Isolated open comminuted fracture of the first rib

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Date: April-June 2019
From: Journal of Postgraduate Medicine(Vol. 65, Issue 2)
Publisher: Medknow Publications and Media Pvt. Ltd.
Document Type: Case study
Length: 770 words
Lexile Measure: 1210L

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Byline: M. Basha, K. Singaravelu, G. Mohana

In the emergency department, open isolated rib fractures are rarely seen. There is scarce literature related to open isolated first rib comminuted fracture. We report a 33-year-old male who presented with an isolated open first rib comminuted fracture following a road traffic accident. He did not have any neurovascular or major organ injuries and was managed successfully with conservative treatment.


An isolated first rib fracture with open wound following trauma is rarely seen in the emergency room. Many case reports have been published on closed first rib fracture following trauma and repetitive stress injury. According to our knowledge, there is scarcity of literature with an isolated open fracture of the first rib. Here we are presenting a case of isolated open first rib comminuted fracture following a road traffic accident.

Case Report

A 33-year-old male presented to our emergency department with a history of fall from the motorcycle while riding a two-wheeler and sustained injury to the right upper chest. The patient was taken to a nearby hospital for first aid and then referred to our institute for further management. At triage, his vitals...

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Gale Document Number: GALE|A584164887