Case Reports1 September 1945MULTIPLE FRACTURES OF RIBS BY COUGH: REPORT OF A CASEOSCAR SWINEFORD JR., M.D., F.A.C.P., JOHN MCKINNON, M.D.OSCAR SWINEFORD JR., M.D., F.A.C.P.Search for more papers by this author, JOHN MCKINNON, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-23-3-442 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptFracture of one or more apparently normal ribs by cough was first described by Graves1in 1834. Tunis2found 25 cases in the literature in 1890. Atkinson,3Seilin,4Webb and Gilbert,5and Brewster6added seven cases. Halliwell,7Howson,8and Richardson,9each reported four such fractures in a single case. The report of Sabbione,10in Italian, was not read. Oechsli11found 12 cases in 2,000 patients with pulmonary tuberculosis, an incidence of 0.6 per cent. Richardson9found 20 cases in 1903 patients with tuberculosis. The incidence was 0.8 per cent in incipient, 2 per cent in moderately advanced, 6.5 per cent...Bibliography1. GRAVES RJ: Fracture of a rib produced by a violent fit of coughing, Am. Jr. Med. Sci., 1834, xiii, 553-554. Google Scholar2. TUNIS JP: Rib fracture from muscular action, with forty collected cases, University Med. Magazine, 1890-91, iii, 57-65. Google Scholar3. ATKINSON A: Fracture of rib during cough, Brit. Med. Jr., 1898, i, 490. Google Scholar4. SEILIN J: Fracture of the eleventh rib by muscular action; resume of reported cases, Med. Rec., 1917, xci, 281-283. Google Scholar5. WEBBGILBERT GRGB: Ribs fractured by cough, Jr. Am. Med. Assoc., 1923, lxxxi, 25. CrossrefGoogle Scholar6. BREWSTER ES: An unusual case of fracture of the rib, Med. Rec., 1939, cl, 159-160. Google Scholar7. HALLIWELL BT: Fracture of ribs caused by coughing, Brit. Med. Jr., 1929, ii, 1056. Google Scholar8. HOWSON CR: Rib-fracture by cough; case, Am. Rev. Tuberc., 1934, xxx, 566-567. Google Scholar9. RICHARDSON EC: Indirect fracture of the rib in pulmonary tuberculosis, Jr. Am. Med. Assoc., 1936, cvi, 1543-1544. CrossrefGoogle Scholar10. SABBIONE C: Radiological study of spontaneous rib fracture among tuberculous, Radiology, 1939, xxxii, 127 (Abstract). Google Scholar11. OECHSLI WR: Rib fracture from cough. Report of twelve cases, Jr. Thoracic Surg., 1936, v, 530-534. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: University, Virginia*Received for publication July 20, 1944.From the Department of Internal Medicine, University of Virginia Medical School, Charlottesville, Va. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDisorders of the Chest Wall and DiaphragmRepeated multiple fractures of ribs by cough in bronchial asthmaCough fracture of the ribsSTRESS FRACTURE OF RIBS IN PREGNANCY 1 September 1945Volume 23, Issue 3Page: 442-444KeywordsRibs ePublished: 1 December 2008 Issue Published: 1 September 1945 PDF downloadLoading ...