Nonunion of a first rib fracture causing thoracic outlet syndrome in a basketball player: A case report

Terabayashi, Nobuo; Ohno, Takatoshi; Nishimoto, Yuji; Oshima, Koji; Takigami, Iori; Yasufuku, Yoshinori; Shimizu, Katsuji

doi:10.1016/j.jse.2010.03.011

Cited by 25 publications

(21 citation statements)

References 13 publications

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“…Most of these patients are associated with motor vehicle accidents (3). More recently fractures of the first rib are associated with stress injury, bony fatigue, Horner's syndrome and thoracic outlet syndrome in the literature (4)(5)(6). Formerly, arteriography was the standard diagnostic method in all patients with first rib fractures because of the subclavian artery and aortic injuries, but recently, computed tomography is preferred due to lowermorbidity (2).…”

Section: Introductionmentioning

confidence: 99%

Traumatic First Rib Fractures

Yazkan¹

2012

JAEM

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Objective: Traumatic first rib fracture is associated with multisystem injuries, morbidity and mortality. We wish to report thoracic and extrathoracic injuries related with traumatic first rib fracture in this study. Material and Methods: Due to rib fractures, 162 cases were hospitalized between June 2008-April 2011, 11 (6.8%) of these cases were accompanied by first rib fracture. The first rib fracture patients were evaluated according to gender, age, etiologies of trauma, thoracic and extrathoracic injuries, diagnostic and treatment modalities, morbidity and mortality. All patients were evaluated by a multidisciplinary trauma team in the emergency department. Results: Eight cases (72.7%) were male and 3 (27.3%) were female, ages ranged from 27 to 67 age, the average was 36.7. All of the cases were blunt trauma. 10 (90.9%) cases included thoracic injuries, 3 (27.3%) cases had no extrathoracic injuries. There was no any vascular, neurological injuries and mortality. Conclusion:The first rib fracture is associated with serious thoracic and extrathoracic injuries, but not always with vascular, neurological injuries and mortality. The trauma team must know the potential severity of the first rib fracture. A multidisciplinary approach, early diagnosis, appropriate treatment and observation in the intensive care unit may be prevent morbidity and/or mortality. (JAEM 2012; 11: 27-30)

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Section: Introductionmentioning

confidence: 99%

Traumatic First Rib Fractures

Yazkan¹

2012

JAEM

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“…Successful treatment consisted of first rib resection. 10 Therefore, this type of fracture should be carefully monitored. The findings in the present cases were suggestive of stress fractures.…”

Section: Discussionmentioning

confidence: 99%

Stress Fractures of the First Rib Related to Swinging of a Baseball Bat

Kawashima

Terabayashi

Miyagawa

et al. 2016

Clinical Journal of Sport Medicine

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Stress fractures of the first rib are uncommon, and few reports have described the occurrence of this injury in overhead-throwing athletes. Furthermore, although there have been a few reports of first rib stress fractures on the throwing side in baseball players, fractures on the nonthrowing side are very rare. Here, we report 2 cases of first rib stress fractures on the nonthrowing side related to swinging of a baseball bat. The cause of the fractures in the present cases may have been repetitive traction and shear force on the first rib resulting from muscle exertion while swinging a bat. Conservative treatment that considered the mechanism of stress fractures resulted in a symptom-free and complication-free return to baseball. The patient's background should be considered for an accurate understanding of the injury mechanism, adequate conservative therapeutic plan, and a successful return to baseball.

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“…This space is compromised with shoulder abduction as the clavicle moves posteriorly, but it can be compromised also from callus due to a prior fracture (39).…”

Section: Anatomy/etiologiesmentioning

confidence: 99%

“…Patients with ATOS may complain initially of a dull ache, numbness, or discomfort in the affected extremity, which becomes worse with activity and improves with rest (10,39). Traditionally, the term ''claudication'' was used to describe ischemic symptoms in this area.…”

Section: Diagnosis/evaluation Historymentioning

confidence: 99%

Arterial Thoracic Outlet Syndrome

Daniels

Michaud²,

Sease

et al. 2014

Current Sports Medicine Reports

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Arterial thoracic outlet syndrome is a rare cause of shoulder pain due to compression of the subclavian or axillary artery within the thoracic outlet. It is the least common form of thoracic outlet syndrome but is potentially dangerous as it can result in significant morbidity. An athlete initially may present with exertional pain, early fatigability, a dull ache, or discomfort in the affected arm. History and physical examination are paramount in diagnosis, and imaging confirms the anatomy. Surgical repair or resection alleviates the compression of the affected structure and allows for a safe return to participation. Familiarity with this condition aids in the prompt diagnosis and treatment of this disorder.

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Nonunion of a first rib fracture causing thoracic outlet syndrome in a basketball player: A case report

Cited by 25 publications

References 13 publications

Traumatic First Rib Fractures

Traumatic First Rib Fractures

Stress Fractures of the First Rib Related to Swinging of a Baseball Bat

Arterial Thoracic Outlet Syndrome

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