Document Detail

Spontaneous pneumomediastinum and epidural pneumatosis in an adolescent precipitated by weight lifting: a case report and review.
MedLine Citation:
PMID:  20048552     Owner:  NLM     Status:  MEDLINE    
Spontaneous pneumomediastinum is an uncommon condition in athletes. The most common cause of spontaneous pneumomediastinum is alveolar rupture into the bronchovascular sheath as a result of increased intrathoracic pressure. Epidural pneumatosis (pneumorrhachis) has been rarely associated with spontaneous pneumomediastinum. In this article, we describe a case of a 17-year-old male who presented with neck and chest pain that started 14 hours after a weight lifting session. He developed both a pneumomediastinum and epidural pneumatosis--an association that is rarely reported in a setting without trauma. To our knowledge, there have been only 5 case reports of pneumomediastinum precipitated by weight lifting. Improper breathing technique during weight lifting can increase the intrathoracic pressure and the risk of pneumomediastinum; hence, it is important that physicians and trainers who work with athletes provide instructions regarding proper breathing techniques during weight lifting. In addition to the case discussion, this article reviews spontaneous pneumomediastinum and epidural pneumatosis.
Sapna Sadarangani; Dilip R Patel; Sherry Pejka
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Physician and sportsmedicine     Volume:  37     ISSN:  0091-3847     ISO Abbreviation:  Phys Sportsmed     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-01-05     Completed Date:  2010-03-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0427461     Medline TA:  Phys Sportsmed     Country:  United States    
Other Details:
Languages:  eng     Pagination:  147-53     Citation Subset:  IM    
Michigan State University/Kalamazoo Center for Medical Studies, Kalamazoo, MI 49008, USA.
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MeSH Terms
Acetaminophen / therapeutic use
Analgesics, Non-Narcotic / therapeutic use
Anti-Bacterial Agents / therapeutic use
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
Athletic Injuries / complications*
Chest Pain / etiology
Emphysema / diagnosis,  etiology*,  therapy
Epidural Space
Ibuprofen / therapeutic use
Mediastinal Emphysema / diagnosis,  drug therapy,  etiology*
Neck Pain / etiology
Oxygen Inhalation Therapy
Spinal Diseases / diagnosis,  etiology*,  therapy
Valsalva Maneuver
Weight Lifting* / injuries
Reg. No./Substance:
0/Analgesics, Non-Narcotic; 0/Anti-Bacterial Agents; 0/Anti-Inflammatory Agents, Non-Steroidal; 103-90-2/Acetaminophen; 15687-27-1/Ibuprofen

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