Fracture of the humerus in ball throwers. A consequence of idiopathic juvenile osteoporosis in a female handball player?

R Landmark, M M Petersen

5 Citationer (Scopus)

Abstract

We report a case of a spontaneous humeral shaft fracture sustained during pitching by a 22-year-old previously healthy female European team handball player. The fracture was treated by closed reposition followed by immobilization in a hanging cast. The fracture healed uneventfully, and normal function and range of motion were reached within 6 months. Between 1 and 2 years after the fracture, bone mineral measurements showed a decreased bone mass (1.43-2.56 SD below mean values of normal women) at all measuring sites; proximal tibia bilaterally (bone mineral content (right) = 2.68 g/cm, bone mineral content (left) = 2.79 g/cm), lumbar spine (bone mineral density (L2-4) = 0.814 g/cm2), and right hip (bone mineral density (neck) = 0.697 g/cm2, bone mineral density (Ward's) = 0.626 g/cm2). A thorough endocrinological examination indicated that a state of bone loss existed, but no specific endocrine disease was found. The unusual fracture presented must be considered the result of the torsional forces transmitted to a severely osteoporotic bone.

OriginalsprogEngelsk
TidsskriftScandinavian journal of medicine & science in sports
Vol/bind5
Udgave nummer1
Sider (fra-til)57-60
Antal sider4
ISSN0905-7188
DOI
StatusUdgivet - feb. 1995
Udgivet eksterntJa

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