Pectoralis Major Tear and Extensive Capsulolabral Injury After Military Combatives Class

A 26-year-old man presented to a direct-access physical therapy clinic with right shoulder pain that began 1 week prior, after forceful abduction and external rotation during combatives training. Radiographs were noncontributory. Due to suspicion of a pectoralis major tear, the patient was referred to an orthopaedic surgeon. Magnetic resonance images were ordered for assessment of the pectoralis musculature, and a magnetic resonance arthrogram for the right shoulder. The magnetic resonance images confirmed complete pectoralis major tendon detachment from the humerus, and the magnetic resonance arthrogram confirmed an extensive, near-circumferential labral tear with a reverse Bankart fracture. J Orthop Sports Phys Ther 2018;48(12):982. doi:10.2519/jospt.2018.7808