BMJ Case Reports 2014; doi:10.1136/bcr-2014-203661

Complex shoulder injuries in sports

  1. Alberto de Castro Pochini
  1. CETE—Centro de Traumatologia do Esporte, Universidade Federal de São Paulo, São Paulo, Brazil
  1. Correspondence to Dr Benno Ejnisman, bennoale{at}
  • Accepted 10 February 2014
  • Published 2 April 2014


A 26-year-old Olympic wrestling athlete presented with a pectoralis major muscle injury, glenohumeral instability and acromioclavicular joint dislocation separately. The patient underwent surgical treatment to repair these injuries. The pectoralis major muscle was reconstructed with a semitendinosus tendon graft using the endobutton technique, as described by Pochini et al. Treatment of the traumatic anterior instability was performed using the technique described by Bristow-Latarjet, and the acromioclavicular joint dislocation was repaired using the modified technique of Weaver-Dunn with the aid of an anchor. The athlete exhibited a rapid recovery and could return to normal activities 6 months after surgery. At present, 18 months postoperatively, the patient is asymptomatic.

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