Case reportStress fracture of the first rib from serratus anterior tension: An unusual mechanism of injury
References (22)
- et al.
Severity of intrathoracic injuries associated with first rib fractures
Ann Thorac Surg
(1982) - et al.
Isolated first rib fracture: Clinical significance after blunt chest trauma
Ann Thorac Surg
(1981) - et al.
Rebound rib: Stress-induced first rib fracture
Ann Emerg Med
(1983) - et al.
Should all patients with first rib fracture undergo arteriography?
J Thorac Cardiovasc Surg
(1982) - et al.
Anomalous development of the first rib simulating isolated fracture
Am J Radiol
(1945) Fatigue fracture of the first rib
Acta Chir Scand
(1968)Further observations on fracture of the first rib
Br J Radiol
(1947)- et al.
Fractures of the first rib
Acta Orthop Scand
(1976) - et al.
First rib fracture: A hallmark of severe trauma
Ann Surg
(1975) - et al.
Fractures of the first rib associated with injuries to the clavicle
J Trauma
(1969)
Spontaneous fractures of both first ribs
J Bone Joint Surg [Br]
Cited by (35)
Costochondral calcification, osteophytic degeneration, and occult first rib fractures in patients with venous thoracic outlet syndrome
2012, Journal of Vascular SurgeryCitation Excerpt :Overt fractures of the first rib are usually considered to be the result of direct high-impact trauma and are frequently associated with significant multisystem injury.19,20 In contrast, stress fractures are less common and can be associated with minimal morbidity.21-23 Most stress fractures of the first rib are related to vigorous repetitive upper extremity motion, as seen in baseball players and other athletes,24-27 and may arise in a manner similar to stress fractures of other ribs, as observed in rowing athletes.28-31
Management of Proximal Humeral and First Rib Stress Fractures
2006, Operative Techniques in Sports MedicineCitation Excerpt :First reported by Jones in 1869, more recently these fractures have been noted as incidental findings on screening chest radiographs.31 Several different mechanisms have been implicated in this fracture, including external trauma, violent contraction of the neck musculature (stress fracture), and stress induced fatigue secondary to repetitive contraction of the neck musculature (fatigue fracture).16,21,22,24,26 The susceptibility of the first rib to stress and fatigue fracture is related to the anatomy.
First Rib Fracture of Unknown Etiology: A Case Report
2006, Journal of Manipulative and Physiological TherapeuticsImaging of Upper Extremity Stress Fractures in the Athlete
2006, Clinics in Sports MedicineCitation Excerpt :The resulting stress fracture occurs at the level of the groove for the subclavian artery—the site of maximum shear forces (Fig. 3). Notably, in throwers, these fractures tend to involve the first rib on the side of the nondominant arm [33]. Also known as “Little Leaguer's shoulder,” this is a stress reaction of the unfused proximal humeral physis that is usually seen in young, skeletally immature throwers.
Stress fracture of the first rib in a soccer player: A rare etiology of shoulder pain
2003, Journal of Shoulder and Elbow SurgeryCitation Excerpt :Ochi et al10 and Sacchetti et al12 reported cases of an active volleyball player and a basketball player, respectively. In addition, Mikawa and Kobori8 reported a case of a weight lifter, and a case resulting from the use of an exercise machine for the upper limb was reported by Mints et al.9 In all of the previously reported cases, stress fractures were caused by repetitive muscle action of the upper extremities. Our case, however, is in a soccer player who did not use his upper limbs very often.
Callus resection for brachial plexus compression following stress-induced first rib fracture
2002, Journal of Hand Surgery