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Stress fracture of the ipsilateral first rib in a pitcher

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania,Cornell University Medical College, New York, New York

Helene Pavlov, MD

Department of Radiology, Cornell University Medical College, New York, New York

Joseph S. Torg, MD

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania,Cornell University Medical College, New York, New York

This stress fracture of the left first rib in a 17-year-old, left-handed high school baseball pitcher represents the first of its type reported in the literature. Two similar cases have been reported in pitchers, but the fracture was on the nondominant side in both cases. In contrast to most cases of this rare lesion, the stress fracture we report occurred acutely and was documented roent genographically from onset to complete healing 9 months later.

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