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Article: Not all gymnastic exercises are suitable for everyone: An uncommon cause of thoracic outlet syndrome: A case report

TitleNot all gymnastic exercises are suitable for everyone: An uncommon cause of thoracic outlet syndrome: A case report
Authors
Wong, YWWong, DKHCheng, SWK
Keywordsthoracic outlet syndrome
spontaneous rib fracture
hypertrophic scalene muscles
Issue Date2021
PublisherJournal of Bone and Joint Surgery. The Journal's web site is located at http://caseconnector.jbjs.org
Citation
JBJS Case Connector, 2021, v. 11 n. 2, p. article no. e20.00984 How to Cite?
DOI: http://dx.doi.org/10.2106/JBJS.CC.20.00984
AbstractCase: A 34-year-old man spontaneously presented with bilateral thoracic outlet syndrome over 1 year. He was a gymnast active in rowing and weightlifting, with 'slanted' shoulders, narrowed costoclavicular spaces, and well-developed scalene muscles. Imaging revealed fractures of multiple bilateral upper ribs in various degrees of nonunion. The patient's symptoms improved after activity modification and physiotherapy. Conclusions: Atraumatic spontaneous rib fracture-nonunions are an uncommon cause of thoracic outlet syndrome; this diagnosis should be considered in physically active patients presenting with typical symptoms with atypical anatomy. Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated. Conflict of interest statement Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B405).
Persistent Identifierhttp://hdl.handle.net/10722/301551

 

DC FieldValueLanguage
dc.contributor.authorWong, YW-
dc.contributor.authorWong, DKH-
dc.contributor.authorCheng, SWK-
dc.date.accessioned2021-08-09T03:40:43Z-
dc.date.available2021-08-09T03:40:43Z-
dc.date.issued2021-
dc.identifier.citationJBJS Case Connector, 2021, v. 11 n. 2, p. article no. e20.00984-
dc.identifier.urihttp://hdl.handle.net/10722/301551-
dc.description.abstractCase: A 34-year-old man spontaneously presented with bilateral thoracic outlet syndrome over 1 year. He was a gymnast active in rowing and weightlifting, with 'slanted' shoulders, narrowed costoclavicular spaces, and well-developed scalene muscles. Imaging revealed fractures of multiple bilateral upper ribs in various degrees of nonunion. The patient's symptoms improved after activity modification and physiotherapy. Conclusions: Atraumatic spontaneous rib fracture-nonunions are an uncommon cause of thoracic outlet syndrome; this diagnosis should be considered in physically active patients presenting with typical symptoms with atypical anatomy. Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated. Conflict of interest statement Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B405).-
dc.languageeng-
dc.publisherJournal of Bone and Joint Surgery. The Journal's web site is located at http://caseconnector.jbjs.org-
dc.relation.ispartofJBJS Case Connector-
dc.rightsJBJS Case Connector. Copyright © Journal of Bone and Joint Surgery.-
dc.subjectthoracic outlet syndrome-
dc.subjectspontaneous rib fracture-
dc.subjecthypertrophic scalene muscles-
dc.titleNot all gymnastic exercises are suitable for everyone: An uncommon cause of thoracic outlet syndrome: A case report-
dc.typeArticle-
dc.identifier.emailWong, YW: yatwa@hkucc.hku.hk-
dc.identifier.emailWong, DKH: dwong85@hku.hk-
dc.identifier.emailCheng, SWK: swkcheng@hku.hk-
dc.identifier.authorityCheng, SWK=rp00374-
dc.identifier.doi10.2106/JBJS.CC.20.00984-
dc.identifier.pmid33882031-
dc.identifier.scopuseid_2-s2.0-85105974694-
dc.identifier.hkuros324007-
dc.identifier.volume11-
dc.identifier.issue2-
dc.identifier.spagearticle no. e20.00984-
dc.identifier.epagearticle no. e20.00984-
dc.identifier.eissn2160-3251-
dc.publisher.placeUnited States-

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