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ginger -> Re: superiorly dislocated 1st rib? - HELP (May 21, 2007 1:49:00 AM)
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Just a few thoughts Tom , re this young pitcher. Like many of the observation that occur in the throes of drawing conclusions together, x-rays, such as of this boys cervical ribs, may alter the viewers perspective , enough perhaps to regard the x-ray evidence as more than what it is, an addition to clinical obs. Though you may well be correct in your conclusions in regard to this ball throwers shoulder, we must all keep a tight rein on our enthusiasm when identifying what appears to provide a stand alone diagnosis with x-ray. Having said that , I see liitle reason to reject your obs and conclusions based on what you have posted. The short period for improvement suggests a possible dislocation event as you have suggested, the lack of "neuro" signs add to that, no fracture, was able to continue to play, you are not cracked mate. Oz ball throwing sports consist of very different biomechanics than pitching, so can't speak with any experience about your sport. Stay well.
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