn3rJjMKlaaVPWDp78eUclqXdFMj6KZt39gNBPfg0tDGRfAtIyK9gu91S6_6Dq2Krivqci4Qlb6mfWNjBO7rypdJoJaYHNYd_HhAzufHX9-dhL7EQqgQqW3CmCVKxElWzlKhTaINLrQVh5kuBfC44IXCnhRGxZk0GsGZkKWtMqSFhWlRKZOHZIK_Yh4TKqOEQyoZdnHBjEghMQjtdKHLBIqSpwE53PZw3gxMGjmuQKwicqeI3CkiIEe298dXLP21e1C333I_mnKuAFghQaRMM6UEyl8IE-lUFCKZgQnIwVZ3uR-TXX5tQQF5OTbjaLJbJFCZuu9yBJSWBA99dkAeDaoeJUGsk0nOZUDEjhHsiLrbUq0vHWN3IhAXiejJ_8V6QfbRpPNPH5Yfn5JbLk3BXrMDMtm0vXmG6GdTPPdm_RvoQAhE |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Surgical+and+nonsurgical+treatment+of+total+rupture+of+the+pectoralis+major+muscle+in+athletes%3A+update+and+critical+appraisal&rft.jtitle=Open+Access+Journal+of+Sports+Medicine&rft.au=Kircher%2C+J%C3%B6rn&rft.au=Ziskoven%2C+Christoph&rft.au=Patzer%2C+Thilo&rft.au=Zaps%2C+Daniela&rft.date=2010-10-11&rft.pub=Taylor+%26+Francis+Ltd&rft.eissn=1179-1543&rft.volume=1&rft.spage=201&rft_id=info:doi/10.2147%2FOAJSM.S9066&rft.externalDBID=HAS_PDF_LINK |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1179-1543&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1179-1543&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1179-1543&client=summon |