{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:24Z","timestamp":1787755164000,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 15-year-old right-hand-dominant adolescent girl presented with a nondisplaced first rib fracture and evidence of mesoacromion. She reported radiating numbness, pain, temperature change, and paresthesia in her left arm. An MRI revealed a first rib fracture along with brachial plexus and scalene musculature inflammation. Follow-up radiographs demonstrated bilateral rib anomalies during routine comparison views.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Congenital pseudarthrosis of the first rib occurs but is not well documented in the literature. This case report describes a case of congenital bilateral first rib pseudarthrosis with associated thoracic outlet syndrome symptoms in a competitive female softball athlete.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00594","type":"journal-article","created":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T14:18:39Z","timestamp":1627654719000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Acute Thoracic Outlet Syndrome Associated with Congenital Pseudarthrosis of the First Rib"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5486-8997","authenticated-orcid":false,"given":"T. Whitney","family":"Gibson","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopaedics, Shriners Hospitals for Children\u2014Greenville, Greenville, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1790-2695","authenticated-orcid":false,"given":"Lisa","family":"Carson","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopaedics, Shriners Hospitals for Children\u2014Greenville, Greenville, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7]]},"reference":[{"issue":"4","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"222","DOI":"10.5435\/JAAOS-D-13-00215","article-title":"Thoracic outlet syndrome","volume":"23","author":"Kuhn","year":"2015","journal-title":"J Am Acad Orthop Surg."},{"issue":"2","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/S0377-1237(11)60032-4","article-title":"Bilateral first rib fractures with pseudoarthrosis in a weight lifter","volume":"67","author":"Satija","year":"2011","journal-title":"Med J Armed Forces India."},{"issue":"4","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1148\/rg.2016150221","article-title":"Imaging of the patient with thoracic outlet syndrome","volume":"36","author":"Raptis","year":"2016","journal-title":"Radiographics."},{"issue":"2","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1136\/bjsm.2002.002998","article-title":"Pseudarthrosis of the first rib in the overhead athlete","volume":"38","author":"Mithofer","year":"2004","journal-title":"Br J Sports Med."},{"issue":"1","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/JSM.0b013e3181919495","article-title":"First rib stress fracture and pseudarthrosis in the adolescent athlete: the role of costosternal anatomy","volume":"19","author":"O'Neal","year":"2009","journal-title":"Clin J Sport Med."},{"issue":"4","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"623","DOI":"10.2106\/00004623-200204000-00019","article-title":"Subluxation of the sternoclavicular joint secondary to pseudarthrosis of the first and second ribs","volume":"84","author":"Crosby","year":"2002","journal-title":"J Bone Jt Surg Am."},{"issue":"1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.diii.2014.11.029","article-title":"Pseudarthrosis of the cartilaginous part of the first rib is a common incidental finding on chest CT","volume":"97","author":"Gossner","year":"2016","journal-title":"Diagn Interv Imaging."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00594","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:34Z","timestamp":1787751514000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00594"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00594","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}