An unusual cause of shoulder pain: stress fracture of the clavicle

Aksel Seyahi; Ata Atalar; Mehmet Demirhan

Research Article

Nadir görülen bir omuz ağrısı nedeni: Klavikula stres kırığı

Year 2009, Volume: 43 Issue: 3, 264 - 266, 10.08.2009

Abstract

Risk faktörü bulunmaması ve ağrının atipik yeri nedeniyle klavikula stres kırığı tanısı geç konan bir olgu değerlendirildi. Otuz dört yaşında kadın hasta sağ tarafta şiddetli omuz, kol, boyun ve hemitoraks ağrısı ve sağ üst ekstremitede uyuşma yakınmaları ile başvurdu. Hastanın radyografilerinde, boyun ve brakiyal pleksusa yönelik manyetik rezonans (MR) ve toraks bilgisayarlı tomografi (BT) incelemelerinde patoloji görülmedi. Geriye dönük yapılan incelemede, sağ omuz MR görüntüsünde klavikula ve çevre yumuşak dokularda ödem saptanarak klavikula stres kırığı düşünüldü. Aktivite kısıtlaması ve analjezik tedavi ile hastanın yakınmaları kademeli olarak geriledi ve 10. aydaki kontrol tomografisinde stres kırığının aberan kallus oluşumu ile iyileştiği görüldü. Omuz ağrısı nedenleri arasında klavikula stres kırığı da akılda tutulmalı ve sorunun omuzdan üst ekstremiteye ve hemitoraksa yayılan atipik şiddetli bir ağrı ile ortaya çıkabileceği unutulmamalıdır. Şüphelenilen olgularda BT ve MR incelemelerinde kesitlerin klavikulanın uzun eksenine paralel olarak alınması yararlı olabilir.

Keywords

Klavikula/yaralanma/radyografi; kırık, stres/etyoloji/radyografi.

An unusual cause of shoulder pain: stress fracture of the clavicle

Year 2009, Volume: 43 Issue: 3, 264 - 266, 10.08.2009

Aksel Seyahi Ata Atalar Mehmet Demirhan

Abstract

We report a case of stress fracture of the clavicle in which diagnosis was delayed due to the unusual localization of pain and absence of predisposing risk factors. A 34-year-old woman presented with severe right-sided pain in the shoulder, arm, neck, and hemithorax, and numbness in her right upper extremity. Systemic radiographs, cervical and brachial plexus magnetic resonance imaging (MRI) and thorax computed tomography (CT) did not show any pathology. In a retrospective review of the shoulder MRI sections, an edematous appearance was noted in the right clavicle and adjacent soft tissues, suggesting a stress fracture of the clavicle. The patient was followed-up with activity limitation and analgesic treatment and her complaints subsided gradually. Control radiographs obtained 10 months later showed fracture healing with atypical callus formation. Stress fractures of the clavicle must be kept in mind in the differential diagnosis of shoulder pain presenting as an atypical severe arm pain radiating to the upper extremity and hemithorax. In suspected cases, it may be helpful to obtain CT and MRI sections parallel to the long axis of the clavicle.

Keywords

Clavicle/injuries/radiography, fractures, stress/etiology/radiography

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Details

Primary Language	English
Subjects	Health Care Administration
Journal Section	Case Report
Authors	Aksel Seyahi This is me Ata Atalar This is me Mehmet Demirhan This is me
Publication Date	August 10, 2009
Published in Issue	Year 2009 Volume: 43 Issue: 3

Cite

APA	Seyahi, A., Atalar, A., & Demirhan, M. (2009). An unusual cause of shoulder pain: stress fracture of the clavicle. Acta Orthopaedica Et Traumatologica Turcica, 43(3), 264-266.
AMA	Seyahi A, Atalar A, Demirhan M. An unusual cause of shoulder pain: stress fracture of the clavicle. Acta Orthopaedica et Traumatologica Turcica. August 2009;43(3):264-266.
Chicago	Seyahi, Aksel, Ata Atalar, and Mehmet Demirhan. “An Unusual Cause of Shoulder Pain: Stress Fracture of the Clavicle”. Acta Orthopaedica Et Traumatologica Turcica 43, no. 3 (August 2009): 264-66.
EndNote	Seyahi A, Atalar A, Demirhan M (August 1, 2009) An unusual cause of shoulder pain: stress fracture of the clavicle. Acta Orthopaedica et Traumatologica Turcica 43 3 264–266.
IEEE	A. Seyahi, A. Atalar, and M. Demirhan, “An unusual cause of shoulder pain: stress fracture of the clavicle”, Acta Orthopaedica et Traumatologica Turcica, vol. 43, no. 3, pp. 264–266, 2009.
ISNAD	Seyahi, Aksel et al. “An Unusual Cause of Shoulder Pain: Stress Fracture of the Clavicle”. Acta Orthopaedica et Traumatologica Turcica 43/3 (August 2009), 264-266.
JAMA	Seyahi A, Atalar A, Demirhan M. An unusual cause of shoulder pain: stress fracture of the clavicle. Acta Orthopaedica et Traumatologica Turcica. 2009;43:264–266.
MLA	Seyahi, Aksel et al. “An Unusual Cause of Shoulder Pain: Stress Fracture of the Clavicle”. Acta Orthopaedica Et Traumatologica Turcica, vol. 43, no. 3, 2009, pp. 264-6.
Vancouver	Seyahi A, Atalar A, Demirhan M. An unusual cause of shoulder pain: stress fracture of the clavicle. Acta Orthopaedica et Traumatologica Turcica. 2009;43(3):264-6.