scholarly journals A Scaphoid Stress Fracture in a Female Collegiate-Level Shot-Putter and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Jessica M. Kohring ◽  
Heather M. Curtiss ◽  
Andrew R. Tyser
Keyword(s):  
Stress Fracture ◽  
Stress Fractures ◽  
Division I ◽  
Review Of The Literature ◽  
Rare Injury ◽  
Collegiate Level ◽  
Repetitive Loading ◽  
High Level ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Scaphoid stress fractures are rare injuries that have been described in young, high-level athletes who exhibit repetitive loading with the wrist in extension. We present a case of an occult scaphoid stress fracture in a 22-year-old female Division I collegiate shot-putter. She was successfully treated with immobilization in a thumb spica splint for 6 weeks. Loaded wrist extension activities can predispose certain high-level athletes to sustain scaphoid stress fractures, and a high index of suspicion in this patient population may aid prompt diagnosis and management of this rare injury.

Recurrence of Scaphoid Stress Fracture: A Case Report

2021 ◽  
Author(s):  
Nick A. Johnson ◽  
Tom Kurien ◽  
Tracy C. Horton
Keyword(s):  
Case Report ◽  
Stress Fracture ◽  
Stress Fractures ◽  
Case Description ◽  
Male Athletes ◽  
Repetitive Loading ◽  
High Level ◽  
Optimum Management ◽  
Prevention Of Recurrence ◽  
Early Fixation

Abstract Background Scaphoid stress fractures are rare and typically present in young, elite male athletes. Due to the infrequency in which these injuries are encountered, the optimum management is not established. Case Description We present the case of a 20-year-old male gymnast with bilateral stress fractures of the scaphoid waist. Following conservative treatment, clinical and radiological signs of union were seen bilaterally. Eight months after return to normal activities, a unilateral recurrence of the stress fracture occurred. This was successfully treated with internal fixation and bone grafting. Literature Review Scaphoid stress fractures are most frequently seen in gymnasts but also occur in participants of other sports involving repetitive loading of an extended wrist. This action conveys force predominantly through the waist of the scaphoid. Most case studies have reported high union rates, whether treated operatively or conservatively, and the patients returned to high-level sport with no further problems. Stress fracture recurrence has been reported in other bones such as the metatarsal and tibia but never before in the scaphoid. Our case is unusual in that the patient suffered ongoing problems due to a recurrence of the scaphoid stress fracture after returning to normal activities. Clinical Relevance Clinicians should be aware that scaphoid stress fracture recurrence can occur, counsel patients accordingly, and remain vigilant after apparent union. We would recommend early fixation to allow a quicker return to function and prevention of recurrence.

Stress Fracture of the Lateral Cuneiform Bone

2013 ◽  
Vol 103 (4) ◽  
pp. 337-339 ◽  
Author(s):  
Tamara Vukic ◽  
Alan Ivkovic ◽  
Sasa Jankovic
Keyword(s):  
Stress Fracture ◽  
Military Personnel ◽  
Similar Case ◽  
Stress Fractures ◽  
Overuse Injuries ◽  
Foot Pain ◽  
Review Of The Literature ◽  
Cuneiform Bone

Stress fractures are common overuse injuries of the bone that are most often seen in athletes and military personnel. These types of injuries seem to be commonly missed or delayed in diagnosis. Physicians should consider the possibility of such an injury while determining the diagnosis of a long-lasting foot pain. The aim of this paper was to report an isolated stress fracture of the lateral cuneiform bone. A review of the literature failed to find a similar case. (J Am Podiatr Med Assoc 103(4): 337–339, 2013)

Cough and you'll miss itCough and you'll miss it

2019 ◽  
pp. edpract-2019-318121 ◽  
Author(s):  
Seana Molloy ◽  
Gemma Batchelor ◽  
Luke McCadden ◽  
Rebecca Moore ◽  
Thomas Bourke ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Body Aspiration ◽  
Diagnostic Dilemma ◽  
Chewing Ability ◽  
Difficulty Breathing ◽  
Food Particles ◽  
High Level ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Foreign body aspiration is a potentially fatal occurrence, particularly in children less than 3 years of age. Predisposing factors include the tendency to put objects into the mouth, poor chewing ability, lack of posterior dentition and uninhibited inspirations when laughing or crying. Classically, the history opens with a witnessed choking episode which would raise a high level of suspicion in the clinician. Ideally, this would lead to an investigative cascade resultant in prompt diagnosis and removal of the object without significant sequelae. The clinical presentation, however, of an unwitnessed foreign body aspiration can be non-specific and subtle from acute shortness of breath and difficulty breathing to intractable cough, fever and chronic wheeze. It can masquerade as a reactive airway or primary infective pathology and delay crucial diagnosis. A high index of suspicion is therefore required when assessing a child with any of these complaints. Commonly aspirated substances include food particles, hardware and toys. Retained foreign bodies can lead to severe and dangerous long-term consequences including atelectasis, pneumothorax, pneumomediastinum or even death. The purpose of this case is to demonstrate the diagnostic dilemma when dealing with young children and the understated presentation of an unwitnessed aspiration of a foreign body.

