Chest Pain: Not A Typical Day At The Pool

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

Chest Pain: Not A Typical Day At The Pool - Page #1

Author: Tyler Wilson Co Author #1: Michael O'Neal, DO Senior Editor: Justin Mark Young, MD Editor: Alan Shahtaji, DO Patient Presentation: A 23-year-old male American football player (wide receiver) presented with vague left upper anterior chest wall pain. History: There was no blunt trauma associated with onset of symptoms. The patient thought the pain was originating from his clavicle. Pain was worse with overhead movements, which made it difficult to catch balls above his head. He was treated empirically for an unspecified "strain" injury, including weekly pre-game lidocaine injections into the area of the costosternal articulation and sternoclavicular joint. No diagnostics were performed. Although he was able to effectively participate in games due to the analgesia injections, the pain persisted and gradually worsened during the season. He ultimately developed anterior and lateral left-side neck pain. He used oral anti-inflammatories with mild, temporary relief but nothing provided resolution. Physical Exam: Physical examination revealed tenderness inferior to the sternoclavicular joint in the area of the costo-manubrial junction. There was no tenderness over the AC joint or coracoid process, no chest wall atrophy. Shoulder examination was normal with full range of motion and without signs of impingement. Biceps strength was normal. Cervical spine examination was normal, with only mild left antero-lateral neck discomfort with sidebending to the right Click here to continue. Challenge yourself by writing down a broad differential 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