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Physical therapy had been unsuccessful in relieving the pain, and surgical management was performed with resection of the first rib through a transaxillary approach with complete resolution of symptoms. Inflammation surrounding such fractures may destroy tissue planes, making dissection more technically difficult.<\/jats:p>","DOI":"10.1177\/1538574416674642","type":"journal-article","created":{"date-parts":[[2016,10,21]],"date-time":"2016-10-21T20:29:36Z","timestamp":1477081776000},"page":"563-565","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Thoracic Outlet Syndrome in a Volleyball Player Due to Nonunion of the First Rib Fracture"],"prefix":"10.1177","volume":"50","author":[{"given":"Kathleen T.","family":"Puttmann","sequence":"first","affiliation":[{"name":"Division of Vascular Diseases and Surgery, Department of Surgery, Ohio State University College of Medicine, Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhagwan","family":"Satiani","sequence":"additional","affiliation":[{"name":"Division of Vascular Diseases and Surgery, Department of Surgery, Ohio State University College of Medicine, Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Vaccaro","sequence":"additional","affiliation":[{"name":"Division of Vascular Diseases and Surgery, Department of Surgery, Ohio State University College of Medicine, Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,10,23]]},"reference":[{"key":"bibr1-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504265193"},{"key":"bibr2-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31802dc87c"},{"key":"bibr3-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2013.08.014"},{"key":"bibr4-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.11.124"},{"key":"bibr5-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2014.11.029"},{"key":"bibr6-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2003.009225"},{"issue":"2","key":"bibr7-1538574416674642","first-page":"201","volume":"4","author":"Sakata T","year":"2005","journal-title":"J Sports Sci Med"},{"key":"bibr8-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505275349"},{"key":"bibr9-1538574416674642","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199112010-00005"},{"key":"bibr10-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.739"},{"key":"bibr11-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.04.013"},{"key":"bibr12-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-007-0355-2"},{"key":"bibr13-1538574416674642","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.03.011"},{"issue":"4","key":"bibr14-1538574416674642","first-page":"179","volume":"63","author":"Ruci\u0144ski A","year":"2006","journal-title":"Przegl Lek"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574416674642","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1538574416674642","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574416674642","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:27:29Z","timestamp":1777703249000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1538574416674642"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10,23]]},"references-count":14,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1177\/1538574416674642"],"URL":"https:\/\/doi.org\/10.1177\/1538574416674642","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10,23]]}}}