{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:57:18Z","timestamp":1790935038096,"version":"4.1.0"},"reference-count":62,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T00:00:00Z","timestamp":1694217600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sports Health: A Multidisciplinary Approach"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>A nationally ranked Division One female collegiate tennis player presented with pain in the chest and right posterior rib region after feeling a popping sensation during a routine overhead movement. The patient was eventually diagnosed with 2 lower rib stress fractures. After unsuccessful conservative management, the player underwent an open reduction and internal fixation and autologous bone grafting of the sixth and seventh ribs with a muscle-sparing approach and was able to return to full competition. We present this case along with a systematic review of the literature regarding rib stress fractures, which included 6 separate online data sources (PubMed, EMBASE, Cochrane, CINAHL, SportDiscus, and Medline). The successful surgical intervention demonstrates a significant option for elite athletes who wish to return to competition but have been unable to with standard of care conservative management of rib stress fractures.<\/jats:p>","DOI":"10.1177\/19417381231195271","type":"journal-article","created":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T08:39:26Z","timestamp":1694248766000},"page":"573-580","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Rib Stress Fractures and a Novel Muscle-Sparing Rib Fixation Plating in an Elite Tennis Player: A Systematic Review of the Literature and Case Report"],"prefix":"10.1177","volume":"16","author":[{"given":"Marcus","family":"Fearing","sequence":"first","affiliation":[{"name":"Department of Family Medicine and Sports Medicine, University of Kansas Health System, Kansas City, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vafa","family":"Behzadpour","sequence":"additional","affiliation":[{"name":"University of Kansas School of Medicine - Wichita Campus, Wichita, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard D.","family":"House","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, University of Kansas Health System, Kansas City, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armin","family":"Tarakemeh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, University of Kansas Health System, Kansas City, Kansas)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tucker","family":"Morey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, University of Kansas Health System, Kansas City, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Randall","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, University of Kansas Health System, Kansas City, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"Vopat","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Sports Medicine, University of Kansas Health System, Kansas City, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Philippe","family":"Darche","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Sports Medicine, University of Kansas Health System, Kansas City, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,9]]},"reference":[{"key":"bibr1-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1097\/BCO.0000000000000559"},{"key":"bibr2-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509358322"},{"key":"bibr3-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1177\/036354658801600622"},{"key":"bibr4-19417381231195271","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199928020-00004"},{"key":"bibr5-19417381231195271","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200011000-00002"},{"key":"bibr6-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290010201"},{"issue":"4","key":"bibr7-19417381231195271","first-page":"458","volume":"39","author":"Bojani\u0107 I","year":"1998","journal-title":"Croat Med J"},{"key":"bibr8-19417381231195271","first-page":"169","volume":"36","author":"Breithaupt J","year":"1855","journal-title":"Med Z Berl"},{"key":"bibr9-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199607000-00011"},{"key":"bibr10-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e3181cb12df"},{"key":"bibr11-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.08.048"},{"key":"bibr12-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505275349"},{"issue":"1","key":"bibr13-19417381231195271","first-page":"16","volume":"8","author":"Curran JP","year":"1966","journal-title":"Am J Orthop"},{"key":"bibr14-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2016-000059"},{"key":"bibr15-19417381231195271","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-20010601-20"},{"issue":"2","key":"bibr16-19417381231195271","first-page":"308","volume":"8","author":"Fujioka H","year":"2009","journal-title":"J Sports Sci Med"},{"key":"bibr17-19417381231195271","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.01375"},{"key":"bibr18-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1080\/00913847.2015.1116363"},{"issue":"2","key":"bibr19-19417381231195271","first-page":"e58","volume":"30","author":"Gower K","year":"2020","journal-title":"Clin J Sport Med"},{"key":"bibr20-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300412"},{"key":"bibr21-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-014-1863-0"},{"key":"bibr22-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-199712000-00004"},{"key":"bibr23-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300509"},{"key":"bibr24-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1007\/s10776-002-0632-5"},{"issue":"2","key":"bibr25-19417381231195271","volume":"23","author":"Johnson J","year":"2013","journal-title":"Clin J Sport Med"},{"key":"bibr26-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260040701"},{"key":"bibr27-19417381231195271","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000278"},{"key":"bibr28-19417381231195271","unstructured":"Kiel J, Kaiser K. 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