Fractures of the first rib are extremely rare and are more commonly as
sociated with either multiple rib fractures or life-threatening injuri
es, First rib fractures are commonly caused by direct trauma, violent
muscular contraction or by chronic stress. We present a ease of isolat
ed bilateral rib fracture in an Elderly patient, ill the absence of.mu
ltiple trauma, where the mechanism of injury appears to be a whiplash
injury. (C) 1998 Elsevier Science Ltd. All rights reserved.