Ulnar shaft stress fractures in fast-pitch softball pitchers: a case series and proposed mechanism of injury

Background Stress fractures of the upper extremities in athletes are important injuries for radiologists to appreciate despite being far less common than stress fractures of the lower extremities. Among upper extremity stress fractures, those involving the olecranon have been well described in overh...

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Veröffentlicht in:Skeletal radiology 2021-04, Vol.50 (4), p.835-840
Hauptverfasser: Verhey, Jens T., Verhey, Erik, Holland, David, Baker, Jonathan C., Long, Jeremiah R.
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container_end_page 840
container_issue 4
container_start_page 835
container_title Skeletal radiology
container_volume 50
creator Verhey, Jens T.
Verhey, Erik
Holland, David
Baker, Jonathan C.
Long, Jeremiah R.
description Background Stress fractures of the upper extremities in athletes are important injuries for radiologists to appreciate despite being far less common than stress fractures of the lower extremities. Among upper extremity stress fractures, those involving the olecranon have been well described in overhead pitching athletes. Isolated stress fractures of the ulnar shaft however are less commonly reported in the literature and considered to be rare. We have observed a correlation between young patients with ulnar shaft stress fractures and the activity of fast-pitch softball pitching. Case Reports In this series, we present the imaging findings in four cases of ulnar shaft stress fractures in softball pitchers who presented with insidious onset forearm pain. Furthermore, a review of the literature focusing on softball pitching mechanics is provided to offer a potential underlying mechanism for the occurrence and location of these injuries. Conclusion An awareness of the imaging appearance of ulnar shaft stress fractures along with an understanding of its proposed mechanism will facilitate accurate and timely imaging diagnosis of this injury by the radiologist.
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Among upper extremity stress fractures, those involving the olecranon have been well described in overhead pitching athletes. Isolated stress fractures of the ulnar shaft however are less commonly reported in the literature and considered to be rare. We have observed a correlation between young patients with ulnar shaft stress fractures and the activity of fast-pitch softball pitching. Case Reports In this series, we present the imaging findings in four cases of ulnar shaft stress fractures in softball pitchers who presented with insidious onset forearm pain. Furthermore, a review of the literature focusing on softball pitching mechanics is provided to offer a potential underlying mechanism for the occurrence and location of these injuries. 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source Springer Nature - Complete Springer Journals
subjects Athletes
Case Report
Case reports
Elbow
Forearm
Fractures
Imaging
Injuries
Literature reviews
Medical imaging
Medicine
Medicine & Public Health
Nuclear Medicine
Orthopedics
Pathology
Radiology
Softball
Sports injuries
Stress fractures
title Ulnar shaft stress fractures in fast-pitch softball pitchers: a case series and proposed mechanism of injury
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