Fly Fishing-related lesser tuberosity avulsion in an adolescent

Orthopedics
Rafael P TeixeiraEdward G McFarland

Abstract

Stress lesions of the shoulder in athletic and active adolescents are most commonly associated with overhead sports. One of the most uncommon stress lesions of the shoulder in adolescents is an avulsion of the lesser tuberosity of the proximal humerus. To our knowledge, only 2 other cases of lesser tuberosity avulsions from repetitive motion have been reported, both of which were secondary to baseball pitching.This article describes a case of an isolated partial avulsion of the lesser tuberosity of the humerus in an adolescent as a result of repetitive stress from fly fishing. The patient had no symptoms in his shoulder until after casting for approximately 10 hours a day for 3 days. He presented with anterior shoulder pain that worsened with abduction and external rotation. On examination, he had tenderness over the lesser tuberosity and pain with subscapularis muscle testing, such as the lift-off test. He had a negative apprehension sign but no signs of a superior labrum tear. Conventional radiography with an axillary view confirmed the diagnosis. He recovered with rest and gradual return to activities. Two years after injury, the patient had no limitations functionally, and his shoulder examination was normal.This case highl...Continue Reading

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Citations

Feb 19, 2013·Journal of Shoulder and Elbow Surgery·Devdatta Suhas NeogiPhilip M Ahrens
Jan 21, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Patrick VavkenDennis E Kramer
Jan 28, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Charles A PopkinChristopher S Ahmad
Apr 21, 2017·The Physician and Sportsmedicine·Connor R ReadA Reed Estes
May 20, 2015·Sports Health·Lauren E LaMontThomas L Wickiewicz

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