Thoracic Pathology in Athletes
The thoracic spine is characterized by significant biomechanical stability and functions in athletics to stabilize the trunk and enable coordinated upper extremity actions. While pathologies are rare, they may range from muscular injuries that are treated conservatively to life-threatening neurologic injury such as complete paraplegia requiring operative decompression and stabilization. Comprehensive history and physical and radiographic imaging are the initial workup for thoracic injuries, with computed tomography and magnetic resonance imaging playing important roles in furthering our understanding of individual pathologies such as fractures, disc herniations, and spinal cord injuries. Because the incidence of thoracic spine injuries is relatively rare, there remains no consensus regarding return-to-play recommendations, although full strength without neurologic deficit and full painless range of motion are useful return-to-play criteria.
KeywordsThoracic Spine Athlete Sport Injury
- 2.Llusa M, Meri A, Ruano D. In: Cabanela ME, Sanchez-Sotelo S, Sanchez-Sotelo J, editors. Surgical atlas of the musculoskeletal system. Rosemont: American Academy of Orthopaedic Surgeons; 2008.Google Scholar
- 22.[No authors listed]. Spinal cord injury (SCI) 2016 facts and figures at a glance. J Spinal Cord Med. 2016;39(4):493–4.Google Scholar
- 25.Bracken MB, Shepard MJ, Collins WF, Holford TR, Young W, Baskin DS, et al. A randomized, controlled trial of methylprednisolone or naloxone in the treatment of acute spinal cord injury. Results of the Second National Acute Spinal Cord Injury Study. N Engl J Med. 1990;322(20):1405–11.CrossRefGoogle Scholar
- 26.Bracken MB, Shepard MJ, Holford TR, Leo-Summers L, Aldrich EF, Fazl M, et al. Administration of methylprednisolone for 24 or 48 hours or tirilazad mesylate for 48 hours in the treatment of acute spinal cord injury. Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial. National Acute Spinal Cord Injury Study. JAMA. 1997;277(20):1597–604.CrossRefGoogle Scholar