Fratura bilateral de primeira costela em mergulho com colete salva-vidas / Bilateral first rib fracture in a dive with life vest

As fraturas de primeira costela são incomuns e geralmente associadas a grandes traumas torácicos a ponto de servirem como associação com a gravidade do trauma. As fraturas isoladas bilaterais de primeira costela sem grandes traumas torácicos são raramente descritas na literatura. Os sintomas podem passar despercebidos e serem minimizados dificultando o diagnóstico desta condição. O presente relato mostra um trauma direto sobre a região supraclavicular com sintomas de contusão do plexo braquial numa queda de jet ski com uso de salva-vidas. É feita uma revisão da literatura mostrando as diversas faces do problema discutindo-se o tratamento desta condição.

First rib fractures are uncommon and are generally related to major thoracic traumas, so much so that they indicate the severity of the trauma. Isolated bilateral first rib fractures without major thoracic trauma are rarely described in the literature. Symptoms may go unnoticed and could be minimal, making diagnosis of this condition difficult. The present report presents a direct trauma of the supraclavicular region with symptoms of contusion of the brachial plexus, caused by a fall from a jet ski using a life vest. A review was done of literature indicating the various facets of the problem and discussing treatment of this condition.

BILATERAL FIRST RIB FRACTURE IN A DIVE WITH LIFE VEST.

First-rib fractures are uncommon and are generally related to major thoracic trauma: so much so that they serve to indicate the severity of the trauma. Isolated bilateral first-rib fractures without major thoracic trauma are rarely described in the literature. The symptoms may go unnoticed and be minimized, thus making this condition difficult to diagnose. The present report presents a case of direct trauma on the supraclavicular region with symptoms of contusion of the brachial plexus, caused by a fall from a jet ski while a life vest was being used. The literature was reviewed to show the various facets of the problem and the treatment for this condition was discussed.