1/39. Fracture of the sternum--an unusual case.Stress fracture of the sternum is a rare injury and can occur in young athletes due to repeated stress and in elderly with osteoporotic bones or other pathological conditions under normal stress. A case of a 14-year-old boy is reported who sustained fracture of the sternum without any history of significant trauma when he simply tried to lift his whole body over his arms and felt pain in front of the chest.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
2/39. Posterior sternoclavicular dislocations--a diagnosis easily missed.Posterior dislocation of the sternoclavicular joint is a relatively rare injury and can be difficult to diagnose acutely. We report 3 cases of posterior dislocation of the sternoclavicular joint who presented to the Accident & Emergency Department within a 3 month period. All 3 patients had sustained a significant injury to the shoulder region and complained of pain around the medial clavicle. Two patients had also complained of dysphagia following the injury. Plain x-rays of the shoulder and chest were reported as normal by junior and senior medical staff. The diagnosis was delayed until CT scans were performed, and once this was established, open reduction and stabilisation was performed.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
3/39. Medical check of competitive canoeists.We gave a sports injury questionnaire survey to 821 active canoeists, members of the japan Canoe association (JCA), and performed a medical check of 63 top competitive JCA canoeists, including physical and laboratory tests and radiographic examinations of the chest, spine, shoulder, elbow, and wrist joints. Completed questionnaires were returned by 417 canoeists, whose reported racing styles were: kayak, 324; Canadian canoe, 71; slalom, 13; and not specified, 9. Of the 417 respondents, 94 canoeists (22. 5%) reported that they experienced lumbago; 20.9% experienced shoulder pain; 3.8%, elbow pain; and 10.8%, wrist pain. On medical examinations, lumbago was found to be mainly of myofascial origin or due to spondylolysis. Impingement syndrome was also observed in 4 canoeists with shoulder problems. The competitive canoeists had low blood pressure, and some had bradycardia. On laboratory examinations, serum hemoglobulin, hematocrit, high-density lipoprotein cholesterol (HDL-CHO), creatine phosphokinase (CK), and creatine (CRTN) in the top competitive canoeists showed high values in comparison with those of an age-matched control group. However, low serum total cholesterol (TP) values were observed in the top competitive canoeists.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
4/39. Tricuspid insufficiency after blunt chest trauma in a nine-year-old child.The case of a traumatic tricuspid insufficiency in a child, due to an anterior and septal leaflet rupture at the annulus level is reported for the first time. The early diagnosis 2 months after the trauma enabled a rapid and simple tricuspid valvuloplasty by laeflet reinsertion on the annulus associated with annuloplasty with a good result 6 months after the repair.- - - - - - - - - - ranking = 4keywords = chest (Clic here for more details about this article) |
5/39. Delayed hemothorax after blunt trauma without rib fractures.Delayed hemothorax after blunt trauma is a rare, significantly morbid entity described in the current literature associated with displaced rib fractures. This report describes a case of delayed hemothorax after blunt trauma without rib fracture. The patient presented to a routine clinic appointment 72 hours after injuring himself while snowboarding. Chest radiographs at initial visit were negative for significant pathology. Eight hours later, the patient presented again with worsening chest pain and dyspnea. Repeat radiographs revealed a large right-sided hemothorax. The patient was treated with tube thoracostomy and remained an inpatient for 6 days. This case is unique because, unlike previously reported delayed hemothorax after blunt trauma, this patient had no evidence of rib fractures.- - - - - - - - - - ranking = 2.89169870018keywords = chest pain, chest (Clic here for more details about this article) |
6/39. brachial plexus injury by nonviolent means in an adolescent baton twirler.brachial plexus injuries are usually the result of violent trauma, or they may be chronic and recurrent with thoracic outlet syndrome. The case presented is an acute, nonrecurrent injury sustained by minor trauma. The injury to the brachial plexus occurred while a 15-year-old girl reached overhead to catch a baton. The treatment was conservative, and the patient made an almost complete recovery.- - - - - - - - - - ranking = 15.823963863934keywords = plexus (Clic here for more details about this article) |
7/39. Injuries during a massive tug-of-war game."Tug-of-war" may cause a variety of sports injuries, which has rarely been reported previously. This report described an uncommon case of a previously fit 64-year-old male who presented with abrupt onset of loss of consciousness after falling down in a game of massive tug of war including 1,500 participants as the rope snapped apart. Computed tomography (CT) scan of his abdomen revealed liver and spleen rupture. spinal cord injury due to traumatic herniation of intervertebral disc at C5-6 level and bilateral brachial plexus injury were also noted after exploratory laparotomy with primary repair of liver and spleen. He then received diskectomy over C5-6 and C6-7 and neurolysis for the right brachial plexus. Multiple neurological complications including paraplegia, severe neuralgia over bilateral C5 dermatome and spasticity over bilateral lower extremities developed. After two-year comprehensive rehabilitation programs, the patient recovered to ambulate with assistive device, and resumed partially dependent daily living activities.- - - - - - - - - - ranking = 5.2746546213114keywords = plexus (Clic here for more details about this article) |
8/39. Two years of debilitating pain in a football spearing victim: slipping rib syndrome.INTRODUCTION: Blunt chest trauma can occur in a variety of sports, and lead to rib fractures and less commonly known and diagnosed injuries. We report the case of a 14-yr-old student athlete who was speared (helmet tackled) in a practice scrimmage sustaining a painful injury that eluded diagnosis and treatment for more than 2 yr. methods: The case history of pain treatments and radiological evaluations is presented. RESULTS: Ultimately, a definitive diagnosis of "slipping rib syndrome" was achieved through a simple clinical manipulation (the hooking maneuver), combined with a history of symptomatic relief provided with costochondral blockade. Surgical resection of the slipping rib provided total resolution of the problem. CONCLUSION: Very few clinicians are aware either of the syndrome or the maneuver used to diagnose this condition. Although spearing has been outlawed in American football for years, it remains a commonplace occurrence, and sports physicians should be aware of the potential consequences to the victim as well as those to the perpetrator.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
9/39. Evolution of our knowledge of sudden death due to commotio cordis.commotio cordis refers to circulatory arrest due to a nonpenetrating blow to the chest. First discovered in 1932 in a study using large rabbits, it came to the attention of clinicians who encountered children dying suddenly from a chest blow while engaging in sports activities. This review traces the history of commotio cordis, establishes the conditions necessary for sudden death from a nonpenetrating chest blow, and presents the first ECG record showing that a chest blow landing in the ventricular vulnerable period can produce ventricular fibrillation. The conditions necessary for sustaining ventricular fibrillation and numerous examples of sudden death by commotio cordis are presented.- - - - - - - - - - ranking = 4keywords = chest (Clic here for more details about this article) |
10/39. sports-related pneumothorax in children.pneumothorax after blunt chest trauma in the absence of rib fractures is uncommon and has only rarely been reported as a result of sporting activity. Presentation may vary from an apparently normal physical examination in the presence of a small pneumothorax to hemodynamic compromise in the presence of a tension pneumothorax. High fitness levels in athletes may result in failure to recognize symptoms and delay diagnosis, potentially increasing morbidity. It is imperative for the emergency physician to exclude pneumothorax in children who present with chest pain after blunt chest trauma from sports injury. We report our experience with and the management of 3 patients with pneumothoraces.- - - - - - - - - - ranking = 4.89169870018keywords = chest pain, chest (Clic here for more details about this article) |
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