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DOI:10.2214/AJR.05.1058
AJR 2006; 187:901-904
© American Roentgen Ray Society

Clinical Observations

MRI of Stress Reaction of the Distal Humerus in Elite Tennis Players

Justin C. Lee1,2, Frank A. Malara3, Timothy Wood4, Greg Hoy5, Asif Saifuddin1 and David A. Connell1,3

1 Department of Radiology, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex, HA7 4LP, United Kingdom.
2 Present address: Chelsea and Westminster Hospital, London, United Kingdom.
3 Victoria House Medical Imaging, Melbourne, Australia.
4 Vimy House Private Hospital, Kew, Victoria, Australia.
5 Melbourne Orthopaedic Group, Melbourne, Australia.

OBJECTIVE. The purpose of this study was to describe the MRI appearance of stress reaction in the distal humerus in 12 elite tennis players. In addition, we aimed to determine whether any MRI findings were associated with changes in recovery times.

CONCLUSION. Stress injury to the distal humerus is a cause of chronic arm pain among elite tennis players and may be exacerbated during full competition. The degree of marrow edema on STIR MRI may be predictive of time to return to competition.

Keywords: bone • elbow • elite athletes • MRI • musculoskeletal imaging • sports medicine • stress fracture • stress reaction • stress response • tennis • upper limb


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 Br. J. Sports. Med.Home page
R. T. Silva, L. G. Hartmann, and C. F. de Souza Laurino
Stress reaction of the humerus in tennis players
Br. J. Sports Med., November 1, 2007; 41(11): 824 - 826.
[Abstract] [Full Text] [PDF]


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