title: Upper extremity and rib stress fractures in a child.
abstract: Stress fractures in children are rare compared with the incidence in adults. This report describes an 11-year-old girl with stress fractures of the acromion, clavicle, and first rib on the left and contralateral fractures of the first and second ribs. It was eventually discovered that these fractures were caused by a nervous tic consisting of repetitive, vigorous shrugging and translation of the shoulders.
authors.affiliation: Department of Orthopedic Surgery, Nemours Children's Clinic, Orlando, Florida, USA.
authors.forename: B S
authors.initials: BS
authors.lastname: Moon
authors.forename: C T
authors.initials: CT
authors.lastname: Price
authors.forename: J B
authors.initials: JB
authors.lastname: Campbell
mesh_terms: D000174:Acromion / Q000000981:diagnostic imaging / Q000293:injuries*; D002648:Child; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D015775:Fractures, Stress / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D011859:Radiography; D012253:Rib Fractures / Q000000981:diagnostic imaging* / Q000209:etiology*; D013981:Tic Disorders / Q000150:complications*