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Updated: Jun 21, 2025
06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
2.9K
Shoulder Pain - Don't Forget First Rib Fractures
Mário Correia1, Maria Clara Correia2, Ana Barros1
1Paediatric Surgery Department, Centro Hospitalar Universitário de Santo António, Portugal.
Summary
Isolated first rib fractures are rare in children and often missed. These fractures, even without clear trauma, can lead to thoracic outlet syndrome, necessitating careful diagnosis in pediatric patients.
Area of Science:
- Orthopedics
- Pediatric Traumatology
- Radiology
Background:
- First rib fractures are uncommon in pediatric populations due to skeletal plasticity.
- Traditionally, first rib fractures are associated with severe trauma.
Observation:
- Two cases of isolated first rib fractures in adolescents are presented.
- These fractures occurred without a clear identifiable cause or significant trauma mechanism.
Findings:
- Isolated first rib fractures can be an easily missed diagnosis in children.
- Fracture of the first rib can lead to thoracic outlet syndrome due to callus formation.
Implications:
- Highlights the need to consider isolated first rib fractures in pediatric patients with common complaints.
- Emphasizes investigation for neurovascular injuries in cases of first rib fractures.
- Underscores the scarcity of reports on isolated first rib fractures outside of sports medicine.
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