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Updated: Sep 15, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Atraumatic first rib fracture after weightlifting
Kelley Gorsuch1, Sean M Bryant1
1Cook County Health, Department of Emergency Medicine, Chicago, IL, United States of America.
Abstract:
Atraumatic first rib fractures are an uncommon diagnosis in the emergency department and case reports are lacking in the Emergency Medicine literature. A 26-year-old man presented to the emergency department with significant right shoulder pain after weightlifting. Plain radiographs showed no fracture or dislocation with a subsequent CT revealing a first rib fracture. Given the uncommon nature of this injury, first rib fractures should be considered in patients with recent weightlifting or similarly explosive activity.
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