{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:18:00Z","timestamp":1790173080945,"version":"4.1.0"},"reference-count":15,"publisher":"National Athletic Trainers' Association","issue":"7-8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,1]]},"abstract":"<jats:p>Isolated first rib stress fractures in athletes are thought to be rare. In this case series, 3 National Collegiate Athletic Association Division I athletes developed isolated first rib stress fractures over the span of 1 year, indicating that these injuries may occur more often than previously understood. These fractures can be easily missed because of the low incidence, lack of clinical suspicion, and vague presentation. Further, radiographs can fail to reveal such fractures. To our knowledge, this is the largest case series of athletes with first rib stress fractures presenting with vague rhomboid interscapular pain. We also demonstrated that ultrasound successfully visualized these injuries; in the hands of an ultrasonographer or clinical provider trained in musculoskeletal ultrasound, this technique offers an advantageous point-of-care screening imaging modality.<\/jats:p>","DOI":"10.4085\/1062-6050-0375.21","type":"journal-article","created":{"date-parts":[[2022,5,27]],"date-time":"2022-05-27T18:28:14Z","timestamp":1653676094000},"page":"664-668","source":"Crossref","is-referenced-by-count":9,"title":["Ultrasound Identifies First Rib Stress Fractures: A Case Series in National Collegiate Athletic Association Division I Athletes"],"prefix":"10.4085","volume":"58","author":[{"given":"Dana L.","family":"Sheng","sequence":"first","affiliation":[{"name":"*Departments of Physical Medicine and Rehabilitation, University of California Davis Health, Sacramento"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Burnham","sequence":"additional","affiliation":[{"name":"\u2020Internal Medicine, University of California Davis Health, Sacramento"},{"name":"\u2021Sports Medicine, University of California Davis Health, Sacramento"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert D.","family":"Boutin","sequence":"additional","affiliation":[{"name":"\u2016Department of Radiology, Stanford University Hospital and Clinics, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremiah W.","family":"Ray","sequence":"additional","affiliation":[{"name":"*Departments of Physical Medicine and Rehabilitation, University of California Davis Health, Sacramento"},{"name":"\u2021Sports Medicine, University of California Davis Health, Sacramento"},{"name":"\u00a7Emergency Medicine, University of California Davis Health, 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