젊은 역도 선수에게 발생한 양측성 제1늑골의 피로골절: 견부 동통의 드문 원인

Abstract

Isolated stress fracture of the first rib is quite rare cause of uncertain shoulder pain in athletes. These fracturesare stress induced and precipitated by repeated traction of muscles acting on the first rib. A prompt diagnosis canshorten the time required for healing and decrease the risk of associated complication as nonunion orpseudoarthrosis. The diagnosis can be made by taking a thorough history and performing chest X-ray, computedtomography, or bone scan. Early recognition and proper management generally lead to successful outcomes andreturn to normal activities. Typically, they heal with conservative treatment with rest and mild analgesia. This reportdescribes stress fractures of bilateral first rib in a weightlifter, one of which developed into a pseudoarthrosis asa result of persistent overhead activities due to missed diagnosis.