{"pk":988,"title":"Point-of-care Ultrasound for Suspected Pectoralis Major Rupture: A Case Report","subtitle":null,"abstract":"Introduction: \nPectoralis major muscle injuries are relatively uncommon and occur secondary to weightlifting in nearly 50% of cases. Tendon tears occur almost exclusively in males between 20-40 years old and are heavily associated with anabolic androgenic steroid use. While magnetic resonance imaging is often considered the modality of choice, its availability is often limited in the emergency department (ED). In contrast, point-of-care ultrasound (POCUS) is commonly available in the ED and can be used to help confirm the diagnosis and hasten disposition. \nCase Report: \nWe report a case of a 28-year-old male competitive weightlifter with a history of chronic anabolic steroid use who presented to the ED with acute left shoulder pain after weightlifting. History and physical exam were concerning for pectoralis major rupture, and POCUS confirmed the diagnosis.\nConclusion: \nPrompt evaluation and radiographic confirmation is key in ensuring good patient outcomes in pectoralis major tears. Therefore, proficiency of emergency physicians in musculoskeletal POCUS as an adjunct to estimate the extent of injury is important for expediting disposition and and promptly involving orthopedic surgery evaluation.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"point-of-care ultrasound"},{"word":"POCUS"},{"word":"pectoralis major injury"},{"word":"pectoralis major rupture"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6f02h7fh","frozenauthors":[{"first_name":"Nathanael","middle_name":"","last_name":"Franks","name_suffix":"","institution":"Long School of Medicine, UT Health San Antonio, San Antonio, Texas","department":"None"},{"first_name":"Jeremiah","middle_name":"","last_name":"Gress","name_suffix":"","institution":"Long School of Medicine, UT Health San Antonio, San Antonio, Texas","department":"None"},{"first_name":"Ryan","middle_name":"","last_name":"Joseph","name_suffix":"","institution":"UT Health San Antonio, Department of Emergency Medicine, San Antonio, Texas","department":"None"}],"date_submitted":"2021-01-29T00:10:51+01:00","date_accepted":"2021-01-29T00:10:51+01:00","date_published":"2021-01-29T00:11:33+01:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/988/galley/736/download/"}]}