Humerus Diaphyseal Stress Fracture in a Teenage Tennis Athlete: Case Report.
Márcio SchieferFrancisco NanciLuiz Eduardo AbílioYonder Archanjo Ching San JuniorGeraldo da Rocha Motta FilhoPublished in: Revista brasileira de ortopedia (2021)
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.
Keyphrases
- chronic pain
- magnetic resonance imaging
- case report
- contrast enhanced
- bone marrow
- gestational age
- end stage renal disease
- pain management
- newly diagnosed
- diffusion weighted imaging
- computed tomography
- ejection fraction
- chronic kidney disease
- healthcare
- primary care
- high resolution
- peritoneal dialysis
- neuropathic pain
- spinal cord
- single cell
- patient reported outcomes
- mass spectrometry
- photodynamic therapy
- body composition
- high intensity