Case Report: Platelet Rich Plasma Injection Used as Treatment of High-Grade Partial Pectoralis Muscle Tear in Division I Football Player

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Case Report: Platelet Rich Plasma Injection Used as Treatment of High-Grade Partial Pectoralis Muscle Tear in Division I Football Player

Guy W. Nicolette, MD, CAQSM^*; Kristin Farrell, MS ATC

UF Sports Medicine, University of Florida, FL, USA

^*Correspondingauthor:Guy W. Nicolette, Director, UF Sports Medicine Fellowship Program, Team Physician, UF Athletics, UF Student Health Care Center, University of Florida, FL, USA. Tel: +13522947440; Fax: +13523929625; Email: gnic@ufl.edu

Received Date: 15 November, 2017; Accepted Date:05December,2017; Published Date: 12 December, 2017

Citation:Nicolette GW, Farrell K (2017) Case Report: Platelet Rich Plasma Injection Used as Treatment of High-Grade Partial Pectoralis Muscle Tear in Division I Football Player. Ann Case Rep: ACRT-150.DOI: 10.29011/2574-7754/100050

1. Abstract

This case report describes a collegiate football player diagnosed with a high-grade partial pectoralis major tear,patient outcome after non-operative management using platelet-rich plasma injections, and a detailed description of the rehabilitation program used in this case.The purpose of this article is to describe a newer option for the management of this injury and give context to clinical decision-making in this setting.

2. Keywords: Pectoralis Major Partial Tear; Platelet-Rich Plasma (PRP); Eccentric Strengthening

Figure 1: Axial MRI showing pectoralis tear.

Figure 2: Coronal MRI showing pectoralis tear.

Figure 3: Ultrasound long-axis to pectoralis showing tear.

Exercise

Wk 1

PRP

Wk 2

Wk 3

Wk 4

PRP

Wk 5

Wk 6

Wk 7

Wk 8

Wk 9

Wk 10

Wk 11

Wk 12

Pain Control

XXX

XXX

XX

X

XXX

XX

X

ROM

XXX

XXX

XX

XXX

XXX

XX

Isometrics

XX

XXX

XX

XXX

Scapular Stability

XXX

XXX

XX

XXX

XXX

XX

X

XX

X

X

X

PM Strength

Swim Ex

X

XX

X

XXX

Int/Ext Rotation

XX

XX

XXX

XX

XX

X

X

Adduction

XX

XX

XXX

XX

XX

X

X

Abduction

XX

XX

XXX

XX

XX

X

X

D1/D2

XX

XX

XXX

XX

XX

X

X

Core Stability

X

XX

X

X

X

X

X

X

X

X

Eccentrics

Theraband

X

X

X

XX

XX

XXX

XXX

XXX

Manual Resistance

X

X

X

XX

XX

X

X

X

Pushup variations

X

X

X

XX

XXX

XX

XXX

XXX

XXX

90/90 KB ER Hold

X

XX

XX

XX

X

Ball catch

XX

XX

XXX

XXX

XXX

Stability

Rebounder

XXX

XXX

XXX

XX

XX

X

Body Blade

X

XX

XX

XXX

XXX

XXX

BoSu Ball

X

XX

X

XXX

XXX

XXX

Sport Specific

Heavy Bag

X

XXX

XXX

Sleds

X

XXX

XXX

Weight Room

X

XX

XXX

XXX

XXX

XXX

XXX

X Low Focus

XX Moderate Focus

XXX High Focus

Table 1: Weekly Rehabilitation Schedule.

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