Location: Department of Emergency Medicine, Kaiser Permanent Medical Care Program, Harbor City, California.
Source: Annals of Emergency Medicine 14: 4 April 1985
Case Report: Anterolateral fracture of the first rib produced by indirect trauma in a surfer.
A case of anterolateral first rib fracture produced by indirect trauma in a surfer is presented. A 17-year-old man was seen in the emergency depart- ment with the complaint of left shoulder pain that developed while he per- formed a so-called lay back maneuver on a surfboard. No history of direct trauma was elicited. After physical examination revealed point tenderness high in the left axilla, radiographic evaluation of the chest showed an iso- lated fracture of the anterolateral aspect of the left first rib. No morbidity was associated with this fracture which, when produced by other forces, can have serious sequelae.
SID opinion: 🤙. Case report demonstrates the great strength and energy involved in surfing maneuvers, which can even generate fractures.
SID Tip: Fitness is essential to avoid surfing injury.