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Case report
First published online July 15, 2015

Traumatic Tear of the Latissimus Dorsi Myotendinous Junction: Case Report of a CrossFit-Related Injury

Michael V. Friedman, MD [email protected], J. Derek Stensby, MD, […], Travis J. Hillen, MD, Jennifer L. Demertzis, MD, and Jay D. Keener, MD+2View all authors and affiliations
Volume 7, Issue 6
https://doi.org/10.1177/1941738115595975

Abstract

A case of a latissimus dorsi myotendinous junction strain in an avid CrossFit athlete is presented. The patient developed acute onset right axillary burning and swelling and subsequent palpable pop with weakness while performing a “muscle up.” Magnetic resonance imaging examination demonstrated a high-grade tear of the right latissimus dorsi myotendinous junction approximately 9 cm proximal to its intact humeral insertion. There were no other injuries to the adjacent shoulder girdle structures. Isolated strain of the latissimus dorsi myotendinous junction is a very rare injury with a scarcity of information available regarding its imaging appearance and preferred treatment. This patient was treated conservatively and was able to resume active CrossFit training within 3 months. At 6 months postinjury, he had only a mild residual functional deficit compared with his preinjury level.

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Published In

Volume 7, Issue 6
Pages: 548 - 552
Article first published online: July 15, 2015
Issue published: November/December 2015

Keywords

  1. latissimus
  2. dorsi
  3. tendon
  4. muscle
  5. tear
  6. magnetic resonance imaging

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© 2015 The Author(s).
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PubMed: 26502450

Authors

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Michael V. Friedman, MD*
Mallinckrodt Institute of Radiology, Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, Missouri
[email protected]
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J. Derek Stensby, MD
Mallinckrodt Institute of Radiology, Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, Missouri
View all articles by this author
Travis J. Hillen, MD
Mallinckrodt Institute of Radiology, Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, Missouri
View all articles by this author
Jennifer L. Demertzis, MD
Mallinckrodt Institute of Radiology, Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, Missouri
View all articles by this author
Jay D. Keener, MD
Department of Orthopedic Surgery, Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, Missouri
View all articles by this author

Notes

*
Michael V. Friedman, MD, Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 South Kingshighway Boulevard, St. Louis, MO 63110 (email: [email protected]).

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