Proffer D S, Patton J J, Jackson D W
Southern California Center for Sports Medicine, Long Beach 90806.
Am J Sports Med. 1991 Mar-Apr;19(2):198-201. doi: 10.1177/036354659101900218.
Isolated fracture of the first rib is uncommon, but has been reported to occur in sports such as basketball, baseball, and dancing. It has not been reported to occur in gymnasts. Usually, these fractures heal with an adequate period of rest. Rarely do first rib fractures become nonunions. They have been felt to be asymptomatic and are usually found incidentally on routine chest roentgenograms. Symptomatic nonunion of a first rib fracture has not been reported previously. Our patient did not respond to nonoperative treatment and required surgical intervention to alleviate her symptoms. We agree that most fractures of this type heal without complications. However, if a persistently symptomatic nonunion ensues, we suggest transaxillary resection of 90% or more of the first rib.
第一肋骨孤立性骨折并不常见，但据报道在篮球、棒球和舞蹈等运动中会发生。尚未有报道称其发生在体操运动员身上。通常，这些骨折通过足够的休息时间即可愈合。第一肋骨骨折很少会出现骨不连。过去认为它们没有症状，通常在常规胸部X线检查时偶然发现。此前尚未有第一肋骨骨折出现症状性骨不连的报道。我们的患者非手术治疗无效，需要手术干预以缓解症状。我们认同大多数此类骨折可顺利愈合而无并发症。然而，如果出现持续有症状的骨不连，我们建议经腋路切除第一肋骨的90%或更多。
