Lee Justin, Fields Karl Bertrand
Department of Family Medicine/Sports Medicine, East Carolina University, Greenville, North Carolina, USA.
Department of Family and Sports Medicine, University of North Carolina at Chapel Hill, Greensboro, North Carolina, USA.
BMJ Case Rep. 2017 Feb 7;2017:bcr2016218203. doi: 10.1136/bcr-2016-218203.
A middle-aged premenopausal woman presented with 3 months of right chest wall pain after beginning a new weight training programme. Examination was significant only for mild-to-moderate tenderness to palpation over the right pectoral muscle and sternoclavicular joint. In-office musculoskeletal ultrasound scan, chest X-ray and shoulder X-rays were unremarkable. Subsequent MRI of the chest wall showed oedema in the sternum at the level of the sternoclavicular joint consistent with a sternal stress fracture. She was started on calcium and vitamin D supplementation and told to rest for 6 weeks. After this she began to gradually increase her activity and was pain free after 4 months.
一名处于绝经前的中年女性,在开始一项新的重量训练计划3个月后出现右胸壁疼痛。检查仅发现右胸肌和胸锁关节有轻度至中度触痛。门诊肌肉骨骼超声扫描、胸部X光和肩部X光检查均无异常。随后的胸壁磁共振成像显示,胸锁关节水平的胸骨出现水肿,符合胸骨应力性骨折。她开始补充钙和维生素D,并被告知休息6周。此后,她开始逐渐增加活动量,4个月后疼痛消失。