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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(01): 175-179
DOI: 10.1055/s-0040-1721837
Relatos de Casos
Artroscopia e Traumatologia do Esporte

Humerus Diaphyseal Stress Fracture in a Teenage Tennis Athlete: Case Report

Article in several languages: português | English
Márcio Schiefer 
1   Departamento de Ortopedia, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
5   Centro de Cirurgia do Ombro e Cotovelo, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Francisco Nanci 
2   Hospital Central da Polícia Militar, Rio de Janeiro, RJ, Brasil
,
Luiz Eduardo Abílio 
3   Estagiário de Ombro e Cotovelo, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Yonder Archanjo Ching San Junior 
4   Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
,
Geraldo Motta Filho 
5   Centro de Cirurgia do Ombro e Cotovelo, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
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Abstract

A teenage male tennis player had chronic pain in his dominant arm during tennis practice. Magnetic resonance imaging (MRI) suggested humerus diaphyseal stress injury. After 4 weeks, he became asymptomatic and resumed playing. However, pain recurred after 3 days. A new MRI revealed a diaphyseal undisplaced humerus fracture and significant bone marrow edema. The patient remained in rest for 4 weeks. After that, strengthening exercises were introduced and return to training was allowed after 12 weeks. Even if asymptomatic, we suggest that these patients should not return to play before 12 weeks, depending on the physical exam and imaging findings.

Keywords

fractures, stress - humeral fractures - humerus - tennis/injuries

Financial Support

There was no financial support from public, commercial, or not-for-profit sources.


The present work was performed at the National Institute of Traumatology and Orthopedics (INTO).




Publication History

Received: 03 June 2020

Accepted: 17 September 2020

Article published online:
19 April 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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