4,385 results match your criteria Fracture Rib


Combination of thoracoabdominal nerve block through a perichondral approach and serratus plane block for rib fractures.

Authors:
Hironobu Ueshima

J Clin Anesth 2019 Feb 15;56:128. Epub 2019 Feb 15.

Department of Anesthesiology, Showa University Hospital, Hatanodai Shinagawa-ku, Tokyo, Japan. Electronic address:

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http://dx.doi.org/10.1016/j.jclinane.2019.02.011DOI Listing
February 2019

[Thoracic Endovascular Aortic Repair for Traumatic Aortic Injury with Internal Iliac Approach;Report of a Case].

Kyobu Geka 2019 Feb;72(2):124-127

Department of Cardiothoracic Surgery, Takaoka Hospital, Takaoka, Japan.

A 40-year-old female was injured in a car accident while driving. Computed tomography confirmed a dissection localized to the distal aortic arch and hematoma around the area. Severe liver damage with surrounding extravasation was also confirmed. Read More

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February 2019

Potential benefits of incentive spirometry following a rib fracture: a propensity score analysis.

CJEM 2019 Feb 12:1-4. Epub 2019 Feb 12.

*Axe Santé des Populations et Pratiques optimales en santé,Centre de recherche du CHU de Québec - Université Laval,QC.

CLINICIAN'S CAPSULEWhat is known about the topic?Literature regarding the impact of incentive spirometry on patients with rib fractures is unclear; there are no recommendations for its use in the emergency department (ED).What did this study ask?The objective of this study was to assess the impact of incentive spirometry on delayed complications in patients with rib fractures in the ED.What did this study find?Unsupervised incentive spirometry use does not have a protective effect against delayed pulmonary complications after a rib fracture. Read More

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https://www.cambridge.org/core/product/identifier/S148180351
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http://dx.doi.org/10.1017/cem.2018.492DOI Listing
February 2019
1 Read

The effect of erector spinae plane block on respiratory and analgesic outcomes in multiple rib fractures: a retrospective cohort study.

Anaesthesia 2019 Feb 10. Epub 2019 Feb 10.

Department of Anesthesia, Toronto Western Hospital, University of Toronto, ON, Canada.

Regional anaesthesia is often helpful in improving respiratory function and analgesia following multiple rib fractures. The erector spinae plane block has become the technique of choice in our institution due to its relative simplicity and purported safety. The aim of this retrospective cohort study was to determine its effectiveness in improving respiratory and analgesic outcomes. Read More

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http://dx.doi.org/10.1111/anae.14579DOI Listing
February 2019

Rib fracture fixation as a tool for extubation in a resource-poor environment.

BMJ Case Rep 2019 Feb 9;12(2). Epub 2019 Feb 9.

Department of General Surgery, Ngwelezana Hospital, Empangeni, KwaZulu Natal, South Africa.

An elderly female with multiple comorbidities was involved in a pedestrian vehicle accident and sustained blunt chest trauma, arriving at a resource-poor hospital in rural South Africa. She had multiple bilateral rib fractures with a unilateral flail segment that caused her to develop respiratory failure. She was intubated and sent to the intensive care unit (ICU) for ventilation. Read More

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http://dx.doi.org/10.1136/bcr-2018-227518DOI Listing
February 2019
1 Read

Characterization of Chest Wall Toxicity during Long Term Follow Up after Thoracic Stereotactic Body Radiotherapy.

Pract Radiat Oncol 2019 Feb 4. Epub 2019 Feb 4.

Department of Radiation Oncology, Virginia Commonwealth University Health Systems, Richmond, VA, USA.

Purpose: Chest wall (CW) pain and rib fractures are frequently diagnosed following stereotactic body radiotherapy (SBRT) for malignant lung tumors. We hypothesize that multiple risk factors including bone mineral density (BMD) are associated with CW toxicity and that CW pain and rib fractures often evolve into chronic clinical problems.

Methods: 118 lung tumors treated with SBRT in 100 patients with a minimum follow up of 2 years were retrospectively analyzed. Read More

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http://dx.doi.org/10.1016/j.prro.2019.01.012DOI Listing
February 2019
2 Reads

Incident Fragility Fractures Have a Long-Term Negative Impact on Health-Related Quality of Life of Older People: The Canadian Multicentre Osteoporosis Study.

J Bone Miner Res 2019 Feb 5:e3666. Epub 2019 Feb 5.

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.

