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 |
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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. |
doi_str_mv | 10.1007/s00256-020-03624-4 |
format | Article |
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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.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-020-03624-4</identifier><identifier>PMID: 32978679</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Skeletal radiology, 2021-04, Vol.50 (4), p.835-840</ispartof><rights>ISS 2020</rights><rights>COPYRIGHT 2021 Springer</rights><rights>ISS 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-dc7699b949c35d6719f4f37bfb36d928f50e210b1fdb808e9c51221cecd056fa3</citedby><cites>FETCH-LOGICAL-c442t-dc7699b949c35d6719f4f37bfb36d928f50e210b1fdb808e9c51221cecd056fa3</cites><orcidid>0000-0001-9928-3538</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00256-020-03624-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00256-020-03624-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32978679$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Verhey, Jens T.</creatorcontrib><creatorcontrib>Verhey, Erik</creatorcontrib><creatorcontrib>Holland, David</creatorcontrib><creatorcontrib>Baker, Jonathan C.</creatorcontrib><creatorcontrib>Long, Jeremiah R.</creatorcontrib><title>Ulnar shaft stress fractures in fast-pitch softball pitchers: a case series and proposed mechanism of injury</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><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.</description><subject>Athletes</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Elbow</subject><subject>Forearm</subject><subject>Fractures</subject><subject>Imaging</subject><subject>Injuries</subject><subject>Literature reviews</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Pathology</subject><subject>Radiology</subject><subject>Softball</subject><subject>Sports injuries</subject><subject>Stress fractures</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU9v1DAQxS0EokvbL8ABWeLSS4r_xU64VRUFpEpc6Nly7HHXq8RZPMmh3x5vt1CBEPLBnvHvPY39CHnL2SVnzHxAxkSrGyZYw6QWqlEvyIYrKRrBNX9JNrWrGiFVd0LeIO4Y48a0-jU5kaI3nTb9hox3Y3aF4tbFheJSAJHG4vyy1iNNmUaHS7NPi99SnOMyuHGkjyUU_Egd9Q6BIpRUcZcD3Zd5PyMEOoHfupxwonOsRru1PJyRV9GNCOdP-ym5u_n0_fpLc_vt89frq9vGKyWWJnij-37oVe9lG7ThfVRRmiEOUodedLFlIDgbeAxDxzrofcuF4B58YK2OTp6Si6NvHebHCrjYKaGHcXQZ5hWtUEprbQxvK_r-L3Q3ryXX6SrVdUwaw8Qzde9GsCnHeal_dDC1V0ZyqZkQB6_Lf1B1BZiSnzPEVPt_CMRR4MuMWCDafUmTKw-WM3uI2B4jtjVi-xixVVX07mnidZgg_Jb8yrQC8ghgvcr3UJ6f9B_bn0FhsCs</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Verhey, Jens T.</creator><creator>Verhey, Erik</creator><creator>Holland, David</creator><creator>Baker, Jonathan C.</creator><creator>Long, Jeremiah R.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9928-3538</orcidid></search><sort><creationdate>20210401</creationdate><title>Ulnar shaft stress fractures in fast-pitch softball pitchers: a case series and proposed mechanism of injury</title><author>Verhey, Jens T. ; Verhey, Erik ; Holland, David ; Baker, Jonathan C. ; Long, Jeremiah R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-dc7699b949c35d6719f4f37bfb36d928f50e210b1fdb808e9c51221cecd056fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Athletes</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Elbow</topic><topic>Forearm</topic><topic>Fractures</topic><topic>Imaging</topic><topic>Injuries</topic><topic>Literature reviews</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Pathology</topic><topic>Radiology</topic><topic>Softball</topic><topic>Sports injuries</topic><topic>Stress fractures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Verhey, Jens T.</creatorcontrib><creatorcontrib>Verhey, Erik</creatorcontrib><creatorcontrib>Holland, David</creatorcontrib><creatorcontrib>Baker, Jonathan C.</creatorcontrib><creatorcontrib>Long, Jeremiah R.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Verhey, Jens T.</au><au>Verhey, Erik</au><au>Holland, David</au><au>Baker, Jonathan C.</au><au>Long, Jeremiah R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ulnar shaft stress fractures in fast-pitch softball pitchers: a case series and proposed mechanism of injury</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>50</volume><issue>4</issue><spage>835</spage><epage>840</epage><pages>835-840</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32978679</pmid><doi>10.1007/s00256-020-03624-4</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9928-3538</orcidid></addata></record> |
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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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