Rib Stress Fractures in Elite Rowers

1998 ◽  
Vol 26 (4) ◽  
pp. 516-519 ◽  
Author(s):  
Kristine A. Karlson
Keyword(s):  
Stress Fracture ◽  
Stress Fractures ◽  
Review Of The Literature ◽  
Serratus Anterior ◽  
Long Distance ◽  
Heavy Load ◽  
Distance Training ◽  
Elite Rowers ◽  
External Oblique ◽  
Pull Through

The potential cause of stress fracture of the rib in elite rowers was examined by a retrospective review of 14 fractures in 10 patients. Fractures occurred on the antero- to posterolateral aspects of ribs 5 through 9 and were most often associated with long-distance training and heavy load per stroke. A review of the literature yields striking similarities between these stress fractures and fractures caused by cough. It is suggested that actions of the serratus anterior and external oblique muscles on the rib cause stress fracture because of the repetitive bending forces in both rowing and coughing. A technique involving less use of both muscles through a truncated arm pull-through and a decreased layback position at the end of the stroke, and equipment changes to decrease length of the lever arm, should yield a decreased risk of rib stress fractures in rowing.

scholarly journals Expected Time to Return to Athletic Participation After Stress Fracture in Division I Collegiate Athletes

2017 ◽  
Vol 10 (4) ◽  
pp. 340-344 ◽  
Author(s):  
Timothy L. Miller ◽  
Marissa Jamieson ◽  
Sonsecharae Everson ◽  
Courtney Siegel
Keyword(s):  
Stress Fracture ◽  
Sport Participation ◽  
Collegiate Athletes ◽  
Athletic Participation ◽  
Stress Fractures ◽  
Division I ◽  
Expected Time ◽  
Tarsal Bones ◽  
Severity Of Injury ◽  
Grade Ii

Background: Few studies have documented expected time to return to athletic participation after stress fractures in elite athletes. Hypothesis: Time to return to athletic participation after stress fractures would vary by site and severity of stress fracture. Study Design: Retrospective cohort study. Level of Evidence: Level 3. Methods: All stress fractures diagnosed in a single Division I collegiate men’s and women’s track and field/cross-country team were recorded over a 3-year period. Site and severity of injury were graded based on Kaeding-Miller classification system for stress fractures. Time to return to full unrestricted athletic participation was recorded for each athlete and correlated with patient sex and site and severity grade of injury. Results: Fifty-seven stress fractures were diagnosed in 38 athletes (mean age, 20.48 years; range, 18-23 years). Ten athletes sustained recurrent or multiple stress fractures. Thirty-seven injuries occurred in women and 20 in men. Thirty-three stress fractures occurred in the tibia, 10 occurred in the second through fourth metatarsals, 3 occurred in the fifth metatarsal, 6 in the tarsal bones (2 navicular), 2 in the femur, and 5 in the pelvis. There were 31 grade II stress fractures, 11 grade III stress fractures, and 2 grade V stress fractures (in the same patient). Mean time to return to unrestricted sport participation was 12.9 ± 5.2 weeks (range, 6-27 weeks). No significant differences in time to return were noted based on injury location or whether stress fracture was grade II or III. Conclusion: The expected time to return to full unrestricted athletic participation after diagnosis of a stress fracture is 12 to 13 weeks for all injury sites. Clinical Relevance: Athletes with grade V (nonunion) stress fractures may require more time to return to sport.

scholarly journals Barista’s fracture: a new occupational hazard

JRSM Open ◽  
2020 ◽  
Vol 11 (5) ◽  
pp. 205427042091849
Author(s):  
Baasil Syed Yusuf ◽  
Neil Segaren ◽  
Nicholas Segaren ◽  
Livio Di Mascio
Keyword(s):  
Stress Fracture ◽  
Plain Radiograph ◽  
Young Female ◽  
Mechanical Activity ◽  
Occupational Hazard ◽  
Rare Injury ◽  
First Case ◽  
Unusual Strain ◽  
High Level ◽  
Displaced Fracture

Lesson Stress fracture of the clavicle is a rare injury usually occurring in high-level athletes. It is typically a result of repetitive sporting activity or unusual strain. We present the first case of an occupational clavicle stress fracture in a young female barista. The patient initially presented with insidious onset clavicular pain. There was no history of trauma, and an undisplaced fracture was present on the plain radiograph but overlooked by the emergency physicians. Two weeks later, the patient presented again with worsening symptoms, and a displaced fracture of the clavicle was diagnosed on plain radiograph. A thorough occupational history revealed the cause of her pain, which was the mechanical activity of coffee tamping and the fracture went on to unite with no further complications. No other cause was found on investigations including magnetic resonance imaging. The fracture healed with cessation of coffee tamping. This case highlights a previously unrecognised occupational hazard of coffee tamping as a potential cause of stress fracture of clavicle.

