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Ulnar stress fracture in a softball player
Karen M Myrick1,2, Scott A Myrick3, Olohiere Ezomo2
1School of Interdisciplinary Health and Science Quinnipiac University School of Medicine University of Saint Joseph West Hartford CT USA.
Clinical Case Reports
|September 5, 2020
Summary
Overhead athletes with persistent pain require high clinical suspicion for ulnar stress fractures. Magnetic resonance imaging (MRI) and bone scans are superior to X-rays for diagnosis, improving patient outcomes.
Area of Science:
- Orthopedics
- Sports Medicine
- Radiology
Background:
- Overhead athletes are susceptible to upper extremity injuries.
- Persistent arm pain in these athletes warrants thorough evaluation.
- Ulnar stress fractures can be a cause of such pain.
Observation:
- Clinical suspicion is crucial for identifying ulnar stress fractures.
- Plain radiography (X-rays) may not reveal early or subtle fractures.
- Advanced imaging modalities offer improved diagnostic accuracy.
Findings:
- Magnetic resonance imaging (MRI) demonstrates high sensitivity for detecting ulnar stress fractures.
- Bone scans also show greater sensitivity compared to X-rays.
- Early and accurate diagnosis is achievable with appropriate imaging.
Implications:
- Increased clinician awareness can lead to earlier diagnosis of ulnar stress fractures.
- Timely diagnosis facilitates prompt and effective treatment strategies.
- Improved diagnostic approaches enhance patient outcomes and return-to-play timelines.
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