Rib pseudoarthrosis with thoracic outlet syndrome in pediatric gymnast: a case report.
First rib
Pediatric
Pseudoarthrosis
Thoracic outlet syndrome
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
30 Nov 2023
30 Nov 2023
Historique:
received:
20
01
2023
accepted:
28
08
2023
medline:
4
12
2023
pubmed:
1
12
2023
entrez:
1
12
2023
Statut:
epublish
Résumé
This case study evaluates the diagnosis and treatment of a 12 year old Caucasian male gymnast who had several diagnoses including an isolated first rib fracture, resultant pseudoarthrosis of the first rib, and the development of symptomatic thoracic outlet syndrome. We discuss the causes, prevalence, and suggestions for prompt diagnosis and treatment of these conditions in pediatric patients. Although all three conditions are rare in a child, this case highlights the importance of having a high clinical index of suspicion in recurrent pain in pre-pubertal athletes. A 12 year old Caucasian male underwent several years of conservative treatment with physical therapy and rest without resolution of his left shoulder pain. He was subsequently diagnosed with pseudoarthrosis of the first rib and thoracic outlet syndrome, which was curative by surgical removal of the first rib, and allowed him to return to his baseline activity level. Since each of these diagnoses are rare, especially in the pediatric population, we aim to educate the medical community on the prompt diagnosis and treatment of these conditions.
Sections du résumé
BACKGROUND
BACKGROUND
This case study evaluates the diagnosis and treatment of a 12 year old Caucasian male gymnast who had several diagnoses including an isolated first rib fracture, resultant pseudoarthrosis of the first rib, and the development of symptomatic thoracic outlet syndrome. We discuss the causes, prevalence, and suggestions for prompt diagnosis and treatment of these conditions in pediatric patients. Although all three conditions are rare in a child, this case highlights the importance of having a high clinical index of suspicion in recurrent pain in pre-pubertal athletes.
CASE PRESENTATION
METHODS
A 12 year old Caucasian male underwent several years of conservative treatment with physical therapy and rest without resolution of his left shoulder pain. He was subsequently diagnosed with pseudoarthrosis of the first rib and thoracic outlet syndrome, which was curative by surgical removal of the first rib, and allowed him to return to his baseline activity level.
CONCLUSIONS
CONCLUSIONS
Since each of these diagnoses are rare, especially in the pediatric population, we aim to educate the medical community on the prompt diagnosis and treatment of these conditions.
Identifiants
pubmed: 38037096
doi: 10.1186/s13256-023-04182-8
pii: 10.1186/s13256-023-04182-8
pmc: PMC10687824
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
513Informations de copyright
© 2023. The Author(s).
Références
Ital J Pediatr. 2015 Mar 27;41:22
pubmed: 25881097
Br J Sports Med. 2004 Jun;38(3):e5
pubmed: 15155456
Pediatr Emerg Care. 2000 Feb;16(1):31-2
pubmed: 10698141
Am J Sports Med. 1991 Mar-Apr;19(2):198-201
pubmed: 2039074
Br Med Bull. 2008;86:33-57
pubmed: 18285352
Pain Ther. 2019 Jun;8(1):5-18
pubmed: 31037504