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Metacarpal Stress Fracture Is Not an Uncommon Condition in Adolescent Racket Athletes
BACKGROUND: Stress fractures of the metacarpal bones are considered uncommon. We report on 11 adolescent athletes with these stress fractures, successfully treated with cessation of sports activities. Representative case presentation. In case 1, a 15-year-old male tennis player presented with right...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031721/ https://www.ncbi.nlm.nih.gov/pubmed/32089931 http://dx.doi.org/10.1155/2020/5840925 |
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author | Nishikawa, Karen Kimura, Yuka Chiba, Daisuke Sasaki, Norihiro Sasaki, Shizuka Nishikawa, Shinji Ishibashi, Yasuyuki |
author_facet | Nishikawa, Karen Kimura, Yuka Chiba, Daisuke Sasaki, Norihiro Sasaki, Shizuka Nishikawa, Shinji Ishibashi, Yasuyuki |
author_sort | Nishikawa, Karen |
collection | PubMed |
description | BACKGROUND: Stress fractures of the metacarpal bones are considered uncommon. We report on 11 adolescent athletes with these stress fractures, successfully treated with cessation of sports activities. Representative case presentation. In case 1, a 15-year-old male tennis player presented with right hand pain of 4-week duration without an acute trauma history. Tenderness existed on palpation along the dorsal and proximal second metacarpal bone. Plain radiographs demonstrated a periosteal reaction on the proximal shaft of the second metacarpal. Racket swinging was suspended. He returned to competitive tennis 2 months after the initial visit and continues to participate without symptoms. In case 2, a 16-year-old male boxer presented with right hand pain of 2-week duration that arose while punching. Acute trauma history was absent. Tenderness existed on palpation over the third metacarpal of the right hand. Plain radiographs demonstrated no periosteal reaction or fracture line. MRI showed a high signal on the third metatarsal bone on fat suppression and a low signal on T2-weighted images. Nonoperative treatment was initiated without external fixation, and punching was suspended. He returned to boxing 1 month after the initial visit without symptoms. CONCLUSIONS: The current case series of metacarpal stress fractures demonstrate that this condition is not as rare as previously reported. Metacarpal stress fractures are generally ignored since the clinical and radiological findings are mostly unclear. If an athlete experiences hand pain without acute onset during sports activities, especially in racket sports, the presence of a metacarpal stress fracture should be assessed by MRI. |
format | Online Article Text |
id | pubmed-7031721 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-70317212020-02-21 Metacarpal Stress Fracture Is Not an Uncommon Condition in Adolescent Racket Athletes Nishikawa, Karen Kimura, Yuka Chiba, Daisuke Sasaki, Norihiro Sasaki, Shizuka Nishikawa, Shinji Ishibashi, Yasuyuki Case Rep Orthop Case Series BACKGROUND: Stress fractures of the metacarpal bones are considered uncommon. We report on 11 adolescent athletes with these stress fractures, successfully treated with cessation of sports activities. Representative case presentation. In case 1, a 15-year-old male tennis player presented with right hand pain of 4-week duration without an acute trauma history. Tenderness existed on palpation along the dorsal and proximal second metacarpal bone. Plain radiographs demonstrated a periosteal reaction on the proximal shaft of the second metacarpal. Racket swinging was suspended. He returned to competitive tennis 2 months after the initial visit and continues to participate without symptoms. In case 2, a 16-year-old male boxer presented with right hand pain of 2-week duration that arose while punching. Acute trauma history was absent. Tenderness existed on palpation over the third metacarpal of the right hand. Plain radiographs demonstrated no periosteal reaction or fracture line. MRI showed a high signal on the third metatarsal bone on fat suppression and a low signal on T2-weighted images. Nonoperative treatment was initiated without external fixation, and punching was suspended. He returned to boxing 1 month after the initial visit without symptoms. CONCLUSIONS: The current case series of metacarpal stress fractures demonstrate that this condition is not as rare as previously reported. Metacarpal stress fractures are generally ignored since the clinical and radiological findings are mostly unclear. If an athlete experiences hand pain without acute onset during sports activities, especially in racket sports, the presence of a metacarpal stress fracture should be assessed by MRI. Hindawi 2020-02-08 /pmc/articles/PMC7031721/ /pubmed/32089931 http://dx.doi.org/10.1155/2020/5840925 Text en Copyright © 2020 Karen Nishikawa et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Series Nishikawa, Karen Kimura, Yuka Chiba, Daisuke Sasaki, Norihiro Sasaki, Shizuka Nishikawa, Shinji Ishibashi, Yasuyuki Metacarpal Stress Fracture Is Not an Uncommon Condition in Adolescent Racket Athletes |
title | Metacarpal Stress Fracture Is Not an Uncommon Condition in Adolescent Racket Athletes |
title_full | Metacarpal Stress Fracture Is Not an Uncommon Condition in Adolescent Racket Athletes |
title_fullStr | Metacarpal Stress Fracture Is Not an Uncommon Condition in Adolescent Racket Athletes |
title_full_unstemmed | Metacarpal Stress Fracture Is Not an Uncommon Condition in Adolescent Racket Athletes |
title_short | Metacarpal Stress Fracture Is Not an Uncommon Condition in Adolescent Racket Athletes |
title_sort | metacarpal stress fracture is not an uncommon condition in adolescent racket athletes |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031721/ https://www.ncbi.nlm.nih.gov/pubmed/32089931 http://dx.doi.org/10.1155/2020/5840925 |
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