{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:58Z","timestamp":1787755858138,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report on a 20-year-old male patient with shoulder pain and severely altered scapulothoracic kinematics due to pectoralis minor muscle hyperactivity and compensatory trapezius hypertrophy. After failed conservative treatment, an isolated arthroscopic release of the pectoralis minor tendon was performed, resulting in substantial pain relief and improved range of motion in the 6-week follow-up and sustained benefits 6 years later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Persistent pectoralis minor hyperactivity may be the cause of altered scapulothoracic movement, resulting in pronounced hypertrophy of the trapezius muscle. It can be safely treated with an isolated arthroscopic detachment of the pectoralis minor tendon.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00391","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T19:00:28Z","timestamp":1763665228000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of Persistent Pectoralis Minor Hyperactivity and Compensatory Trapezius Hypertrophy Using Arthroscopic Release"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0049-5048","authenticated-orcid":false,"given":"Tobias","family":"Gruber","sequence":"first","affiliation":[{"name":"Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland"},{"name":"Department of Orthopaedic and Trauma Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7603-2338","authenticated-orcid":false,"given":"Verena","family":"Edler","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland"},{"name":"Department for Orthopedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital LMU Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4485-0256","authenticated-orcid":false,"given":"Markus","family":"Scheibel","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Elbow Surgery, Charit \u00e9Universitaetsmedizin Berlin, Berlin, 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