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Updated: Jun 3, 2026
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Isolated first rib fracture with minimal trauma
K J Breen1, J B Conneely, D C Winter
1Department of Surgery, iCORE, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Upper rib fractures can result from minor trauma, challenging traditional medical beliefs. A new term, "rebound" fracture, is proposed for these less severe upper rib injuries.
Area of Science:
- Orthopedic surgery
- Trauma medicine
- Sports medicine
Background:
- Traditional teaching associates upper rib fractures with severe trauma.
- High-risk injuries often involve neurovascular compromise.
Observation:
- An 18-year-old male sustained an isolated first rib fracture.
- The injury occurred after falling on his elbow during a soccer match.
Findings:
- This case demonstrates uncomplicated upper rib fractures can result from minor trauma.
- The proposed term "rebound" fracture describes this injury pattern.
Implications:
- Challenges the traditional understanding of upper rib fracture mechanisms.
- Highlights the need to consider less severe causes for first rib injuries.
- Informs clinical assessment and management of rib trauma in athletes.
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