{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:27:07Z","timestamp":1787754427284,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n A 16-year-old, right-hand\u2013dominant, Asian male, elite tennis player presented to the clinic with a 1-month history of left shoulder pain. Originally, the pathology was believed to be shoulder-based, but lack of improvement after several weeks of therapy warranted further imaging, which ultimately revealed a nondisplaced fracture of the posterior left first rib.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Stress injuries are not uncommon in the sport of tennis, but atraumatic rib fractures are rare. Given the increase in youth sports specialization and overtraining and other risk factors such as adolescent age and race, it is important to keep rib stress fracture on the differential.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00519","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T11:05:10Z","timestamp":1677150310000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["First Rib Stress Fracture in an Adolescent Elite Tennis Player"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5928-9484","authenticated-orcid":false,"given":"Charlotte F.","family":"Wahle","sequence":"first","affiliation":[{"name":"David Geffen School of Medicine at UCLA, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Hart","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9235-6407","authenticated-orcid":false,"given":"Jennifer J.","family":"Beck","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California"},{"name":"Orthopaedic Institute for Children, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1]]},"reference":[{"issue":"4","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1177\/19417381211062834","article-title":"Age and gender differences in injuries and risk factors in elite junior and professional tennis players","volume":"14","author":"Rice","year":"2022","journal-title":"Sports 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