Intracardiac embolization of inferior vena cava filter associated with right atrium perforation and cardiac tamponade.

Insertion of inferior vena cava filters has been well established in literature, reducing occurrence of pulmonary embolism after an episode of deep venous thrombosis in patients with contraindication to anticoagulation. There are a small number of complications related to procedure and embolization is rare. In this context, we described a case of intracardiac embolization associated with cardiac tamponade.

Proximal biceps tendon tear in an adolescent tennis player.

The diagnosis of a torn biceps tendon in athletes who use overhead throwing or swinging motions can be difficult to make because there is no one physical examination finding that will confirm the diagnosis, and because magnetic resonance imaging, although sometimes helpful, does not image the length of the biceps tendon adequately. We report a case of an isolated partial biceps tendon tear in an adolescent female athlete who was diagnosed during arthroscopy after the tendon was pulled into the joint. The tendon was cut and a tenodesis was performed.

Fly Fishing-related lesser tuberosity avulsion in an adolescent.

Stress lesions of the shoulder in athletic and active adolescents are most commonly associated with overhead sports. One of the most uncommon stress lesions of the shoulder in adolescents is an avulsion of the lesser tuberosity of the proximal humerus. To our knowledge, only 2 other cases of lesser tuberosity avulsions from repetitive motion have been reported, both of which were secondary to baseball pitching.

Subscapularis strain from swinging a baseball bat in an adolescent with closed physis.

A healthy 16-year-old female baseball player was referred by her pediatrician for evaluation of pain in her right, dominant shoulder. The pain had begun insidiously 4 weeks previously after several sessions of batting practice and had worsened until she could not participate in baseball, even with low doses of ibuprofen. She was not participating in any other sports or weight lifting and had had no previous incidents of shoulder pain, but she did have a history of being able to voluntarily subluxate the right shoulder since she was a child.