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

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.

journal_name

Scand J Med Sci Sports

authors

Landmark R,Petersen MM

doi

10.1111/j.1600-0838.1995.tb00012.x

subject

Has Abstract

pub_date

1995-02-01 00:00:00

pages

57-60

issue

1

eissn

0905-7188

issn

1600-0838

journal_volume

5

pub_type

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