title: Humeral stress edema: an injury in overhead athletes quarterback with humeral "shin" splints-a case report.
abstract: Stress injury to the distal humerus has been reported as a cause of chronic arm pain among competitive tennis players. As the serve is technically similar to an overhead throwing motion, it is conceivable that this injury could occur in other overhead athletes. Overuse injuries, including rotator cuff tears, ulnar collateral ligament injuries, and joint sprains have routinely been reported in quarterbacks, but there are few reported cases of upper extremity bony stress injuries in these athletes. Magnetic resonance imaging aids in the diagnostic evaluation of an upper extremity injury as it can identify numerous structural injuries and early stress changes within bone. Accurately diagnosing stress reactions helps prevent progression toward stress fracture, which is possible if conservative measures are initiated early in the rehabilitation period. In this article, we report the case of an elite college quarterback who presented with localized elbow pain while throwing.
authors.affiliation: *Department of Radiology, UMDNJ-Robert Wood Johnson (RWJ) University Hospital, New Brunswick, New Jersey; and †Department of Family Medicine, Sports Medicine Fellowship, Rutgers/UMDNJ/RWJ, New Brunswick, New Jersey.
authors.forename: Justin
authors.initials: J
authors.lastname: Alpert
authors.forename: Robert
authors.initials: R
authors.lastname: Flannery
authors.forename: Robert
authors.initials: R
authors.lastname: Epstein
authors.forename: Robert
authors.initials: R
authors.lastname: Monaco
authors.forename: Nancy
authors.initials: N
authors.lastname: Prendergast
mesh_terms: D012090:Cumulative Trauma Disorders / Q000209:etiology*; D004487:Edema / Q000209:etiology*; D005538:Football / Q000293:injuries*; D006801:Humans; D006811:Humerus / Q000293:injuries*; D008297:Male; D000092464:Elbow Injuries