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Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

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Recognizing upper-extremity stress lesions.

T D Cervoni¹, J R Martire, L A Curl

¹Johns Hopkins University, Baltimore, MD, USA.

The Physician and Sportsmedicine

|January 21, 2010

Summary

This summary is machine-generated.

Athletes experience stress lesions in upper extremity bones from sports like baseball and weightlifting. Early detection in adolescents is crucial to prevent serious growth plate complications.

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Area of Science:

Sports medicine
Orthopedic surgery
Radiology

Background:

Athletes in various sports are prone to stress lesions in upper extremity bones.
Injuries include periostitis, bone spurs, and stress fractures.
Adolescent injuries often affect growth plates, while adult injuries occur at muscle insertion sites.

Purpose of the Study:

To highlight the susceptibility of athletes to upper extremity stress lesions.
To emphasize the importance of early diagnosis in adolescents due to potential growth plate complications.
To discuss diagnostic imaging modalities for stress lesions.

Main Methods:

Review of common sports associated with upper extremity stress lesions.
Differentiation of injury patterns in adolescents versus adults.
Evaluation of diagnostic imaging techniques, including plain films and triple-phase bone scans.

Main Results:

Stress lesions are common in athletes participating in sports like baseball, gymnastics, weight lifting, javelin, and racket sports.
Adolescent injuries typically involve growth plates, whereas adult injuries are more common in the midshaft at muscle insertion areas.
Plain films can identify obvious fractures and physeal injuries, but triple-phase bone scans are often necessary for comprehensive assessment of stress lesions.

Conclusions:

Early detection of stress lesions, particularly in adolescents, is critical to avoid long-term consequences.
Triple-phase bone scans are valuable for defining the extent of stress lesions when plain films are inconclusive.