Document Detail

Case report: bilateral proximal epiphyseal clavicular stress-related lesions in a male gymnast.
MedLine Citation:
PMID:  22045068     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Stress lesions of the upper extremity are relatively uncommon, and physeal stress lesions of the clavicle are rare. We present a case of bilateral physeal stress-related lesions of the proximal clavicular growth plate near the sternoclavicular joint in an adolescent male gymnast.
CASE DESCRIPTION: A 13-year-old gymnast presented with a 3-week history of insidious onset of pain in the proximal clavicular area of his left shoulder. He had no pain at rest or at night. He recently had added a new maneuver to his routine. His radiographs were normal, but further study with CT scanning confirmed a stress lesion of his proximal clavicular physis. The lesion healed with time, and he returned to gymnastics with no symptoms. Approximately 5 months after the initial symptoms on the left side, he felt a pop and immediate pain in his right sternoclavicular joint area while doing a routine. Imaging revealed a chronic stress lesion of the proximal physis similar to that of the other side. The patient achieved healing with rest and returned to gymnastics with no limitations.
LITERATURE REVIEW: Physeal stress-related lesions of the proximal clavicular physis have not been reported in the literature.
PURPOSE AND CLINICAL RELEVANCE: Medial clavicle pain in adolescent gymnasts may be secondary to stress-related lesions of the proximal clavicular growth plate. Such lesions are rare.
James T Carson; Teri M McCambridge; John A Carrino; Edward G McFarland
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-11-02
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  470     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-15     Completed Date:  2012-08-16     Revised Date:  2014-11-13    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  307-11     Citation Subset:  AIM; IM    
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MeSH Terms
Athletic Injuries / diagnosis,  rehabilitation
Cumulative Trauma Disorders / physiopathology,  radiography*,  rehabilitation
Epiphyses / physiopathology,  radiography
Follow-Up Studies
Growth Plate / physiology,  radiography
Gymnastics / injuries*
Injury Severity Score
Recovery of Function
Risk Assessment
Sternoclavicular Joint / injuries,  radiography*
Tomography, X-Ray Computed / methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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