Ultrasound Identifies First Rib Stress Fractures: A Case Series in National Collegiate Athletic Association Division I Athletes

被引:5
|
作者
Sheng, Dana L. [1 ,2 ]
Burnham, Kevin [3 ,4 ]
Boutin, Robert D. [6 ]
Ray, Jeremiah W. [1 ,2 ,4 ,5 ,7 ,8 ,9 ]
机构
[1] Univ Calif Davis Hlth, Dept Phys Med, Sacramento, CA USA
[2] Univ Calif Davis Hlth, Dept Rehabil, Sacramento, CA USA
[3] Univ Calif Davis Hlth, Dept Internal Med, Sacramento, CA USA
[4] Univ Calif Davis Hlth, Dept Sports Med, Sacramento, CA USA
[5] Univ Calif Davis Hlth, Dept Emergency Med, Sacramento, CA USA
[6] Stanford Univ Hosp & Clin, Dept Radiol, Palo Alto, CA USA
[7] Univ Calif Davis, Intercoll Athlet, Dept Phys Med, 264 Hickey Gymnasium,One Shields Ave, Davis, CA 95616 USA
[8] Univ Calif Davis, Dept Rehabil, Intercoll Athlet, 264 Hickey Gymnasium,One Shields Ave, Davis, CA 95616 USA
[9] Univ Calif Davis, Dept Sports Med, Intercoll Athlet, 264 Hickey Gymnasium,One Shields Ave, Davis, CA 95616 USA
关键词
shoulder pain; rhomboid pain; interscapular pain; diagnostic ultrasound; PLAYER;
D O I
10.4085/1062-6050-0375.21
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Isolated first rib stress fractures in athletes are thought to be rare. In this case series, 3 National Collegiate Athletic Association Division I athletes developed isolated first rib stress fractures over the span of 1 year, indicating that these injuries may occur more often than previously understood. These fractures can be easily missed because of the low incidence, lack of clinical suspicion, and vague presentation. Further, radiographs can fail to reveal such fractures. To our knowledge, this is the largest case series of athletes with first rib stress fractures presenting with vague rhomboid interscapular pain. We also demonstrated that ultrasound successfully visualized these injuries; in the hands of an ultrasonographer or clinical provider trained in musculoskeletal ultrasound, this technique offers an advantageous point-of-care screening imaging modality.
引用
收藏
页码:664 / 668
页数:5
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