Bilateral First Rib Stress Fractures with Pseudoarthrosis in a Young Weightlifter: A Rare Cause of Shoulder Pain.
10.5763/kjsm.2017.35.2.121
- Author:
Jun Bum KIM
1
;
Sijohn HONG
Author Information
1. Department of Orthopedic Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. cyclopia@naver.com
- Publication Type:Case Report
- Keywords:
Ribs;
Stress fracture;
Pseudoarthrosis;
Weightlifter
- MeSH:
Analgesia;
Athletes;
Diagnosis;
Fractures, Stress*;
Humans;
Muscles;
Pseudarthrosis*;
Ribs*;
Shoulder Pain*;
Shoulder*;
Thorax;
Traction
- From:The Korean Journal of Sports Medicine
2017;35(2):121-124
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Isolated stress fracture of the first rib is quite rare cause of uncertain shoulder pain in athletes. These fractures are stress induced and precipitated by repeated traction of muscles acting on the first rib. A prompt diagnosis can shorten the time required for healing and decrease the risk of associated complication as nonunion or pseudoarthrosis. The diagnosis can be made by taking a thorough history and performing chest X-ray, computed tomography, or bone scan. Early recognition and proper management generally lead to successful outcomes and return to normal activities. Typically, they heal with conservative treatment with rest and mild analgesia. This report describes stress fractures of bilateral first rib in a weightlifter, one of which developed into a pseudoarthrosis as a result of persistent overhead activities due to missed diagnosis.
