First Rib Stress Fractures in Throwing Athletes

Coris, Eric E.; Higgins, H. William

doi:10.1177/0363546505275349

Cited by 68 publications

(53 citation statements)

References 21 publications

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“…In this case, the fracture occurred near the subclavian groove, believed to be the weakest portion the rib and the site of most indirect and stress fractures [2,4,5]. It lies between the attachments of the Middle and Anterior Scalene Muscles on the superior aspect of the rib.…”

Section: Discussionmentioning

confidence: 84%

“…There are several specific indications for arteriography, paramount among which are expanding hematoma and brachial plexus injury [3]. Isolated first rib fracture in association with minor trauma during various physical activities from baseball to gymnastics, has been reported and as this case illustrates, fractures of the first rib do not always indicate high-energy injury [5,7]. Mechanism of injury in such cases may be categorized as: (a) direct trauma, (b) indirect trauma, (c) stress fracture and (d) violent muscular contraction.…”

Section: Discussionmentioning

confidence: 88%

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Isolated first rib fracture with minimal trauma

2011

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 88%

Isolated first rib fracture with minimal trauma

2011

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“…The upward pull of both of the scalene muscles opposes the antagonistic downward pull of the serratus anterior and intercostal muscles and traction of the arm. 7 These shearing forces and the characteristically thin bone of the subclavian arterial groove leave the first rib vulnerable to stress fractures.…”

Section: Discussionmentioning

confidence: 99%

Bilateral first rib stress fractures in a female swimmer: a case report

Chaudhury¹,

Hobart²,

Rodeo³

2012

Journal of Shoulder and Elbow Surgery

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“…Isolated stress fractures of the first rib due to various sporting activities like throwing, soccer, basketball, weight lifting, rugby, kick boxing, tennis, etc have been documented in the literature. [2][3][4][5][6] Bilateral first rib fractures due to indirect trauma are extremely rare. There are only a few such cases reported in the literature.…”

Section: Case Reportmentioning

confidence: 99%

“…1 Isolated fractures of the first rib as a result of various sports activities have been described in several reports. 2,3 There are very few reports of stress fracture of the first rib in weight lifters. 4 We report a rare case of bilateral first rib fracture with resultant pseudoarthrosis in a young weight lifter.…”

Section: Introductionmentioning

confidence: 99%

Bilateral first rib fractures with pseudoarthrosis in a weight lifter

Satija

Debnath

George

et al. 2011

Medical Journal Armed Forces India

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collimation; Somatom Sensation 16: Siemens; Germany) of the thoracic inlet was carried for further delineation of the fractures. The NCCT study revealed clear fracture lines with well defined and sclerotic margins with no evidence of callus formation suggestive of pseudoarthrosis. Axial oblique reconstructions along the plane of the first ribs were carried out which enabled complete delineation of the fracture lines (Figure 2A). A volume rendered image further enhanced the anatomical delineation of the rib cage clearly outlining the fractures ( Figure 2B). An isotope bone scan (99m Tc MDP) confirmed focally increased uptake of the tracer (Rt > Lt) in the first ribs corresponding to the fracture sites (Figure 3). The fracture on the right side appeared to correspond to the site of subclavian sulcus whereas the fracture on the left side was situated posterior to the expected location of the subclavian sulcus. Based on the imaging findings, diagnosis of stress fracture of bilateral first rib with pseudoarthrosis was made. He has been advised rest and is being managed conservatively. DISCUSSIONThe first rib is protected on all sides by the shoulder girdle and its musculature. Hence first rib fracture due to direct trauma is

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First Rib Stress Fractures in Throwing Athletes

Cited by 68 publications

References 21 publications

Isolated first rib fracture with minimal trauma

Isolated first rib fracture with minimal trauma

Bilateral first rib stress fractures in a female swimmer: a case report

Bilateral first rib fractures with pseudoarthrosis in a weight lifter

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