Midshaft ulnar stress reaction in the adolescent female athlete: a case series.
Alec Rush, Katelyn Harrison, Gary Lourie
✦ AI-curated · Sources linked
Case in brief
Three adolescent female softball pitchers developed midshaft ulnar stress reactions associated with repetitive, high-stress upper-extremity activity. Advanced imaging established the diagnoses. The report emphasizes that recognition depends on considering this injury in an appropriate clinical context, alongside careful history-taking, physical examination, and diagnostic work-up. The authors note that without timely diagnosis and treatment, ulnar injuries may progress to significant fractures with prolonged recovery.
What made this case unusual
The stress reactions involved the ulnar diaphysis, an uncommon site for stress injury, in adolescent female softball pitchers.
Diagnostic / clinical pearl
Consider a midshaft ulnar stress reaction in athletes with relevant repetitive upper-extremity loading; careful clinical assessment and advanced imaging can support diagnosis before progression to fracture.