{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:48Z","timestamp":1787755308709,"version":"build-2784847793"},"reference-count":40,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Stress fractures of the first rib rarely have been reported in association with sports activities. We report a case of a cerebellar infarction that possibly was associated with arterial thoracic outlet syndrome (aTOS) that developed as a result of extensive callus formation in a young baseball player with a stress fracture of the first rib.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>According to the literature, almost all cases of stress fracture in the first rib have a relatively good prognosis, and there are only a few reports of TOS occurring as a rare late complication. To our knowledge, there have been no prior reports of cerebellar infarction associated with aTOS following a stress fracture of the first rib.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.17.00001","type":"journal-article","created":{"date-parts":[[2017,9,13]],"date-time":"2017-09-13T19:18:54Z","timestamp":1505330334000},"page":"e64-e64","source":"Crossref","is-referenced-by-count":10,"title":["Arterial Thoracic Outlet Syndrome and Cerebellar Infarction Following a Stress Fracture of the First Rib and Extensive Callus Formation"],"prefix":"10.2106","volume":"7","author":[{"given":"Yoshiyuki","family":"Suehara","sequence":"first","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.S., H.U., Y.T., and K.K.), General Thoracic Surgery (K.I. and K.S.), Neurology (N.M. and N.H.), and Human Pathology (T.S.), Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kota","family":"Imashimizu","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.S., H.U., Y.T., and K.K.), General Thoracic Surgery (K.I. and K.S.), Neurology (N.M. and N.H.), and Human Pathology (T.S.), Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobukazu","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.S., H.U., Y.T., and K.K.), General Thoracic Surgery (K.I. and K.S.), Neurology (N.M. and N.H.), and Human Pathology (T.S.), Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirohisa","family":"Uehara","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.S., H.U., Y.T., and K.K.), General Thoracic Surgery (K.I. and K.S.), Neurology (N.M. and N.H.), and Human Pathology (T.S.), Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.S., H.U., Y.T., and K.K.), General Thoracic Surgery (K.I. and K.S.), Neurology (N.M. and N.H.), and Human Pathology (T.S.), Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobutaka","family":"Hattori","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.S., H.U., Y.T., and K.K.), General Thoracic Surgery (K.I. and K.S.), Neurology (N.M. and N.H.), and Human Pathology (T.S.), Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.S., H.U., Y.T., and K.K.), General Thoracic Surgery (K.I. and K.S.), Neurology (N.M. and N.H.), and Human Pathology (T.S.), Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyoshi","family":"Saito","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.S., H.U., Y.T., and K.K.), General Thoracic Surgery (K.I. and K.S.), Neurology (N.M. and N.H.), and Human Pathology (T.S.), Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Departments of Orthopedic Surgery (Y.S., H.U., Y.T., and K.K.), General Thoracic Surgery (K.I. and K.S.), Neurology (N.M. and N.H.), and Human Pathology (T.S.), Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,9,13]]},"reference":[{"issue":"10","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1097\/00003072-200410000-00002","article-title":"Rib stress fractures","volume":"29","author":"Connolly","year":"2004","journal-title":"Clin Nucl Med."},{"issue":"6","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"599","DOI":"10.3928\/0147-7447-20010601-20","article-title":"Nonunion of a dominant side first rib stress fracture in a baseball pitcher","volume":"24","author":"Edwards","year":"2001","journal-title":"Orthopedics."},{"issue":"4","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1177\/036354658501300412","article-title":"Stress fracture of the ipsilateral first rib in a pitcher","volume":"13","author":"Gurtler","year":"1985","journal-title":"Am J Sports Med."},{"issue":"1","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2106\/00004623-198567010-00022","article-title":"Stress fracture of the first rib. 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