Latissimus Dorsi Tear in an Olympics-Level Tennis Player: Case Report and Review of Literature
Latissimus dorsi tears are extremely rare and are encountered primarily in high-level athletes. Noted initially in baseball pitchers, cases have been described in other sports too, with one report of a latissimus dorsi tear at the muscle–tendon junction in a tennis player. Anecdotal outcomes have be...
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Published in | Indian journal of orthopaedics Vol. 54; no. 3; pp. 332 - 338 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
New Delhi
Springer India
01.05.2020
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Subjects | |
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Abstract | Latissimus dorsi tears are extremely rare and are encountered primarily in high-level athletes. Noted initially in baseball pitchers, cases have been described in other sports too, with one report of a latissimus dorsi tear at the muscle–tendon junction in a tennis player. Anecdotal outcomes have been comparative after both non-operative and operative treatments. Although no clear indications for operative intervention exist, there is a general consensus that partial non-retracted tears can be managed with non-operative treatment, whereas complete tears warrant surgical repair. This case report describes a complete rupture with retraction of the latissimus dorsi tendon that occurred during a competitive match in an international level tennis player. Due to compelling sports participation reasons, this tear was managed with non-operative treatment. The player returned to competitive tennis within 6 weeks and won the Asian Games men’s doubles tennis gold medal 53 days following his injury. He has had no subsequent shoulder-related symptoms despite his continuous participation in international level tennis for the past 18 months. We analyse the role of the latissimus dorsi in tennis and also review the available literature on this uncommon sports injury. |
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AbstractList | Latissimus dorsi tears are extremely rare and are encountered primarily in high-level athletes. Noted initially in baseball pitchers, cases have been described in other sports too, with one report of a latissimus dorsi tear at the muscle–tendon junction in a tennis player. Anecdotal outcomes have been comparative after both non-operative and operative treatments. Although no clear indications for operative intervention exist, there is a general consensus that partial non-retracted tears can be managed with non-operative treatment, whereas complete tears warrant surgical repair. This case report describes a complete rupture with retraction of the latissimus dorsi tendon that occurred during a competitive match in an international level tennis player. Due to compelling sports participation reasons, this tear was managed with non-operative treatment. The player returned to competitive tennis within 6 weeks and won the Asian Games men’s doubles tennis gold medal 53 days following his injury. He has had no subsequent shoulder-related symptoms despite his continuous participation in international level tennis for the past 18 months. We analyse the role of the latissimus dorsi in tennis and also review the available literature on this uncommon sports injury. |
Author | Pardiwala, Dinshaw N. Modi, Rahul Rao, Nandan Subbiah, Kushalappa |
Author_xml | – sequence: 1 givenname: Dinshaw N. orcidid: 0000-0002-5284-6820 surname: Pardiwala fullname: Pardiwala, Dinshaw N. email: pardiwala@outlook.com organization: Arthroscopy Service, Centre for Sports Medicine, Kokilaben Dhirubhai Ambani Hospital – sequence: 2 givenname: Kushalappa surname: Subbiah fullname: Subbiah, Kushalappa organization: Centre for Sports Medicine, Kokilaben Dhirubhai Ambani Hospital – sequence: 3 givenname: Nandan surname: Rao fullname: Rao, Nandan organization: Arthroscopy and Sports Orthopaedic Service, Kokilaben Dhirubhai Ambani Hospital – sequence: 4 givenname: Rahul surname: Modi fullname: Modi, Rahul organization: Centre for Sports Medicine, Kokilaben Dhirubhai Ambani Hospital |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32399153$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1177/0363546509335198 10.1007/s00167-008-0625-8 10.1177/036354658801600509 10.2214/AJR.04.1247 10.1016/j.jsams.2017.01.149 10.1177/0363546516676062 10.1097/00042752-200305000-00013 10.1067/mse.2002.126212 10.7863/jum.2011.30.6.859 10.1177/0363546519829086 10.2106/JBJS.I.00001 10.1097/JSM.0b013e318032128b 10.1097/BTE.0b013e31822dc8db 10.1080/14763140308522807 10.2106/00004623-199274030-00008 10.1016/0007-1226(85)90245-0 10.3233/BMR-160699 10.1177/0363546511422219 10.1177/036354658401200310 10.1177/03635465000280042301 10.2519/jospt.2008.0407 10.1177/2325967119826548 10.1123/jab.27.4.380 10.1177/03635465980260061901 10.2106/00004623-200607000-00013 10.1016/j.jse.2017.05.015 10.3928/01477447-20110525-25 10.3928/01477447-20100924-32 |
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Keywords | Tennis Non-operative treatment Return to sport Latissimus dorsi tear |
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Snippet | Latissimus dorsi tears are extremely rare and are encountered primarily in high-level athletes. Noted initially in baseball pitchers, cases have been described... |
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SubjectTerms | Case Report Conservative Orthopedics Medicine Medicine & Public Health Orthopedics Surgical Orthopedics |
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Title | Latissimus Dorsi Tear in an Olympics-Level Tennis Player: Case Report and Review of Literature |
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