Chest Pain In A Distance Track Athlete - Page #4

Working Diagnosis:
Spontaneous Pneumomediastinum

Recommended two weeks of rest and pain control with NSAIDs as needed.

Returned to running in district finals against recommendations at 11 days. Developed further chest pain. CT of the chest showed persistent pneumomediastinum without other abnormalities.
-Recommended further rest with gradual return to play.
-Returned to sport and prior level of activity without symptoms at three weeks.

Author's Comments:
There is no consensus on return to play guidelines for a spontaneous pneumomediastinum. This case supports both resolution of symptoms and radiographic resolution of mediastinal air prior to return to play with an athlete with sponatneous pneumomediastinum.

Langwieler, T., Steffani, K., et al. Spontaneuos pneumomediastinum. Annals of Thoracic Surgery 2004; 78: 711-713.
Collins, R. K. Hammans crunch: an adventitious sound. Journal of Family Practice 1994:38:284
Mihos, P., Potaris, K. et al. Sports-related spontaneous pneumomediastinum. Annals of Thoracic Surgery. 2004; 78; 983-986

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