title: Thoracic Outlet Syndrome in a Volleyball Player Due to Nonunion of the First Rib Fracture.
abstract: Fracture of the first rib with ensuing callus formation is a rare cause of thoracic outlet syndrome. We report a case of a 17-year-old female volleyball player who presented with months of chronic arm pain. Radiographic imaging demonstrated nonunion fracture of the first rib. Physical therapy had been unsuccessful in relieving the pain, and surgical management was performed with resection of the first rib through a transaxillary approach with complete resolution of symptoms. Inflammation surrounding such fractures may destroy tissue planes, making dissection more technically difficult.
authors: 1 Division of Vascular Diseases and Surgery, Department of Surgery, Ohio State University College of Medicine, Ohio State University Wexner Medical Center, Columbus, OH, USA.
authors: Kathleen T
authors: KT
authors: Puttmann
authors: 1 Division of Vascular Diseases and Surgery, Department of Surgery, Ohio State University College of Medicine, Ohio State University Wexner Medical Center, Columbus, OH, USA.
authors: Bhagwan
authors: B
authors: Satiani
authors: 1 Division of Vascular Diseases and Surgery, Department of Surgery, Ohio State University College of Medicine, Ohio State University Wexner Medical Center, Columbus, OH, USA.
authors: Patrick
authors: P
authors: Vaccaro
mesh_terms: D000293:Adolescent; D002146:Bony Callus / Q000000981:diagnostic imaging / Q000601:surgery; D059350:Chronic Pain / Q000209:etiology; D005260:Female; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010027:Osteotomy; D020127:Recovery of Function; D012253:Rib Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013901:Thoracic Outlet Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D054798:Volleyball / Q000293:injuries*
keywords: athletic injury; first rib fracture; thoracic outlet syndrome