Carr James B, John Quincy E, Rajadhyaksha Evan, Carson Eric W, Turney Kelly L
Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia.
College of Medicine, Howard University, Washington, DC.
Sports Health. 2017 Jan/Feb;9(1):80-83. doi: 10.1177/1941738116670636. Epub 2016 Sep 22.
A 19-year-old female collegiate rower presented with a new, painful mass along her right anterolateral chest wall after competition. The patient was diagnosed with a rupture of the serratus anterior muscle from its costal attachments, as confirmed by magnetic resonance imaging. The patient fully recovered after a period of rest followed by a graduated 2-month physical therapy regimen consisting of stretching and scapulothoracic and core strengthening. A traumatic rupture of the serratus anterior muscle should be suspected in athletes who present with a painful chest wall mass after exertion of large forces through the scapulothoracic region. Athletes can return to play after nonoperative management.
一名19岁的女大学生赛艇运动员在比赛后，其右前胸壁出现一个新的疼痛性肿块。经磁共振成像证实，该患者被诊断为前锯肌从其肋骨附着处断裂。经过一段时间的休息，随后进行了为期2个月的逐步物理治疗方案，包括拉伸以及肩胛胸壁和核心强化训练，患者完全康复。对于在通过肩胛胸壁区域施加大力后出现胸壁疼痛性肿块的运动员，应怀疑前锯肌发生创伤性断裂。非手术治疗后，运动员可以重返赛场。
