We present the case of a competitive swimmer who was 14 years, 9 months old and had a 4-month history of posterior shoulder pain. She was initially evaluated by her school's trainer and completed a 2-week rehabilitation program, but pain returned with return to swimming. After feeling a “pop” while swimming with an increase in associated shoulder pain, the patient presented for medical evaluation. Plain radiographs were read as unremarkable. A formal physical therapy program resulted in increased pain, and the patient returned to clinic within 2 weeks with pain out of proportion to examination. Magnetic resonance imaging at this time identified a stress fracture along the inferior angle of the scapula, prompting a complete shutdown of activity for 4 weeks with vitamin D and calcium supplementation. A physical therapy regimen was restarted at 6 weeks with complete resolution of symptoms and return to swimming at 3 months. This case report is important because it highlights a sports-related stress fracture of the inferior angle of the scapula, a finding not currently present in the literature, in a swimmer, a sport not yet associated with scapular stress fractures. [Orthopedics. 202x(xx):xx–xx.]

我们介绍了一名 14 岁零 9 个月大的竞技游泳运动员的病例，有 4 个月的肩后痛病史。她最初接受了学校教练的评估，并完成了为期两周的康复计划，但恢复游泳后疼痛又回来了。在游泳时感到“砰”的一声，伴随而来的肩部疼痛加剧后，患者前来接受医疗评估。普通X光片被认为没有异常。正式的物理治疗计划导致疼痛加剧，患者在两周内返回诊所，疼痛与检查不成比例。此时的磁共振成像发现肩胛骨下角存在应力性骨折，导致患者完全停止活动 4 周，并补充维生素 D 和钙。6 周后重新开始物理治疗方案，症状完全缓解，并在 3 个月时恢复游泳。该病例报告很重要，因为它强调了与运动相关的肩胛骨下角应力性骨折，目前文献中尚未发现游泳运动员的这一发现，而游泳这项运动尚未与肩胛骨应力性骨折相关。[骨科。202x(xx):xx–xx。]