Although the short-term impact of incident fragility fractures on health-related quality of life (HRQL) of older people has been confirmed, we lack long-term evidence. We explored the impact of incident fragility fractures on HRQL, among people aged 50 years and older, using 10-year prospective data from the Canadian Multicentre Osteoporosis Study (CaMos). This study was based on data from 7753 (2187 men and 5566 women) participants of CaMos. Read More

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http://dx.doi.org/10.1002/jbmr.3666DOI Listing
February 2019
2 Reads

Perceptions in rib injuries: A multidisciplinary single center survey of clinician differences in risk stratification and management of patients with rib fractures.

Am J Surg 2019 Jan 23. Epub 2019 Jan 23.

Section of Trauma and Acute Care Surgery, Department of Surgery, Albany Medical Center, Albany, NY, USA. Electronic address:

Background: Although associated with significant morbidity, there is no universally accepted management of rib fractures. We hypothesized that variations in risk stratification may influence this.

Methods: A questionnaire was developed to assess providers' perceived risk factors and injury stratification of rib fracture patients at a Level 1 trauma center. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029610183091
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http://dx.doi.org/10.1016/j.amjsurg.2019.01.016DOI Listing
January 2019
4 Reads

Safety, complications and clinical outcome after ultrasound-guided paravertebral catheter insertion for rib fracture analgesia: a single-centre retrospective observational study.

Anaesthesia 2019 Jan 27. Epub 2019 Jan 27.

Royal Victoria Infirmary, Newcastle upon Tyne, UK.

Rib fractures are associated with significant morbidity and mortality. Ultrasound-guided thoracic paravertebral catheter insertion has been described for the management of pain secondary to rib fractures. We conducted a retrospective observational study of all patients with rib fractures who had a paravertebral catheter inserted for analgesia provision over a 4-year period. Read More

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http://dx.doi.org/10.1111/anae.14580DOI Listing
January 2019

"Endovascular treatment of blunt thoracic aortic injury by fractured rib".

Ann Vasc Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Vascular Surgery, Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona, Via Conca, 71 &ndashtnqsemicolon 60126 &ndashtnqsemicolon Ancona &ndashtnqsemicolon Italy.

We treated an 89-year-old patient affected by a descending thoracic aorta lesion due to a rib fracture with a penetrating costal stump. An urgent combined thoracic and endovascular surgical approach was performed, removing the rib fragment and positioning an aortic endoprosthesis simultaneously. Postoperative angio-CT scan demonstrated the correct position of the endoprosthesis without any leakage or periaortic haemorrhage. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.10.021DOI Listing
January 2019

Early stage non-small cell lung cancer treated with pencil beam scanning particle therapy: retrospective analysis of early results on safety and efficacy.

Radiat Oncol 2019 Jan 25;14(1):16. Epub 2019 Jan 25.

Department of Radiation Oncology, Shanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Fudan University, Shanghai, China.

Background: To evaluate the safety and efficacy of particle therapy (PT) using pencil beam scanning (PBS) technique for early stage non-small cell lung cancer (NSCLC).

Methods: From 08/2014 to 03/2018, 31 consecutive patients with sum of the longest diameters of primary tumor and hilar lymph node < 5 cm, N0-1, M0 NSCLC treated with PT were retrospectively analyzed. Gating/active breathing control techniques were used to control tumor motion in 20 and 7 patients. Read More

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http://dx.doi.org/10.1186/s13014-019-1216-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347845PMC
January 2019
2 Reads

Chest CT imaging utility for radiographically occult rib fractures in elderly fall-injured patients.

J Trauma Acute Care Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School.

Background: Previous studies demonstrate an association between rib fractures and morbidity and mortality in trauma. This relationship in low-mechanism injuries such as ground-level fall is less clearly defined. Furthermore, computed tomography (CT) has increased sensitivity for rib fractures compared with chest x-ray (CXR); its utility in elderly fall patients is unknown. Read More

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http://dx.doi.org/10.1097/TA.0000000000002208DOI Listing
January 2019
11 Reads

Multiple severe vertebral fractures during the 3-month period following a missed dose of denosumab in a postmenopausal woman with osteoporosis previously treated with alendronate
.

Int J Clin Pharmacol Ther 2019 Mar;57(3):163-166

Denosumab is a monoclonal antibody that decreases bone resorption and increases bone mass and strength in trabecular and cortical bone leading to a reduction in fracture in women and men. Its effects are reversed after discontinuation. Recently, there has been concern about the discontinuation of denosumab and the increased risk of multiple vertebral fractures that would be associated with rapid bone loss due to high bone turnover and consequent increase in markers of bone remodeling, far above the baseline values. Read More

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http://dx.doi.org/10.5414/CP203361DOI Listing
March 2019
1 Read

Skeletal and soft tissue injuries after manual and mechanical chest compressions.

