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A 23-year-old male Olympic rower presents with left sided chest pain exacerbated by cough. Bone scan results are shown in Figure A. Pain started 6 weeks after switching to a new oar with a bigger blade and a change in training regimen to include long-endurance rows at low stroke rates. Which of the following is correct?
Inspiration and expiration chest radiographs are necessary to exclude pneumothorax
Operative stabilization is indicated
The bone scan appearance of this lesion differs when caused by chronic cough rather than rowing
Treatment typically includes rest, analgesia, and slow return to rowing
A modified rowing pattern involving more scapula protraction at the beginning of the stroke, and more retraction at the end of the stroke is recommended to prevent further lesions
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