Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Monday, July 26, 2021
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature

For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 19216
  Title First rib fracture of unknown etiology: A case report
Journal J Manipulative Physiol Ther. 2006 Sep;29(7):590-594
Peer Review Yes
Publication Type Case Report

OBJECTIVE: The purpose of this study is to describe the case of a patient with a first rib fracture discovered with advanced imaging once the patient did not respond to an initial course of care.

CLINICAL FEATURES: A 24-year-old otherwise healthy male electrician had medial scapular, upper thoracic, and sternal pain while using a power drill in the overhead position.

INTERVENTION AND OUTCOME: An initial trial of treatments consisting of spinal manipulation and modalities failed to alleviate the patient's symptoms. Chiropractic treatment was discontinued and further diagnostic testing with advanced imaging was performed. Once the pathology was identified, the patient was placed on light duty at work with restrictions limiting overhead activities. No other treatment was rendered. The patient was symptom-free approximately 10 months after the onset of pain.

CONCLUSIONS: Patients with complaints of spine and scapular pain may commonly present to a chiropractor for care. When these types of symptoms do not respond to conservative therapy, other causes should be investigated. In this case, the patient's symptoms resulted from a nontraumatic fracture of the first rib. First rib fractures should be considered in the differential diagnosis of patients with upper quadrant pain that is not responsive to conservative care.

Click on the above link for the PubMed record for this article; full text by subscription. Select a publisher from the LinkOut feature. This abstract is reproduced with the permission of the publisher. 


   Text (Citation) Tagged (Export) Excel
Email To
HTML Text     Excel

To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips