Sakamoto Akio, Okudaira Shuzo, Onishi Yuta, Noguchi Takashi, Matsuda Shuichi
The Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Open Access J Sports Med. 2023 Dec 27;14:99-102. doi: 10.2147/OAJSM.S447674. eCollection 2023.
Stress fractures of the first rib are uncommon and thought to be associated with overhead-throwing athletes. Soft tennis is similar to regular tennis but uses a much softer rubber ball. In the current report, a 14-year-old girl suffered from shoulder girdle pain, especially at the end of her tennis ground stroke. Plain radiographs showed overgrowth of bone with a fracture line on the first rib, and a diagnosis of stress fracture was made. She was advised to amend her stroke form to reduce force to the shoulder and was able to continue sports activity without pain 10 months after the appearance of her symptoms and before confirmation of bone healing. The current case is not associated with overhead-throwing, but possibly with repetitive exercises of her tennis ground strokes. Conservative medical follow-up with proper sport-specific professional advice allows continuation of the sport.
第一肋骨应力性骨折并不常见，被认为与过头投掷类运动员有关。软式网球与常规网球相似，但使用的是软得多的橡胶球。在本报告中，一名14岁女孩患有肩胛带疼痛，尤其是在她进行网球底线击球结束时。X线平片显示第一肋骨骨质增生并有骨折线，诊断为应力性骨折。建议她修正击球姿势以减轻肩部受力，在症状出现10个月后且在骨愈合确认之前，她能够继续进行无疼痛的体育活动。本病例与过头投掷无关，但可能与她网球底线击球的重复动作有关。通过适当的特定运动专业建议进行保守医学随访可使该运动得以继续。
