Brukner P, Khan K
Olympic Park Sports Medicine Centre, Melbourne, Australia.
Clin J Sport Med. 1996 Jul;6(3):204-6. doi: 10.1097/00042752-199607000-00011.
This article describes a previously unreported site of stress fracture.
A 20-year-old female sculler presented with a 10-day history of posterolateral thoracic pain and marked tenderness maximally over the seventh and eighth costovertebral joints. A radioisotope bone scan showed foci of increased uptake posteriorly in the region of the seventh and eighth ribs. Computed tomographic scan confirmed and diagnosis of stress fracture of the neck of the seventh and eighth ribs.
Stress fractures of the ribs have previously been reported in rowers. All previous reports have involved fractures in the posterolateral aspect of the ribs. The mechanics of this fracture at the neck of the ribs is uncertain.
This case is the first reported of a stress fracture of the neck of the ribs. It should be considered in the differential diagnosis of a rower with thoracic spine pain.
本文描述了一个此前未被报道的应力性骨折部位。
一名20岁的女性赛艇运动员出现后外侧胸痛10天，在第七和第八肋椎关节处压痛最为明显。放射性核素骨扫描显示第七和第八肋区域后方有摄取增加的病灶。计算机断层扫描证实为第七和第八肋颈应力性骨折。
此前有报道称赛艇运动员会出现肋骨应力性骨折。以往所有报道均涉及肋骨后外侧骨折。肋骨颈部这种骨折的力学机制尚不清楚。
该病例是首例报道的肋颈应力性骨折。对于有胸椎疼痛的赛艇运动员进行鉴别诊断时应考虑到这一点。
