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Rib pseudoarthrosis with thoracic outlet syndrome in pediatric gymnast: a case report.

Authors :
Kraft J
Contrucci AL
Source :
Journal of medical case reports [J Med Case Rep] 2023 Nov 30; Vol. 17 (1), pp. 513. Date of Electronic Publication: 2023 Nov 30.
Publication Year :
2023

Abstract

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.<br />Case Presentation: 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.<br />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.<br /> (© 2023. The Author(s).)

Details

Language :
English
ISSN :
1752-1947
Volume :
17
Issue :
1
Database :
MEDLINE
Journal :
Journal of medical case reports
Publication Type :
Academic Journal
Accession number :
38037096
Full Text :
https://doi.org/10.1186/s13256-023-04182-8