Bensoussan, L.

Coudreuse, J.M.

Delarque, A.

Lecoroller, T.

Lotito, G.

Martin, E.

Viton, J.M.

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Teres major and latissimus dorsi myotendinous injury in a professional boxer 

Pathologies du sport (II) / Revue d’E´pide´miologiee258Conclusion.– In this study, it is not highlighted that an isokinetic profile may be
associated with a history of injury of the shoulder despite a trend toward lower
ratio in subjects with a history of injury to the shoulder. A prospective study is
under progress.
http://dx.doi.org/10.1016/j.rehab.2012.07.1055
CO37-006-e
Teres major and latissimus dorsi myotendinous injury
in a professional boxer
E. Martin a,*, G. Lotito a, J.M. Viton a, A. Delarque a, L. Bensoussan a,
J.M. Coudreuse b, T. Lecoroller c
a Poˆle me´decine physique et re´adaptation, CHU Timone,
23, rue du Capitaine-Galinat, 13005 Marseille, France
b Service me´decine du sport, CHU Salvator, France
c CHU Sainte-Marguerite, France
*Corresponding author.
E-mail address: elisamartin@hotmail.fr.
Keywords: Shouder injury; Teres major; Boxing injury
Introduction.–Shoulder injuries are common sports pathologies. We describe
the diagnosis and management of a rare injury: a teres major tendon tear.
Case report.– A 28-year-old man who was a professional boxer, was admitted
for left axillary pain after an uppercut. On examination, he had no apparent
abnormalities but had painful limitation of active range of motion (ROM) with no
limitation of passive ROM. There were no signs of neurovascular deficit, rotator
cuff injuries or gleno-humeral instability. During manual strength testing,
isometric teres major and latissimus dorsi contractions were painful. Ultrasound
and MRI showed teres major and latissimus dorsi tear at the myotendinous
junction. He was treated conservatively with rehabilitation (specific and global
muscular strengthening). He returned to competition 4 weeks later.
Discussion.– There are only few (21) reported cases of teres major tears, and
most occurred in competitive athletes. None had been reported on boxers. These
injuries are underdiagnosed as the functional deficit is of minimal consequence
in daily life but may be unacceptable in an athlete. The low prevalence of these
tears may be explained by the lack of visualization on conventional shoulder
MRI due to the narrow field of view. We thus insist on the need for a thorough
clinical examination followed by echography and MRI with adapted windows.
Our case shows conservative treatment was successful, with good outcomes and
return to the competition level.
http://dx.doi.org/10.1016/j.rehab.2012.07.1056CO37-007-e
Shoulder muscle strength is correlated with volleyball
smash velocity
F. Degache a,*, G. Minchev a, M. Genty b, P. Edouard c
a Institute of Sports Sciences, Department of Physiology,
University of Lausanne, 1015 Lausanne, Switzerland
b Thermal Center, Yverdon les Bains, Switzerland
c Laboratory of Exercise Physiology, University Jean Monnet, Saint Etienne,
France
*Corresponding author.
E-mail address: francis.degache@unil.ch.
Keywords: Isokinetics; Shoulder; Motion analysis; Sports
Introduction.– Smash effectiveness represents a determining element in
volleyball. To compete at a high level, the player must, in particular, produce
a spike characterized by a high ball velocity at an optimal angle between upper
arm and trunk.
Some muscular features could influence ball velocity during the volleyball
smash.
Methods.– A prospective study of 11 women volleyball players from the
Switzerland national divisions (League B) and 7 women who practice in
recreational volleyball (control group) underwent an isokinetic assessment
of the dominant shoulder. Ball velocity performance (radar gun) and angle
of smash (video analysis-Dartfish system) during a smash test were
measured. We tested the relationship (Pearson correlation test) between
the isokinetic parameters field performances represented by ball velocity.
We also compared control group and League B player data by student-t
test.
Results.– Ball velocity correlated significantly with strength performance of the
dominant shoulder (internal and external rotators) in the concentric mode at 608/
s for internal rotators (R = 0.6, P = 0.04) and external rotators (R = 0.7,
P = 0.01) in League B group. Negative correlation was established with the
eccentric external rotator at 308/s and ball velocity (R = –0.8, P = 0.02) for
control group. League B players differed from control players by higher ball
velocity (P < 0.05) and muscle shoulder strength for all angular speed, and by
lower angle smash (P < 0.05).
Conclusion.– Some specific strength correlated significantly with spike
performance in high-level volleyball practice.
Our results could provide useful information for training management and
propose some reflections on injury prevention.
http://dx.doi.org/10.1016/j.rehab.2012.07.1057
et de Sante´ Publique 55S (2012) e254–e258


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Teres major and latissimus dorsi myotendinous injury in a professional boxer

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