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Stress Fractures of the Ribs in Golfers

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Author(s)
Michael J. LordKwon Ick HaKwang Soon Song
Keimyung Author(s)
Song, Kwang Soon
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
American Journal of Sports Medicine
Issued Date
1996
Volume
24
Issue
1
Abstract
During a collaborative review at three institutions, we documented 19 cases of stress fractures of the ribs in golfers. There were 13 men and 6 women with an average age of 39 years (range, 29 to 51). The 4th to 6th ribs were the most commonly injured. All fractures occurred along the posterolateral aspect of the ribs, and nine patients had fractures in more than one rib. Sixteen golfers sustained injury on the leading arm side of the trunk. Eighteen golfers were beginners, and the one experienced golfer had dramatically increased his practice time on the driving range before injury. Plain radiographs were usually diagnostic. However, bone scintigraphy was necessary to reach a diagnosis in three cases. A delay in diagnosis of 6 to 8 months occurred in two cases that were originally misdiag nosed as back strains. Stress fractures of the ribs in golfers may be more common than previously realized and may be incorrectly diagnosed as recalcitrant back strains. Based on the findings of other studies, we think fatigue of the serratus anterior is the mechanism of injury. We recommend strengthening the serratus an terior as rehabilitation after this injury and in a general conditioning program for golfers.
Keimyung Author(s)(Kor)
송광순
Publisher
School of Medicine
Citation
Michael J. Lord et al. (1996). Stress Fractures of the Ribs in Golfers. American Journal of Sports Medicine, 24(1), 118–122.
Type
Article
ISSN
0363-5465
Source
http://journals.sagepub.com.proxy.dsmc.or.kr/doi/abs/10.1177/036354659602400121?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34464
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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