Abstract
Pain in the thoracic region in athletes is more commonly from the thorax than from the thoracic spine. Although the thoracic spine is well protected from motion by the ribs, the chest wall and surrounding muscles are vulnerable to both overuse and acute injury in athletes. These injuries to muscle and bone include stress fractures, muscle strains, and avulsions. They are diagnosed primarily by history and physical examination. Bone scan is the most useful test if there is a question of a stress fracture. Most of these injuries respond to conservative treatment.
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References and Recommended Reading
Wise CM, Semble EL, Dalton CB: Musculoskeletal chest wall syndromes in patients with noncardiac chest pain: a study of 100 patients. Arch Phys Med Rehabil 1992, 73:147–149.
Gregory PL, Biswas AC, Batt ME: Musculoskeletal problems of the chest wall in athletes. Sports Med 2002, 32:235–250.An excellent and very comprehensive review of this topic, with 118 references, covering more and more varied conditions than this review.
Mintz AC, Albano A, Reisdorff EJ, et al.: Stress fracture of the first rib from serratus anterior tension: an unusual mechanism of injury. Ann Emerg Med 1990, 19:411–414.
Matsumoto T, Fujita K, Tsunoda M, et al.: Stress fracture of the first rib in a soccer player: a rare etiology of shoulder pain. J Shoulder Elbow Surg 2003, 12:197–199.This paper has an excellent diagram showing the forces acting on the first rib that are associated with stress fractures.
Sinha AK, Kaedling CC, Wadley GM: Upper extremity stress fractures in athletes: clinical features of 44 cases. Clin J Sport Med 1999, 9:199–202.
Iwamoto J, Takeda T: Stress fractures in athletes: review of 196 cases. J Orthop Sci 2003, 8:273–278.
Mamanee P, Weinberg J, Curl LA, McFarland EG: Bilateral first rib and unilateral second rib stress fractures in a female athlete. Clin J Sports Med 1999, 9:177–183.
Lord MJ, Ha KI, Song KS: Stress fractures of the ribs in golfers. Am J Sports Med 1996, 24:118–122.
Read MT: Case report-stress fracture of the rib in a golfer. Br J Sp Med 1994, 28:206–207.
McKenzie DC: Stress fracture of the rib in an elite oarsman. Int J Sports Med 1989, 10:220–222.
Holden DL, Jackson DW: Stress fracture of the ribs in female rowers. Am J Sports Med 1985, 13:342–347.
Christiansen E, Kanstrup IL: Increased risk of stress fractures of the ribs in elite rowers. Scand J Med Sci Sports 1997, 7:49–52.
Karlson KA: Rib stress fractures in elite rowers: a case series and proposed mechanism. Am J Sports Med 1998, 26:516–519.
Taimela S, Kujala UM, Orava S: Two consecutive rib stress fractures in a female competitive swimmer. Clin J Sport Med 1995, 5:254–257.
Maffulli N, Pintore E: Stress fracture of the sixth rib in a canoeist. Br J Sp Med 1990, 24:247.
Warden SJ, Gutschlag FR, Wajswelner H, Crossley KM: Aetiology of rib stress fractures in rowers. Sports Med 2002, 32:819–836.Comprehensively referenced review of rib stress fracture findings in rowers to date, with a lengthy discussion of proposed mechanisms.
Hickey GJ, Fricker PA, McDonald WA: Injuries to elite rowers over a 10-yr period. Med Sci Sports Exer 1997, 29:1567–1572.
Satou S, Konisi N: The mechanism of fatigue fracture of the ribs. Nippon Seikeigeka Gakkai Zasshi 1991, 65:708–719.
Warden SJ, Rath DA, Morris HG, et al.: Rib bone strain and muscle activity in the etiology of rib stress fractures in rowers [abstract]. Med Sci Sports Exer 2003, 35(Suppl 5):323.
Thomas PL: Thoracic back pain in rowers and butterfly swimmers - costo vertebral subluxation [letter]. Br J Sports Med 1988, 22:81.
Jensen S: Musculoskeletal causes of chest pain. Aus Fam Phys 2001, 30:834–839.
Scott EM, Scott BB: Painful rib syndrome-a review of 76 cases. Gut 1993, 34:1006–1008.
Gaffney KM: Avulsion injury of the serratus anterior: a case history. Clin J Sport Med 1997, 7:134–136.
Butterwick DJ, Mohtadi NG, Meeuwisse WH, Frizzell JB: Rupture of latissimus dorsi in an athlete. Clin J Sport Med 2003, 13:189–191.
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Karlson, K.A. Thoracic region pain in athletes. Curr Sports Med Rep 3, 53–57 (2004). https://doi.org/10.1007/s11932-004-0046-5
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DOI: https://doi.org/10.1007/s11932-004-0046-5