Acute Chest Pain in a Top Soccer Player due to Thoracic Disc Herniation

Baranto, Adad; Börjesson, Mats; Danielsson, Barbro; Hellström, Mikael; Swärd, Leif

doi:10.1097/brs.0b013e3181a16d41

Cited by 18 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We can also suggest that thoracic intervertebral disc herniation may remain a missed diagnosis, if it is not considered within the range of preliminary diagnoses in cases with dorsalgia. [16][17][18][19][20] In conclusion, several conclusions may be made regarding the MRI findings in patients with dorsalgia. Magnetic resonance imaging is a precise imaging technique for investigating patients with complaint of dorsalgia.…”

Section: Discussionmentioning

confidence: 96%

The incidence and most common levels of thoracic degenerative disc pathologies

Sarsilmaz

Yencilek

Özelçi

et al. 2018

Turk J Phys Med Rehab

View full text Add to dashboard Cite

Objectives: In this study, we aimed to describe and characterize the incidence of thoracic degenerative disc pathologies, bulging/herniation, and the most common affected levels. Patients and methods: Between January 2008 and May 2012, a total of 195 patients (109 females, 86 males; mean age 43.5 years; range, 15 to 74 years) who were admitted with the complaint of dorsalgia and underwent magnetic resonance imaging (MRI) of the thoracic vertebral column were included in the study. Data including MRI findings, endplate and disc degeneration, disc height loss, bulging, and disc herniation were retrospectively analyzed. Results: Of 3,348 patients, 195 patients had disc bulging/herniation. When 12 levels in 195 cases were taken into consideration, disc pathologies were found in 412 (18%) levels among the total of 2,340 intervertebral disc levels. Bulging was present in 11% (244/2,340) of the levels. Disc herniation was present in 7% (168/2,340) of the levels. The most commonly affected site was T 7-8 , followed by T 8-9 and T 11-12. Conclusion: Thoracic disc pathologies are still a significant diagnostic challenge. Our study results show that the incidence of these pathologies is higher than expected.

show abstract

Section: Discussionmentioning

confidence: 96%

The incidence and most common levels of thoracic degenerative disc pathologies

Sarsilmaz

Yencilek

Özelçi

et al. 2018

Turk J Phys Med Rehab

View full text Add to dashboard Cite

show abstract

“… 1) To the best of our knowledge, there are only 11 cases in the literature reporting a TDH with radiculopathy alone, such as chest, abdominal pain, and abdominal muscle weakness ( Table 1 ). 3 , 6 – 14) Radiculopathy of TDH could result in abdominal muscle weakness and pain along with the thoracic spinal dermatomal distribution, occasionally accompanied by nausea and vomiting, which may easily be misdiagnosed with intra-abdominal or pelvic pathology. 15 , 16) Some of the reported cases underwent unnecessary invasive procedures, such as laparoscopy, before the correct diagnosis of TDH was made.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Disc Herniation Manifesting as Abdominal Pain Alone Associated with Thoracic Radiculopathy

Ishii

Nishimura

Hara

et al. 2020

NMC Case Report Journal

View full text Add to dashboard Cite

Symptomatic thoracic disc herniation (TDH) with thoracic radiculopathy alone is an extremely rare condition. Here, we report a rare case of TDH in a 52-year-old man who presented with medically refractory severe right flank pain. Based on pain distribution, pain intensity changes according to truncal position, ineffectiveness of intercostal nerve block, and radiological findings, his pain was determined to be caused by TDH at T9-10 level. Symptomatic TDH often requires invasive surgery. However, TDH with radiculopathy alone can be treated via a posterior approach without spinal cord manipulation or spinal fusion. We could eliminate the pain by removing TDH with hemilaminectomy and microdiscectomy using an O-arm-based navigation system.

show abstract

“…The long -term prognosis of thoracic disc herniation has been considered to be good 3,6) , but not all cases have a good long -term outcome 1) . Long -term follow -up is needed.…”

Section: Discussionmentioning

confidence: 99%

“…There are few cases of disc herniation of the thoracic spine in top athletes described in the literature 1 -4) . The clinical presentation of a thoracic disc herniation can vary widely depending on its location and morphologic characteristics 1) . The most common initial symptom described is thoracic pain occurring midline, unilaterally, or bilaterally, or in a radicular distribution, followed later by sensory and motor disturbances 2,3,5) .…”

Section: Introductionmentioning

confidence: 99%

Unusual chest wall pain caused by thoracic disc herniation in a professional baseball pitcher

Kato

Yabuki

Otani

et al. 2016

FJMS

View full text Add to dashboard Cite

Symptomatic thoracic disc herniation is clinically rare. There are few cases of disc herniation of the thoracic spine in top athletes described in the literature. We herein present a rare case of chest wall pain due to thoracic disc herniation in a professional baseball pitcher. A 30 -year -old, lefthanded pitcher complained of left -sided chest wall pain in the region of his lower ribs during a game. Neurological examination revealed hypoesthesia of the left side of the chest at the level of the lower thoracic spine. Magnetic resonance imaging (MRI) of the thoracic spine showed a leftsided paramedian disc herniation at the T9 -T10 level. The player was initially prescribed rest, administration of pregabalin (150 mg twice a day), and subsequent physical rehabilitation. He was able to resume full training and pitching without medication 6 months after the onset. A follow -up MRI of the thoracic spine showed a reduction in the size of the herniated disc compared to the initial findings. Though relatively rare, thoracic disc herniation should be considered in cases of chest wall pain in athletes.

show abstract

Acute Chest Pain in a Top Soccer Player due to Thoracic Disc Herniation

Abstract: In conclusion, it is important to consider thoracic disc herniation as acute chest pain in athletes and that the long-term prognosis of this entity is not always good.

Cited by 18 publications

References 19 publications

The incidence and most common levels of thoracic degenerative disc pathologies

The incidence and most common levels of thoracic degenerative disc pathologies

Thoracic Disc Herniation Manifesting as Abdominal Pain Alone Associated with Thoracic Radiculopathy

Unusual chest wall pain caused by thoracic disc herniation in a professional baseball pitcher

Contact Info

Product

Resources

About