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Clin Orthop Relat Res. 2012 Jan;470(1):307-11. doi: 10.1007/s11999-011-2154-x. Epub 2011 Nov 2.

Case report: bilateral proximal epiphyseal clavicular stress-related lesions in a male gymnast.

Author information

1
Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.

Abstract

BACKGROUND:

Stress lesions of the upper extremity are relatively uncommon, and physeal stress lesions of the clavicle are rare. We present a case of bilateral physeal stress-related lesions of the proximal clavicular growth plate near the sternoclavicular joint in an adolescent male gymnast.

CASE DESCRIPTION:

A 13-year-old gymnast presented with a 3-week history of insidious onset of pain in the proximal clavicular area of his left shoulder. He had no pain at rest or at night. He recently had added a new maneuver to his routine. His radiographs were normal, but further study with CT scanning confirmed a stress lesion of his proximal clavicular physis. The lesion healed with time, and he returned to gymnastics with no symptoms. Approximately 5 months after the initial symptoms on the left side, he felt a pop and immediate pain in his right sternoclavicular joint area while doing a routine. Imaging revealed a chronic stress lesion of the proximal physis similar to that of the other side. The patient achieved healing with rest and returned to gymnastics with no limitations.

LITERATURE REVIEW:

Physeal stress-related lesions of the proximal clavicular physis have not been reported in the literature.

PURPOSE AND CLINICAL RELEVANCE:

Medial clavicle pain in adolescent gymnasts may be secondary to stress-related lesions of the proximal clavicular growth plate. Such lesions are rare.

PMID:
22045068
PMCID:
PMC3237983
DOI:
10.1007/s11999-011-2154-x
[Indexed for MEDLINE]
Free PMC Article

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