Unlike other better known, more widely recognized avulsions or ruptures of
musculotendinous units about the shoulder, injury to the latissimus dorsi m
uscle is thought to be particularly rare. Despite one study that reported 5
% of baseball players with symptomatic shoulders in their series had latiss
imus dorsi tendinitis or latissimus dorsi muscle rupture,(1) major textbook
s on the shoulder do not devote any attention to latissimus dorsi injuries.
(4,11) Ruptures to the muscle belly of the latissimus dorsi are described o
nly in several case reports.(1,10,13) We present a patient who sustained an
avulsion injury to the conjoined tendons of the latissimus dorsi and teres
major muscles.(2) We are unaware of a similar detailed description of a hu
meral avulsion of the latissimus dorsi muscle in the literature.