Fifth metacarpal stress fracture in a female softball pitcher
Deutscher übersetzter Titel: | Ermüdungsfraktur des fünften Mittelhandknochens bei einer Werferin im Softball |
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Autor: | Jowett, A.D.; Brukner, P.D. |
Erschienen in: | Clinical journal of sport medicine |
Veröffentlicht: | 9 (1997), 1, S. 220-221, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1050-642X, 1536-3724 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199711208200 |
Quelle: | BISp |
Abstract des Autors
Purpose: This article describes a previously unreported fifth metacarpal stress fracture. Case summary: A female softball pitcher presented with gradual development of dorsal pain in her pitching hand. A radioisotope scan showed increased uptake in the fifth metacarpal. This supported a clinical diagnosis of a stress fracture, and the patient was treated with a period of relative rest. At 6 weeks, the patient was able to return to pitching with technique modification. Discussion: Seven cases of metacarpal stress fractures have been reported, yet none involved the fifth metacarpal. The causes of a fifth metacarpal stress fracture differ from those of other metacarpals and may be a combination of extrinsic forces from the ball and intrinsic forces from muscle pull. Although treatment involves the standard rest period, technique must be assessed and appropriately adjusted. Relevance: Metacarpal stress fractures should be considered in athletes with persistent hand pain where repetitive grip function is used. Verf.-Referat