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DOI: 10.1055/s-0040-1721837
Humerus Diaphyseal Stress Fracture in a Teenage Tennis Athlete: Case Report
Artikel in mehreren Sprachen: português | English
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.
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).
Publikationsverlauf
Eingereicht: 03. Juni 2020
Angenommen: 17. September 2020
Artikel online veröffentlicht:
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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Referências
- 1 Smith SR, Patel NK, White AE, Hadley CJ, Dodson CC. Stress Fractures of the Elbow in the Throwing Athlete: A Systematic Review. Orthop J Sports Med 2018; 6 (10) 2325967118799262
- 2 Anderson MW. Imaging of upper extremity stress fractures in the athlete. Clin Sports Med 2006; 25 (03) 489-504
- 3 Maquirriain J, Ghisi JP. The incidence and distribution of stress fractures in elite tennis players. Br J Sports Med 2006; 40 (05) 454-459
- 4 Rizzone KH, Ackerman KE, Roos KG, Dompier TP, Kerr ZY. The epidemiology of stress fractures in collegiate student-athletes, 2004–2005 through 2013–2014 academic years. J Athl Train 2017; 52 (10) 966-975
- 5 Changstrom BG, Brou L, Khodaee M, Braund C, Comstock RD. Epidemiology of stress fracture injuries among US high school athletes, 2005-2006 through 2012-2013. Am J Sports Med 2015; 43 (01) 26-33
- 6 Gregory P. Upper extremity injuries in the athlete. J Orthop Trauma 1995; 9 (04) 361
- 7 Jones GL. Upper extremity stress fractures. Clin Sports Med 2006; 25 (01) 159-174 , xi
- 8 Iwamoto J, Takeda T. Stress fractures in athletes: review of 196 cases. J Orthop Sci 2003; 8 (03) 273-278
- 9 Milgrom C, Finestone A, Shlamkovitch N. et al. Youth is a risk factor for stress fracture. A study of 783 infantry recruits. J Bone Joint Surg Br 1994; 76 (01) 20-22
- 10 Hoy G, Wood T, Phillips N, Connell D, Hughes DC. When physiology becomes pathology: the role of magnetic resonance imaging in evaluating bone marrow oedema in the humerus in elite tennis players with an upper limb pain syndrome. Br J Sports Med 2006; 40 (08) 710-713 , discussion 713