Rehabilitation following fibro adenoma removal surgery for a female junior elite basketball player with sacroiliac and lumbo pelvic dysfunction: a case report
Multifidus, Lower back pain, Core stability, Exercise therapy, Instability
Introduction: Fibro adenomas is the most common benign breast tumors in young women while15% of the population with lower back and buttock pain was caused by the sacroiliac joint dysfunction. This is the first reported case of the rehabilitation of fibro adenoma removal surgery for an elite female basketball player with suspected lumbo pelvic instability and sacroiliac joint dysfunction.
Case Presentation: A 17-year-old female basketball player had fibro adenoma excision on her left breast and presented with pain in palpation or left shoulder movements. She presented with two years history of lower back pain in subsequent visits that was worsened in trunk flexion or rotation. Daily application of sports massage on chest scar tissues and gentle shoulder and scapula mobilization were applied. Besides, deep core muscles activation, postural control training and upper limb muscle strengthening exercises were introduced. After 1-week rehabilitation, significant reduction of chest pain with shoulder movements was achieved. The patient could also activate the lumbar multifidi and perform some advanced core stability exercises with satisfactory core control. However, she was urgently called back for resuming normal sport training and was resent for rehabilitation again due to the deterioration on her chest wound and lower back pain after having basketball practice and conditioning for one day. Pain was well controlled after resuming rehabilitation with the use of pelvic binder.
Conclusion: Negative result was obtained due to early return to practice with incomplete rehabilitation. The judgment on making progression and return to practice is critical.
Annals of Sports Medicine and Research
Lam, E.,Wong, K.,& Ho, I. (2015). Rehabilitation following fibro adenoma removal surgery for a female junior elite basketball player with sacroiliac and lumbo pelvic dysfunction: a case report. Annals of Sports Medicine and Research, 2 (2), 1019. Retrieved from http://repository.vtc.edu.hk/thei-fac-man-hos-sp/55