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Distant entry pneumothorax in a competitive fencer
P A Harmer1, J Moriarity, M Walsh
1Department of Exercise Science, Willamette University, Salem, Oregon 97301, USA.
British Journal of Sports Medicine
|September 1, 1996
Summary
An elite fencer developed a pneumothorax after a blade injury to the arm. Medical staff should consider thoracic injury risks in fencers, even with distant entry wounds.
Area of Science:
- Sports Medicine
- Trauma Surgery
Background:
- Penetrating injuries in fencing are rare but can have serious consequences.
- Elite athletes push physical limits, increasing potential for unusual injury mechanisms.
Observation:
- An elite fencer sustained a deep puncture wound to the upper arm when a foil blade fractured.
- Initial wound management was standard, but delayed diagnosis of a pneumothorax occurred.
- Radiographic confirmation of pneumothorax was obtained after symptom onset.
Findings:
- A penetrating wound to the upper arm can lead to delayed thoracic complications like pneumothorax.
- Symptoms of pneumothorax may not be immediate, even with significant trauma.
- Radiographs are crucial for diagnosing internal injuries following penetrating trauma.
Implications:
- Medical personnel must maintain a high index of suspicion for thoracic injuries in fencers.
- Consideration of potential delayed complications is vital for athletes with penetrating wounds.
- Awareness of unusual injury pathways is essential for effective sports medical management.