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Images in paediatrics
Point break: atraumatic first rib fracture in a surfer
  1. Josie Bradford1,
  2. Komal Raval1,
  3. Joseph Jacoby2,
  4. Edward Andrews1
  1. 1 Department of Paediatrics, University Hospitals Dorset NHS Foundation Trust, Poole, UK
  2. 2 Paediatric Radiology, University Hospitals Dorset NHS Foundation Trust, Poole, UK
  1. Correspondence to Dr Josie Bradford, Department of Paediatrics, University Hospitals Dorset NHS Foundation Trust, Poole, UK; josiebradford{at}doctors.org.uk

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A 16-year-old boy presented to the emergency department with a 2-week history of atraumatic left-sided chest pain. This was following a surfing holiday involving 3–4 hours of sessions daily. His pain started after extending his arm while surfing. Initial investigations including ECG and bloods were unremarkable except for mildly raised alkaline phosphatase. Chest X-ray (figure 1) revealed possible first rib fracture. CT of the chest (figure 2 …

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Footnotes

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.