This stress fracture of the left first rib in a 17-year-old, left-handed high school baseball pitcher represents the first of its type reported in the literature. Two similar cases have been reported in pitchers, but the fracture was on the nondominant side in both cases. In contrast to most cases of this rare lesion, the stress fracture we report occurred acutely and was documented roent genographically from onset to complete healing 9 months later.
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References
1.
Aitken AP, Lincoln RE Fracture of the first rib due to muscle pull New Engl J Med1101063-1064, 1939
2.
Albers JE, Rath RK, Glaser RS, et al Seventy of intrathoracic injuries associated with first nb fractures Ann Thorac Surg33614-618, 1982
3.
Alderson BR Further observations on fractures of the first nb Br J Radiol20345-359,1947
4.
Aspin J. Anomalous ossification of ribs as a cause of pseudarthrosis Br J Radiol2315-17, 1950
5.
Blichert-Toft M. Fatigue fractures of the first rib Acta Chir Scand135675-678, 1968
6.
Bowie ER, Jacobson HG Anomalous development of the first rib simulating isolated fracture Am J Roentgenol53161-165, 1945
7.
Breshn FJ Fractures of the first rib unassociated with fractures of other ribs Am J Surg35384-389, 1937
8.
Brooke R. Jive fractures of the first rib J Bone Joint Surg41B. 370-371, 1959
9.
Curran JP, Kelly DA Stress fracture of the first nb Am J Orthop816-18, 1966
10.
Devas MB, Sweetnam R. Stress fractures of the fibula A review of fifty cases in athletes J Bone Joint Surg38B818-829, 1956
11.
Fordham SD The significance of first rib fractures Med Times105118-119, 1977
12.
Freiberger RH, Mayer V. Ununited bilateral fatigue fractures of the first rib J Bone Joint Surg46A615-618, 1964
13.
Gershon-Cohen J., Delbridge RE Pseudarthrosis, synchondrosis, and other anomalies of the first ribs Am J Roentgenol53. 49-54, 1945
14.
Hartley JB Blind spots—first rib stresses—and the B I R Br J Radiol32: 561-571,1959
15.
Hartley JB Stress fractures of the first rib Lancet1446-447, 1945
16.
Horner DB Lumbar back pain arising from stress Fracture of the lower nbs J Bone Joint Surg46A1553-1556, 1964
17.
Jenkins SA Spontaneous fractures of both first nbs J Bone Joint Surg34B9-13,1952
18.
Kronenberger FL Stress fractures of the first nb occurring in two sisters Br J Tubercul Dis Chest51: 255-256, 1957
19.
Lorentzen JE , Movin M. Fracture of the first nb. Acta Orthop Scand47: 632-634, 1976
20.
Lorin MI, Slovis TL, Haller JO Fracture of the nbs in psychogenic cough New York State J Med782078-2079, 1978
21.
Phillips EG , Rogers WF, Gaspar MR First nb fractures Incidence of vascular injury and indications for angiography Surgery89: 42-47, 1981
22.
Powell FL Fractures of the first nb Its occurrence and clinical diagnosis Br Med J1: 282-285, 1950
23.
Rasad S. Golfer's fractures of the nbs Report of 3 cases Am J Roentgenol Radiother Nuclear Med120901-903, 1974
Sacchetti AD , Beswick DR, Morse SD Rebound nb Stress-induced first nb fractures Ann Emer Med12: 177-179, 1983
26.
Tullos HS, Erwin WD, Woods GW, et al: Unusual lesions of the pitching arm Chn Orthop88169-182, 1972
27.
Woodring JH , Fned AM, Hatfield DR, et al Fractures of the first and second ribs: Predictive value for arterial and bronchial injury Am J Roentgenol738-211-215.1982
28.
Wnght IS The neurovascular syndrome produced by hyperabduction of the arms Am Heart J191-19, 1945
29.
Yee ES, Thomas AN, Goodman PC Isolated first rib fractures: Clinical significance after blunt chest trauma Ann Thorac Surg32278-282, 1981
