2020, Number 4
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Rev Méd Electrón 2020; 42 (4)
Humerus fracture by stress in baseball pitcher. Case presentation
Subiaurt OM, García DJD
Language: Spanish
References: 13
Page:
PDF size: 175.69 Kb.
ABSTRACT
The authors present the case of a teenager who suffered left humerus fracture due to stress while he was pitching a baseball game. Humerus fractures caused by stress are infrequent. They commonly occur in athletes practicing throwing sports, being more frequent in amateur baseball pitchers with little experience. This lesion is due to uncoordinated muscular traction and torsion strength when the ball is thrown, all associated to physical fatigue. It can happen at the level of the medial and upper third of the humerus, between the insertions of deltoids and pectoral major muscles, and also in the distal third. The presence of pain is common a little before the fracture happens. The authors emphasize in the importance of taking into account the possibility of this kind of fracture occurring in athletes practicing throwing sports, and also the complications appearing after this kind of lesion. Data collected from the patient?s clinical record were analyzed. It is important to think in this kind of lesion because sometimes clinical characteristics are not evident. It was also pointed out the necessity of performing a strict follow-up of the patient given the possibility of radial nerve lesion.
REFERENCES
Zarenski JL, German D: Humeral stress fractures in overhead athletes: pearls for recognition, diagnosis and management,. Curr Sports Med Rep. 2016 ;15(6):384-5. Citado en PubMed; PMID: 27841807
Godoy IR, Malvolta EA, Lundberg JS. Humeral stress fracture in a female cross fit athletes: a case report, BMC [Internet]. 2019[citado 10/05/2019];20(150). Disponible en: Disponible en: https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-019-2532-1
Shelat NH, El-Khoury GY: Pediatric stress fractures: a pictorial essay. Iowa Orthop J. 2016;36:138-46. Citado en PubMed; PMID: 27528851.
Costa Astur D, Zanatta S, Concalves G, et al. Stress fractures: definition, diagnosis and treatment. Rev Bras Ortop[Internet]. 2016[citado 10/05/2019];51(1): 3-10. Disponible en: Disponible en: http://www.scielo.br/scielo.php?pid=S0102-36162016000100003&script=sci_arttext
Miller TL, Best TM. Taking a holistic approach to managing difficult stress fractures. J Orthop Surg Res. 2016 ;11(1):98. Citado en PubMed; PMID: 27608681.
Vannabouathong C, Ayeni O, Bhandari M. A narrative review on avulsion fractures of the upper and lower Limbs. Clin Med Insights Arthritis Musculoskelet Disord. 2018 ; 11:1179544118809050. Citado en PubMed; PMID: 30450008.
Behera G, Balaji G, Menon J, et al. Avulsion fracture of brachioradialis muscle origin: An exceedingly rare entity: a case report. Malays Orthop J. 2016 ;10(2):50-52. Citado en PubMed; PMID: 28435562.
Nardo L, Steinbach LS. Lesser tuberosity avulsions in adolescents. HSS J[Internet]. 2014 [citado 10/05/2019]; 10(3): 201-7.Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4171444/
Patel S, Zhang D, Earp B. Acute combined medial and radial nerve palsies after distal humeral shaft fracture. Arch Bone JT Surg[Internet]. 2018[citado 10/05/2019];6(2):150-4, Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/article/PMC5867360/
Runner R, Whicker E, De S. Delayed radial nerve palsy after closed reduction of a pediatric humeral shaft fracture. Case Rep Orthop. 2017;2017:9723497. Citado en PubMed; PMID: 29445558.
Latef TJ, Bilal M, Vetter M, et al. Injury of the radial nerve in the arm: a review. Cureus. 2018 ;10(2):e2199. Citado en PubMed; PMID: 29666777.
Beazley JC, Baraza N, Jordan R, et al. Distal humeral fractures-current concepts. Open Orthop J. 2017 ; 11:1353-63. Citado en PubMed; PMID: 29290875.
Islam S, Glover AW, Waseen M. Challenges and solutions in management of distal humerus fractures. Open Orthop J . 2017 ;11:1292-307. Citado en PubMed; PMID: 29290867.