Intraorbital Abscess: A Rare Cause of Orbit Compression

FACE ◽  
2021 ◽  
pp. 273250162110050
Author(s):  
Samuel Ruiz ◽  
Rizal Lim
Keyword(s):  
Pediatric Population ◽  
Rare Complication ◽  
Disease Process ◽  
Rare Condition ◽  
External Drainage ◽  
Direct Extension ◽  
Life Threatening ◽  
History Of ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Introduction: Intraorbital abscess is a rare complication of rhinosinusitis that affects most commonly the pediatric population. It is thought to be caused by direct extension or venous spread of infections from contiguous sites and can lead to life-threatening complications, like permanent visual loss and cerebral abscesses. Objectives: Intraorbital abscess is a rare condition that requires prompt diagnosis and treatment to avoid serious complications. Our objectives are to provide an overview of this rare disease process and its management including our successful treatment experience. Case Description: We present a 2 case report of a 13-year-old pediatric male and a 66-year-old male with history of chronic sinusitis who presented with a right intraorbital abscess successfully treated with external drainage with decompression of the orbit. Conclusion: When intraorbital abscess is encountered, a high index of suspicion is needed to allow prompt and accurate diagnosis for this infrequent condition. Timely surgical drainage of the abscess is needed to prevent the development of fatal complications.

scholarly journals Metastasis of Ewing Sarcoma to the Pancreas: Case Report and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Hyma Polimera ◽  
Prashanth Moku ◽  
Shady Piedra Abusharar ◽  
Monali Vasekar ◽  
Jayakrishna Chintanaboina
Keyword(s):  
Ewing Sarcoma ◽  
Rare Case ◽  
Bone Cancer ◽  
Positive Outcome ◽  
Tumor Burden ◽  
Response To Treatment ◽  
Effective Management ◽  
Review Of The Literature ◽  
Appropriate Treatment ◽  
Prompt Diagnosis

Ewing sarcoma (ES) is a highly aggressive malignant bone cancer. ES is part of the Ewing sarcoma family of tumors (ESFT), which express characteristic t(11;22) translocation as well as higher levels of CD99. Given that metastasis and tumor burden are significant prognostic factors in patient’s response to treatment, prompt diagnosis is needed to effectively treat ESFT patients. However, the challenges in classifying and characterizing ESFT complicate effective management and treatment of ES. In this report, we present a rare case of ES metastasis to the pancreas. Upon review of the literature, we found 39 cases of ESFT involving the pancreas, but only 3 were metastatic to the pancreas while the remaining cases of ESFT primarily originated from the pancreas. Given the rarity of such metastasis, the positive outcome in our patient’s case may explain the importance of prompt diagnosis in order to initiate appropriate treatment.

scholarly journals Diagnosing gastric volvulus in chest X-ray: report of three cases

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Narendra Pandit ◽  
Abhijeet Kumar ◽  
Tek Narayan Yadav ◽  
Qamar Alam Irfan ◽  
Sujan Gautam ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Abdomen ◽  
Gastric Volvulus ◽  
X Ray ◽  
Pain Abdomen ◽  
Life Threatening ◽  
Chest X Ray ◽  
High Index Of Suspicion ◽  
Specific Symptoms ◽  
Prompt Diagnosis

Abstract Gastric volvulus is a rare abnormal rotation of the stomach along its axis. It is a surgical emergency, hence requires prompt diagnosis and treatment to prevent life-threatening gangrenous changes. Hence, a high index of suspicion is required in any patients presenting with an acute abdomen in emergency. The entity can present acutely with pain abdomen and vomiting, or as chronic with non-specific symptoms. Chest X-ray findings to diagnose it may be overlooked in patients with acute abdomen. Here, we report three patients with gastric volvulus, where the diagnosis was based on the chest X-ray findings, confirmed with computed tomography, and managed successfully with surgery.

Stress fracture in a ceratopsian phalanx

1988 ◽  
Vol 62 (2) ◽  
pp. 302-303 ◽  
Author(s):  
Bruce M. Rothschild
Keyword(s):  
Fatigue Fracture ◽  
Stress Fracture ◽  
Fracture Stress ◽  
Stress Fractures ◽  
Periosteal Reaction ◽  
Stress Fatigue

A prominent anterior bulge on a ceratopsian dinosaur phalanx was examined for evidence of infection or stress (fatigue) fracture. The presence of a knife-slice type radiolucency, associated with periosteal reaction, was pathognomonic (diagnostic) for a stress fracture. Stress fractures have previously been recognized only in humans, racing greyhounds, and horses.

Sign in / Sign up

Export Citation Format

Share Document