Chan M C, Fenton P, Conlan A A
Division of Cardiothoracic Surgery, Queen's University, Kingston, Ont.
Can J Surg. 1994 Oct;37(5):425-7.
Spontaneous fractures of the first rib are uncommon and are usually thought to be associated with a malignant process. However, fatigue fractures of the first rib are being encountered increasingly in association with various physical activities. Typically, the fractures occur at the subclavian groove, but in the 48-year-old woman described in this report the fracture was unexpectedly situated in the posterior portion of the rib and was the result of snow shovelling, which was a new activity for the patient.
第一肋骨自发性骨折并不常见，通常被认为与恶性病变有关。然而，与各种体育活动相关的第一肋骨疲劳性骨折越来越多地被发现。典型情况下，骨折发生在锁骨下沟，但在本报告中描述的一名48岁女性中，骨折意外地位于肋骨后部，是铲雪导致的，而铲雪对该患者来说是一项新活动。
