Alpert Justin, Flannery Robert, Epstein Robert, Monaco Robert, Prendergast Nancy
*Department of Radiology, UMDNJ-Robert Wood Johnson (RWJ) University Hospital, New Brunswick, New Jersey; and †Department of Family Medicine, Sports Medicine Fellowship, Rutgers/UMDNJ/RWJ, New Brunswick, New Jersey.
Clin J Sport Med. 2014 Sep;24(5):e59-61. doi: 10.1097/JSM.0000000000000036.
Stress injury to the distal humerus has been reported as a cause of chronic arm pain among competitive tennis players. As the serve is technically similar to an overhead throwing motion, it is conceivable that this injury could occur in other overhead athletes. Overuse injuries, including rotator cuff tears, ulnar collateral ligament injuries, and joint sprains have routinely been reported in quarterbacks, but there are few reported cases of upper extremity bony stress injuries in these athletes. Magnetic resonance imaging aids in the diagnostic evaluation of an upper extremity injury as it can identify numerous structural injuries and early stress changes within bone. Accurately diagnosing stress reactions helps prevent progression toward stress fracture, which is possible if conservative measures are initiated early in the rehabilitation period. In this article, we report the case of an elite college quarterback who presented with localized elbow pain while throwing.
肱骨远端应力损伤已被报道为竞技网球运动员慢性手臂疼痛的一个原因。由于发球在技术上类似于过顶投掷动作，可以想象这种损伤可能发生在其他从事过顶运动的运动员身上。过度使用损伤，包括肩袖撕裂、尺侧副韧带损伤和关节扭伤，在橄榄球四分卫中经常有报道，但这些运动员上肢骨应力损伤的报道病例很少。磁共振成像有助于上肢损伤的诊断评估，因为它可以识别骨内的许多结构损伤和早期应力变化。准确诊断应力反应有助于防止发展为应力性骨折，如果在康复期早期采取保守措施，这是有可能的。在本文中，我们报告了一名精英大学橄榄球四分卫在投掷时出现局部肘部疼痛的病例。
