![]() ![]() They are common complications of blunt or penetrating trauma to the chest. Clin Spors Med 2004 23:443-454.Pneumothorax and Hemothorax are collections of abnormal material (air and blood, respectively) within the chest (thoracic) cavity, in the space normally occupied by the tissue of the lungs. Partridge RA, Coley A, Bowie R, Woolard RH. Spontaneous pneumothorax in weightlifters. Karnik AK Management of Pneumothorax and Barotrauma: Current Concepts. Managing respiratory problems in athletes. Hull JH, Ansley L, Robson-Ansley P, Parsons JP. Pneumothorax in sports: issues in recognition and follow-up care. A physician must clear the athlete before re-introducing activity, and return should include a gradual progression back into activity with appropriate medical monitoring.Ĭurtain SM, Tucker AM, Gens DR. Additionally, return to play should not be allowed before radiographic resolution of the PTX. Pain has been shown to be the most likely factor in determining return to play. General timelines are based on case reports and expert opinions and range from 2-10 weeks. ![]() There are no specific guidelines for returning to sports after traumatic pneumothorax. Ensure that there is an adequate airway present. Treatment incudes assessing vital signs (blood pressure, pulse, and breathing rate), listening for quality of breaths, and removing air from the pleural space, re-expanding the underlying lung, and preventing recurrence. Pain behind the sternum while breathingNeck painĬrunching sound in chest typically with heart beatįirst, activate emergency medical services (EMS). Clinical signs and symptoms of pulmonary injury ![]() For example, it is possible that athletes may present with chest pain attributed to injury and deconditioned status. The symptoms of a pneumothorax may also present atypically. 10% of the individuals who have a PTX can present with no symptoms. The chest pain is usually present on one side, but can radiate to the shoulder, neck and into the back. The classic presentation of a PTX is shortness of breath and sharp pain in the chest while breathing. How do I know if an athlete has a pneumothorax? Individuals in high blunt chest trauma risk sports, are also at increased risk when compared to non-contact sports. Individuals who are young and tall are most susceptible to the development of a primary spontaneous pneumothorax. What puts an individual at risk for a pneumothorax? ![]() The only way of preventing a PTX is to reduce the risk by not smoking. Additionally, individuals who have Marfans Syndrome are also at an increased risk of spontaneous PTX. For the most part, sports-related PTX are due to blunt chest trauma. While rare, traumatic PTX have been reported in sports such as ice hockey, football, rugby, and soccer. Traumatic PTX can be further subdivided into penetrating or non-penetrating trauma. In the realm of athletics, you a traumatic or spontaneous PTX are the types most likely to occur (although still very rare). Pneumothorax can be divided into spontaneous, traumatic, or iatrogenic (result of medical procedures). What are the different types? And which type is most common in athletics? Although uncommon in athletics, when they occur they can be life-threatening, requiring immediate diagnosis and treatment. It has been found that only 2% of adult thoracic injuries requiring medical treatment are sports related. Chest trauma sustained in sporting occurs infrequently. A pneumothorax (PTX) is defined as air that has leaked into the pleural space, either spontaneously or as a result of traumatic tears in the pleura following a chest injury. ![]()
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