Recalcitrant Ulnar-Sided Hand Pain in a Collegiate Golfer: A Case Report.

IF 2.2 4区医学 Q1 REHABILITATION

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-07-08 DOI:10.1097/PHM.0000000000002534

Daniel M Cushman, John Leach, Justin Foley, Stuart E Willick

引用次数: 0

Abstract

Abstract: This case report details a diagnosis of myositis ossificans in a collegiate golfer with right ulnar-sided hand pain after striking the ground on a swing. Despite conservative treatment and a thorough workup, the patient's ulnar-sided hand pain did not improve. An ultrasound eventually revealed myositis ossificans within the abductor digiti minimi muscle. The patient received an ultrasound-guided fenestration and injection of lidocaine and dexamethasone into the affected muscle, leading to complete symptom resolution. Myositis ossificans is often secondary to trauma, causing bone formation in soft tissue, leading to pain, limited range of motion, and disability. This case highlights the importance of considering myositis ossificans in cases of persistent muscular pain and the diagnostic challenges related to ulnar-sided hand anatomy.

查看原文本刊更多论文

一名大学生高尔夫球手顽固性尺侧手痛：病例报告

摘要：本病例报告详细介绍了一名大学生高尔夫球手的骨化性肌炎（MO）诊断结果，患者在挥杆击球时右尺侧手部疼痛。尽管进行了保守治疗和全面检查，但患者的尺侧手部疼痛并未改善。超声波检查最终发现小指内收肌内有 MO。患者在超声波引导下接受了瓣膜置换术，并向受影响的肌肉注射了利多卡因和地塞米松，最终症状得到完全缓解。MO通常继发于创伤，导致软组织内骨形成，从而引起疼痛、活动范围（ROM）受限和残疾。本病例强调了在出现持续性肌肉疼痛时考虑 MO 的重要性，以及与尺侧手部解剖相关的诊断难题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

American Journal of Physical Medicine & Rehabilitation 医学-康复医学

CiteScore

4.60

自引率

6.70%

发文量

423

审稿时长

1 months

期刊介绍： American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).