Stress reaction of the humerus in tennis players

Silva, Rogerio Teixeira; Hartmann, Luis Guilherme; Laurino, Cristiano Frota de Souza

doi:10.1136/bjsm.2006.034942

Cited by 18 publications

(11 citation statements)

References 13 publications

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“…They found an association with playing intensity and theorised that the western or semiwestern grip may also be an additional risk factor. Less common areas of stress fractures in tennis players that have been reported in the literature, mostly as case reports, have been the ischium,70 first rib,71 humerus,72 73 sacrum,74 patella,75 hook of hamate,76 ulna77–80 and distal radius 81…”

Section: Prevalence Of Specific Tennis Injuriesmentioning

confidence: 99%

Epidemiology of musculoskeletal injury in the tennis player

2012

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Tennis is a popular sport with tens of millions of players participating worldwide. This popularity was one factor leading to the reappearance of tennis as a medal sport at the 1988 Summer Olympics in Seoul, South Korea. The volume of play, combined with the physical demands of the sports, can lead to injuries of the musculoskeletal system. Overall, injury incidence and prevalence in tennis has been reported in a number of investigations. The sport creates specific demands on the musculoskeletal system, with acute injuries, such as ankle sprains, being more frequent in the lower extremity while chronic overuse injuries, such as lateral epicondylitis, are more common in the upper extremity in the recreational player and shoulder pain more common in the high-level player. This review discusses the epidemiology of injuries frequently experienced in tennis players and examines some of these injuries' correlation with the development of osteoarthritis. In addition, player-specific factors, such as age, sex, volume of play, skill level, racquet properties and grip positions as well as the effect of playing surface on the incidence and prevalence of injury is reported. Finally, recommendations on standardisation of future epidemiological studies on tennis injuries are made in order to be able to more easily compare results of future investigations.

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Section: Prevalence Of Specific Tennis Injuriesmentioning

confidence: 99%

Epidemiology of musculoskeletal injury in the tennis player

2012

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“…When present, humeral stress fractures are usually complete spiral fractures of the middle to distal shaft [2,6,14,15,18]. Stress reaction without fracture also has been reported involving the humerus [21]. In these cases, radiographs were normal and MRI showed periosteal reaction and marrow edema pattern but no fracture line.…”

Section: Discussionmentioning

confidence: 96%

“…Humeral stress fractures have been described in tennis players [21], baseball pitchers [2,6], badminton players [5], volleyball players, weight lifters [13,18], and arm wrestlers [15]. Humeral stress fractures also have been reported in military personnel active in grenade throwing [14].…”

Section: Discussionmentioning

confidence: 96%

Case Report: Longitudinal Stress Fracture of the Humerus: Imaging Features and Pitfalls

McMahon

Shetty

Anderson

et al. 2009

Clin Orthop Relat Res

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Longitudinal stress fractures are an uncommon injury in which a diaphyseal fracture line occurs parallel to the long axis of a bone in the absence of direct trauma. They have been described in the tibia and less commonly in the femur but apparently not in the upper limb. We report a longitudinal stress fracture occurring in the humerus of a 62-year-old woman who had a history of osteoporosis and had undergone recent surgery of the contralateral wrist. We present the radiographic, MRI, and CT features of the case and emphasize the difficulties in diagnosis caused by negative findings on early radiographs and by nonspecific bone marrow edema pattern on MRI. The risk of a contralateral upper extremity stress fracture from activities of daily living in a patient with osteoporosis whose other upper extremity is immobilized also is highlighted.

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“…The repetitive excess muscle activity during active play, especially during the swing phase of the serve, results in marked torsion of the humeral shaft and a subsequent stress reaction within the humerus. 19 Elbow Stress injuries around the elbow in athletes (especially in tennis and baseball players) often present diagnostic challenges because of the undue stresses and often chronic, repetitive patterns of injury. Accurate and efficient assessment of the injured elbow is essential to maximize functional recovery and expedite return to play.…”

Section: Shouldermentioning

confidence: 99%

Bone Marrow Changes in Stress Injuries

Navas¹,

Kassarjian²

2011

Semin Musculoskelet Radiol

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Stress injuries and associated bone marrow changes are a common finding in athletes of all levels. Magnetic resonance imaging (MRI) is the imaging modality of choice for detecting characterizing and staging these injuries. However, because bone marrow edema patterns may also be seen in asymptomatic athletes, it is imperative for the sports medicine physician and the radiologist to closely correlate the imaging findings with the clinical signs and symptoms to assess the clinical significance of the imaging findings. This article reviews the pathophysiology, MRI findings, and clinical implications of stress injuries in athletes.

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Stress reaction of the humerus in tennis players

Cited by 18 publications

References 13 publications

Epidemiology of musculoskeletal injury in the tennis player

Epidemiology of musculoskeletal injury in the tennis player

Case Report: Longitudinal Stress Fracture of the Humerus: Imaging Features and Pitfalls

Bone Marrow Changes in Stress Injuries

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