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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2009, Number 6

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Acta Ortop Mex 2009; 23 (6)

Pseudoarthrosis of the first rib in a patient who practices yoga. A case report

Tarazona VP, Romo RR

Language: Spanish
References: 14
Page: 383-385
PDF size: 81.11 Kb.


ABSTRACT

Introduction: Pseudoarthrosis of the first rib is a rare condition that may occur in athletes as a result of repetitive activities, mainly overhead. The usual clinical presentation is pain in the neck or the ipsilateral shoulder. Case report: This is the case of a 19-year-old female patient who had sudden pain of the base of the neck while doing yoga. Pseudoarthrosis of the first rib was diagnosed with X-rays and CAT scan. Treatment consisted of a rehabilitation and physical therapy program that was successful despite the persistence of the pseudoarthrosis. Discussion: Cases of first rib fractures have been reported in athletes practicing multiple activities; however, pseudoarthrosis cases are rare since most of them progress to bone healing. This is the first reported case of a fracture or pseudoarthrosis in a patient practicing yoga. As in most reported cases, conservative treatment was successful. Conclusion: Fractures and pseudoarthrosis of the first rib are rare in athletes and should be included in the differential diagnosis of athletes presenting with shoulder and neck pain. Conservative treatment is successful in most cases.


REFERENCES

  1. Edwards TB, Murphy C: Nonunion of a dominant side first rib stress fracture in a baseball pitcher. Orthopedics 2001; 24: 599-600.

  2. Gurtler R, Pavlov H, Torg JS: Stress fracture of the ipsilateral first rib in a pitcher. Am J Sports Med 1985; 13: 277-9.

  3. Kemp SPT, Targett SGR: Injury to the first rib synchondrosis in a rugby footballer. Br J Sports Med 1999; 33: 131-2.

  4. Proffer DX, Patton JJ, Jakson D: Nonunion of a first rib fracture in a gymnast. Am J Sports Med 1991; 19: 198-201.

  5. Sachetti AD, Beswick DR, Morse SD: Rebound rib: stress-induced first rib fracture. Ann Emerg Med 1983; 12: 177-9.

  6. Barret GR, Shelton WR, Miles JW. First rib fractures in football players. A case report and literature review. Am J Sports Med 1988; 16: 674-6.

  7. Mithöffer K, Giza E: Pseudoarthrosis of the first rib in the overhead athelete. Br J Sports Med 2004; 38: 221-2.

  8. Aitken AP, Lincoln RE: Fracture of the first rib due to muscle pull. N Engl J Med 1939; 220: 1063-4.

  9. Mintz AC, Alabano A, Reisdorff EJ, et al: Stress fracture of the first rib from serratus anterior tension: an unsual mechanism of injury. Ann Emerg Med 1990; 19: 411-4.

  10. Siegel RS, Stelchen FM: Cervicothoracic outlet syndrome. Vascular compromise caused by congenital abnormality of the thoracic ribs. J Bone Joint Surg Am 1967; 49: 1187-92.

  11. Crosby L, Rubino J. Subluxation of the sternoclavicular joint secondary to pseudoarthrosis of the first and second ribs. J Bone Joint Surg A 2002; 84(4): 623-6.

  12. Eden KC: The vascular complications of cervical ribs and first thoracic rib abnormalities. Br J Surg 1939; 27: 111-39.

  13. Ochi M, Sasashige Y, Murakami T, et al: Brachial plexus palsy secondary to stress fracture of the first rib. J Trauma 1994; 36: 128-30.

  14. Etter LE. Osseous abnormalities of the thoracic cage in forty thousand consecutive chest photoroentgenograms. Am J Roentgen 1944; 51: 359-63.




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