Isolated bilateral first rib fracture associated with aortic valve tear

Bilateral first rib fractures with multi-organ complications: A case report and literature review

“…Tellechea suggested that the occurrence of bilateral first rib fractures should rule out the possibility of injury to the major vessels [ 31 ]. Vascular injuries in patients with first rib fractures range from 5.5 % to 48 %, and the aorta is the most common injury, followed by the subclavian artery [ 7 ].…”

First Rib Fracture of Unknown Etiology: A Case Report

“…First rib fractures most often result from severe direct trauma to the chest or upper torso and usually have concomitant injuries to the surrounding soft tissue, and bony and vascular structures. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Fractures clearly related to a traumatic event are routinely investigated using various diagnostic tests because of the obvious nature of the injury. Much less common, indirect mechanisms of fracture include sudden violent contraction of the neck musculature and bony fatigue due to repeated muscular pulling.…”