Index to Chiropractic Literature
Index to Chiropractic Literature
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Monday, July 26, 2021
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
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ID 19216
  Title First rib fracture of unknown etiology: A case report
URL http://www.ncbi.nlm.nih.gov/pubmed/16949951
Journal J Manipulative Physiol Ther. 2006 Sep;29(7):590-594
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

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. 


 

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