Atraumatic Left-sided Chest Pain On The Slopes

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Atraumatic Left-sided Chest Pain On The Slopes - Page #3

Lab Studies: White blood cells 10.3, hemoglobin 15.1, hematocrit 46.3, platelets 368 Sodium 141, potassium 4.5, chloride 97, bicarbonate 28, BUN 6, creatinine 0.85, glucose 101. Liver panel within normal limits. C-Reactive protein 1.38, erythrocyte sedimentation rate 69 Other Studies: Musculoskeletal ultrasound: Left clavicle in long axis view without bony or cortical irregularity. No surrounding edema noted. Pectoralis major muscle belly noted with some probable deep muscle fiber disruption at the medial clavicular attachments, with fluid noted at the clavicular attachment. Associated calcific density noted in heterogeneous echotexture. CT Chest with contrast: Osteolytic changes with contiguous extraosseous ill-defined soft tissue with contrast enhancement at the left first costosternal joint. Differential considerations include inflammatory arthropathy and primary or metastatic neoplasm. Recommend further characterization with musculoskeletal chest wall MR. Case Photo #3 MRI sternoclavicular joint: Arising from the left anterior left costochondral junction/chondromanubrial junction, there is enhancing soft tissue/fluid measuring up to 3.5 cm, which is seen extending into the left aspect of the manubrium and the first rib cartilage, associated with osteolysis of the manubrium. Additionally this extends to involve the left pectoralis major and the left sternocleidomastoid muscles inferior aspect of the left sternoclavicular joint. Overall findings are concerning for infectious or inflammatory process, osteomyelitis and the patient will be scheduled for same-day aspiration/biopsy. Case Photo #4 Tissue biopsy: Severe chronic active inflammation with fibrosis Culture: Propionibacterium acnes (P. acnes) Consultations: Orthopedic Oncology, Cardiothoracic Surgery, Infectious Disease Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC