STRESS-FRACTURE OF THE 1ST RIB FROM SERRATUS ANTERIOR TENSION - AN UNUSUAL MECHANISM OF INJURY

被引：32

作者：

MINTZ, AC

ALBANO, A

REISDORFF, EJ

CHOE, KA

LILLEGARD, W

机构：

[1] College of Human Medicine, Michigan State University, Lansing, MI

[2] Emergency Medicine Residency, Michigan State University, Lansing, MI

[3] Department of Radiology, Michigan State University, Lansing, MI

[4] Department of Sports Medicine, Michigan State University, Lansing, MI

来源：

ANNALS OF EMERGENCY MEDICINE | 1990年 / 19卷 / 04期

关键词：

first rib; fracture; stress;

D O I：

10.1016/S0196-0644(05)82349-2

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Fracture of the first rib usually results from high-impact, direct trauma. Stress fractures are less common and are associated with minimal morbidity. The case of a patient with a stress fracture resulting from the use of an exercise machine is reported. Previous reports have attributed stress and fatigue fractures of the first rib to the forces exerted by the scalene muscles. A new pathophysiologic mechanism involving the serratus anterior muscle is introduced and is supported by T2 relaxation times from magnetic resonance imaging. Stress and fatigue fractures of the first rib have minimal complications. An aggressive diagnostic evaluation of first rib fractures occurring by this mechanism is not warranted. © 1990 American College of Emergency Physicians.

引用

页码：411 / 414

页数：4

共 22 条

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