introduction
DESCRIPTION
Mondor’s Disease Associated with Pushups Kevin Lok, MD, CPT Carl R. Darnall Army Medical Center, Fort Hood, TX. DISCUSSION. INTRODUCTION. A 65 year-old male presented to the clinic complaining of pain and tenderness in the right anterolateral chest wall . - PowerPoint PPT PresentationTRANSCRIPT
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Mondor’s Disease Associated with PushupsKevin Lok, MD, CPT
Carl R. Darnall Army Medical Center, Fort Hood, TX
• A 65 year-old male presented to the clinic complaining of pain and tenderness in the right anterolateral chest wall .
• The pain was associated with a tender, palpable, cord-like mass.
• He denied any trauma, but did report doing pushups everyday for the past few years.
• Physical examination revealed the presence of a firm, tender, subcutaneous, curvilinear cord in the right anterolateral chest wall that extended approximately 12 cm from the axillary fossa toward the umbilicus.
• At 8 weeks, the pain had resolved, and the lesion was reduced in size.
INTRODUCTION
CASE PRESENTATION
DISCUSSION
CONCLUSION
• Muscular strain has been associated with Mondor’s disease in rare case reports.
• This entity may be more common in the military and retiree population because of intense muscular chest exercise
• Recognition and accurate diagnosis of this benign disorder by Family Physicians are important to avoid unnecessary diagnostic and treatment modalities.
• Mondor’s disease is a rare entity with fewer than 400 cases described worldwide.
• Female/male ratio of 3:1.• Etiology is unclear, but often associated
with trauma, often breast biopsy or surgery• Diagnosis is made by history and physical
–Mammograms, biopsies, and other diagnostic modalities are usually not indicated.
• Benign and self-limited; no treatment needed
• This case was atypical because the patient’s Mondor’s disease was most likely due to chronic chest exercise (daily pushups).
Mondor’s disease is a rare form ofthrombophlebitis involving a superficial vein of the breast or anterior chest wall, most commonly seen in women, and is associated with local trauma