Unusual cough related stress injuries

Oren, V.; Kozenitzky, I.; Babiacki, A.; Stern, Avraham

doi:10.1007/bf00253451

Cited by 10 publications

(2 citation statements)

References 5 publications

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“…A stress fracture is caused by repeated opposing physical forces that ultimately overcome the limit of fatigue of bone. They usually occur over a period of days or weeks 6 . There are a number of case reports documenting stress fractures of the first rib secondary to a variety of activities, for example jive dancing, 7 carrying a school bag, 3 excessive nautilus machine workout, 8 throwing a basketball, 9 lifting of objects whilst working in a factory, 10 snow shovelling, 11 and weightlifting 12 Figure 2b.…”

Section: Discussionmentioning

confidence: 99%

Fracture of the first rib as a consequence of pertussis infection

Prasad

Baur

2001

J Paediatrics Child Health

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We report the first described case of a first rib fracture secondary to pertussis infection. An 11-year-old boy presented with sudden onset of severe right-sided pleuritic chest pain on a background of a 6 week history of a coughing illness and considerable weight loss. Pertussis was clinically suspected and proven on serology. A cause for the severe pain was initially difficult to confirm, causing some concern regarding possible underlying pathology, but was later demonstrated to be due to a first rib fracture. The anatomy of the first rib, and the biomechanical forces placed upon it that are exacerbated during a coughing illness are described.

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Section: Discussionmentioning

confidence: 99%

Fracture of the first rib as a consequence of pertussis infection

Prasad

Baur

2001

J Paediatrics Child Health

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“…Stress fractures of the rib have been related to sports such as golf, rowing, pitching, swimming, and bodybuilding [4][5][6][7][8][9]. Only a few reports discuss rib fractures due to coughing [10][11][12][13][14]. In pregnancy, the body is subjected to various physiological changes that make women more vulnerable.…”

Section: Introductionmentioning

confidence: 99%

Rib stress fractures in pregnancy: a case report and review of literature

Pouwels¹,

Dabekausen²

2017

Clin. Exp. Obstet. Gynecol.

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Thoracic pain in pregnancy has a broad differential diagnosis. The authors report a young pregnant woman with acute pain in the thoracic region due to a rib fracture after a coughing flare. Physicians must be aware of the broad differential diagnosis (and its clinical consequences) of thoracic pain in pregnancy. Radiographic imaging is not necessary if the clinical signs are obvious. If there is no suspicion for underlying pathology other (expensive) diagnostic tests lose their value. Treatment consists of adequate analgesia and no further measures need to be taken.

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