Imaging and Ultrasound-Guided Steroid Injection of Internal Oblique Muscle Strains in Baseball Pitchers

Stevens, Kathryn J.; Crain, Jana; Akizuki, Kenneth H.; Beaulieu, Christopher F.

doi:10.1177/0363546509350105

Cited by 36 publications

(31 citation statements)

References 14 publications

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“…Pain due to a rib fracture may radiate along the distribution of the intercostal nerve, but sensory disturbances, such as hypoesthesia, are rare 23) . Immediate MRI and/or ultrasound evaluation are usually indicated to identify injured abdominal core muscles or rib fractures in professional baseball players for whom minimizing time spent on the Disabled List is important 21,24) . However, the MRI protocols for the evaluation of core muscles and rib bone are different from the protocol for the evaluation of the thoracic spine.…”

Section: Discussionmentioning

confidence: 99%

Unusual chest wall pain caused by thoracic disc herniation in a professional baseball pitcher

Kato

Yabuki

Otani

et al. 2016

FJMS

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Symptomatic thoracic disc herniation is clinically rare. There are few cases of disc herniation of the thoracic spine in top athletes described in the literature. We herein present a rare case of chest wall pain due to thoracic disc herniation in a professional baseball pitcher. A 30 -year -old, lefthanded pitcher complained of left -sided chest wall pain in the region of his lower ribs during a game. Neurological examination revealed hypoesthesia of the left side of the chest at the level of the lower thoracic spine. Magnetic resonance imaging (MRI) of the thoracic spine showed a leftsided paramedian disc herniation at the T9 -T10 level. The player was initially prescribed rest, administration of pregabalin (150 mg twice a day), and subsequent physical rehabilitation. He was able to resume full training and pitching without medication 6 months after the onset. A follow -up MRI of the thoracic spine showed a reduction in the size of the herniated disc compared to the initial findings. Though relatively rare, thoracic disc herniation should be considered in cases of chest wall pain in athletes.

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Section: Discussionmentioning

confidence: 99%

Unusual chest wall pain caused by thoracic disc herniation in a professional baseball pitcher

Kato

Yabuki

Otani

et al. 2016

FJMS

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“…Limitations of this study include the lack of control group and its retrospective nature. A case study of three professional baseball players who sustained acute internal oblique muscle strains was also performed [41]. The players received intramuscular steroid and anesthetic injections.…”

Section: Treatments To Enhance Return To Sports After Muscle Injurymentioning

confidence: 99%

Return to sport after muscle injury

Wong

Ning

Lee

2015

Curr Rev Musculoskelet Med

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Skeletal muscle injuries are among the most common sports-related injuries that result in time lost from practice and competition. The cellular response to muscle injury can often result in changes made to the muscle fibers as well as the surrounding extracellular matrix during repair. This can negatively affect the force and range of the injured muscle even after the patient's return to play. Diagnosis of skeletal muscle injury involves both history and physical examinations; imaging modalities including ultrasound and magnetic resonance imaging (MRI) can also be used to assess the extent of injury. Current research is investigating potential methods, including clinical factors and MRI, by which to predict a patient's return to sports. Overall, function of acutely injured muscles seems to improve with time. Current treatment methods for skeletal muscle injuries include injections of steroids, anesthetics, and platelet-rich plasma (PRP). Other proposed methods involve inhibitors of key players in fibrotic pathways, such as transforming growth factor (TGF)-ß and angiotensin II, as well as muscle-derived stem cells.

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“…A compartment syndrome is elevation of pressure within a confined anatomic space resulting in a reduction in blood flow that threatens the viability and function of the tissues within the compartment (Stedman 2000). Compartment syndromes may present as a complication of an acute muscle injury.…”

Section: Pressure Overload (Compartment Syndrome)mentioning

confidence: 99%

“…This injury most commonly occurs in cricket fast bowlers, javelin throwers, rowers, baseball pitchers and ice hockey players (Balius et al 2012;Palmer et al 1999;Stevens et al 2010). The superior attachment of the internal oblique muscle is the inferior margin of the ninth to twelfth ribs and the linea alba.…”

Section: Side Strainmentioning

confidence: 99%

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MRI of Muscle Injuries

Dimmick¹,

Rehnitz

Weber

et al. 2013

Medical Radiology

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Imaging and Ultrasound-Guided Steroid Injection of Internal Oblique Muscle Strains in Baseball Pitchers

Abstract: Therapeutic injection of steroids and anesthetic under ultrasound guidance appears to speed recovery and rehabilitation in professional baseball pitchers with acute side strains.

Cited by 36 publications

References 14 publications

Unusual chest wall pain caused by thoracic disc herniation in a professional baseball pitcher

Unusual chest wall pain caused by thoracic disc herniation in a professional baseball pitcher

Return to sport after muscle injury

MRI of Muscle Injuries

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