Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Chiropractic & Manual Therapies
Published in: Chiropractic & Manual Therapies 1/2013

Open Access 01-12-2013 | Case report

First rib fracture and Horner’s syndrome due to a motor vehicle collision: a case report

Author: James Demetrious

Published in: Chiropractic & Manual Therapies | Issue 1/2013

Login to get access

Abstract

A case of a first rib fracture and Horner's syndrome due to a motor vehicle collision is reported. Initial evaluation in a hospital emergency department and follow-up by a medical primary care physician failed to provide identification of the Horner’s syndrome. Careful assessment and review of the patient’s symptoms, signs and images revealed this uncommon and important neurologic case presentation. A brief discussion related to traumatic first rib fracture, Horner’s syndrome and arterial dissections of the neck is provided.
Appendix
Available only for authorised users
Literature
1.
Davagnanam I, Fraser CL, Miszkiel K, Daniel CS, Plant GT: Adult Horner’s syndrome: a combined clinical, pharmacological, and imaging algorithm. Eye. 2013, 27: 291-298. 10.1038/eye.2012.281.PubMedCentralCrossRefPubMed
2.
Ahmadi O, Saxena P, Wilson BKJ, Bunton RW: First rib fracture and Horner’s syndrome: a rare clinical entity. Ann Thorac Surg. 2013, 95: 355-10.1016/j.athoracsur.2012.03.114.CrossRefPubMed
3.
Yang CJ, Lee JY, Wu CC, Tsai JR, Chou SH, Huang MS: Right ptosis, anhidrosis, and miosis developed in a 49-year-old man with chronic dry cough for 2 months. Chest. 2012, 142 (1): 246-251. 10.1378/chest.11-2126.CrossRefPubMed
4.
Mueller KL, Loder RT, Eggenberger ER, Farley FA: Horner’s Syndrome after posterior spinal fusion in a child. Spine. 2000, 25 (21): 2836-2837. 10.1097/00007632-200011010-00019.CrossRefPubMed
5.
Mandal AKJ, Anandanadesan R, Missouris DG: The hazards of being a gentleman farmer: a case of transient Horner’s syndrome. J R Soc Med Sh Rep. 2012, 3: 53-PubMedCentralPubMed
6.
Lee SJ, Yie K, Chon SB: Juvenile first rib fracture caused by morning stretching. J Emerg Med. 2012, 43 (2): e119-e121. 10.1016/j.jemermed.2011.06.144.CrossRefPubMed
7.
Christine Whylings C, Kane BG: Adult female with shoulder pain. Ann Emerg Med. 2011, 57: 203-10.1016/j.annemergmed.2010.04.013.CrossRefPubMed
8.
Wild AT, Begly JP, Garzon-Muvdi J, Desai P, McFarland EG: First-rib stress fracture in a high-school lacrosse player. Sports Health. 2011, 3 (6): 547-549. 10.1177/1941738111416189.PubMedCentralCrossRefPubMed
9.
Sheng GG, Duwaryi YM, Emery VB, Wittenberg AM, Moriarty CT, Thompson RW: Costochondral calcification, osteophytic degeneration, and occult first rib fractures in patients with venous thoracic outlet syndrome. J Vasc Surg. 2012, 55 (5): 1363-1369. 10.1016/j.jvs.2011.11.124.CrossRefPubMed
10.
Melville JD, Lukefahr JL, Clarke EA: First rib fractures in abused infants: a report of three cases. Clin Pediatr. 2012, 51 (5): 426-430. 10.1177/0009922811430343.CrossRef
11.
Yee ES, Thomas AN, Goodman PC: Isolated first rib fracture: clinical significance after blunt chest trauma. Ann Thorac Surg. 1981, 32: 278-283. 10.1016/S0003-4975(10)61051-X.CrossRefPubMed
12.
Bougousslavsky J, Despland PA, Regli F: Spontaneous carotid dissection with acute stroke. Arch Neurol. 1987, 44: 479-482. 10.1001/archneur.1987.00520170009012.CrossRef
13.
Biousse V, Touboul PJ, D'Anglejan-Chatillon J, Levy C, Schaison M, Brousser MG: Ophthalmologic manifestations of internal carotid artery dissection. Am J Ophthalmol. 1998, 126: 565-577. 10.1016/S0002-9394(98)00136-6.CrossRefPubMed
14.
Slappendel R, Thijssen HOM, Crul BJP, Merz JL: The stellate ganglion in magnetic resonance imaging: a quantification of the anatomic variability. Anesthesiology. 1995, 83 (2): 424-426. 10.1097/00000542-199508000-00026.CrossRefPubMed
15.
Cho SH, Sung YM, Kim MS: Missed rib fractures on evaluation of initial chest CT for trauma patients: pattern analysis and diagnostic value of coronal multiplanar reconstruction images with multidetector row CT. Br J Radiol. 2012, 85: e845-e850. 10.1259/bjr/28575455.PubMedCentralCrossRefPubMed
16.
Chan CC, Paine M, O'Day J: Carotid dissection: a common cause of Horner's syndrome. Clin Experiment Ophthalmol. 2001, 29 (6): 411-415. 10.1046/j.1442-9071.2001.d01-24.x.CrossRefPubMed
17.
Creavin ST, Rice CM, Pollentine A, Cowburn P: Carotid artery dissection presenting with isolated headache and Horner syndrome after minor head injury. Am J Emerg Med. 2103, 30 (9): e5-e7.
Metadata
Title
First rib fracture and Horner’s syndrome due to a motor vehicle collision: a case report
Author
James Demetrious
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Chiropractic & Manual Therapies / Issue 1/2013
Electronic ISSN: 2045-709X
DOI
https://doi.org/10.1186/2045-709X-21-22

Other articles of this Issue 1/2013

Chiropractic & Manual Therapies 1/2013 Go to the issue

Methodology

Conducting practice-based projects among chiropractors: a manual

Research

English language proficiency and the accommodations for language non-concordance amongst patients utilizing chiropractic college teaching clinics

Research

Evidence-based classification of low back pain in the general population: one-year data collected with SMS Track

Case report

Peroneal neuropathy misdiagnosed as L5 radiculopathy: a case report

Commentary

Spinal manipulation under anesthesia: a narrative review of the literature and commentary

Research

A survey of Australian chiropractors’ attitudes and beliefs about evidence-based practice and their use of research literature and clinical practice guidelines