Eur Heart J Qual Care Clin Outcomes 2019 Jan 11. Epub 2019 Jan 11.

Lund University, Medical Service, Clinical Genetics and Pathology, Department of Clinical Sciences, Division of Oncology and Pathology, Lund, Sweden.

Aims: To determine the rate of injuries related to cardiopulmonary resuscitation (CPR) in cardiac arrest non-survivors, comparing manual CPR with CPR performed using the Lund University Cardiac Assist System (LUCAS).

Methods And Results: We prospectively evaluated 414 deceased adult patients using focused, standardized post-mortem investigation in years 2005 through 2013. Skeletal and soft tissue injuries were noted, and soft tissue injuries were evaluated with respect to degree of severity. Read More

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http://dx.doi.org/10.1093/ehjqcco/qcy062DOI Listing
January 2019
4 Reads

Rib Fixation Versus Conservative Management Of Rib Fractures In Trauma Patients.

J Ayub Med Coll Abbottabad 2018 Oct-Dec;30(4):576-584

Department of Thoracic Surgery, CMH Lahore, Pakistan.

Background: 10-15 % of trauma patient has chest injuries. There is a paradigm shift in the last two decades towards rib fixation from conservative management. Rib fixation results in immediate pain reduction in patients. Read More

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January 2019
8 Reads

Use of backscattered scanning electron microscopy to quantify the bone tissues of midthoracic human ribs.

Am J Phys Anthropol 2019 Feb;168(2):262-278

Division of Anatomy and Histology, Department of Biomedical Sciences, Stellenbosch University, Cape Town, South Africa.

Objectives: Novel information on apartheid health conditions may be obtained through the study of recent skeletal collections. Using a backscattered scanning electron microscopy (BSE-SEM) approach, this study aims to produce bone quality and tissue mineralization data for an understudied South African population from the Western Cape province.

Methods: Using BSE-SEM imaging, cortical porosity (Ct. Read More

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http://dx.doi.org/10.1002/ajpa.23716DOI Listing
February 2019
1 Read

Nonlinear models of injury risk and implications in intervention targeting for thoracic injury mitigation.

Traffic Inj Prev 2019 Jan 9:1-6. Epub 2019 Jan 9.

b University of Virginia Department of Public Health Sciences , Charlottesville , Virginia.

Objective: Field data analyses often use either parametric or nonparametric means to describe the relationship between risk and various predictor variables. This study sought to evaluate a hybrid approach using semiconstrained multivariate nonlinear spline-based analysis.

Methods: Data were compiled from NASS-CDS years 1998-2015, selecting belted occupants age 16+ in collisions with a principal direction of force (PDOF) from 10 o'clock to 2 o'clock. Read More

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https://www.tandfonline.com/doi/full/10.1080/15389588.2018.1
Publisher Site
http://dx.doi.org/10.1080/15389588.2018.1528356DOI Listing
January 2019
4 Reads

Clinical outcomes of symptomatic thoracic disk herniations treated surgically through minimally invasive lateral transthoracic approach.

Neurosurg Rev 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopaedic Surgery, University of California, 500 Parnassus Avenue, MU 320W, San Francisco, CA, 94143-0728, USA.

Although symptomatic thoracic disk herniation (TDH) is relatively rare, its treatment is quite difficult. Our aim is to present the outcomes and complications in patients with thoracic disk herniation treated with minimally invasive lateral transthoracic approach (LTTA). Fifty-nine consecutive patients with 69 symptomatic disk herniations that underwent minimally invasive LTTA to treat TDH between 2007 and 2016 were enrolled. Read More

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http://link.springer.com/10.1007/s10143-018-01064-2
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http://dx.doi.org/10.1007/s10143-018-01064-2DOI Listing
January 2019
2 Reads

Extracorporeal Carbon Dioxide Removal in the Management of Complex Bilateral Flail Chest Injury.

ASAIO J 2019 Jan 3. Epub 2019 Jan 3.

From the Division of Critical Care Medicine, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana.

Flail chest is an uncommon consequence of traumatic injury. Medical management includes mechanical ventilation for internal pneumatic stabilization. Control of respiratory drive is necessary to avoid paradoxical movement and impairment of recovery. Read More

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http://dx.doi.org/10.1097/MAT.0000000000000942DOI Listing
January 2019
3 Reads
1.385 Impact Factor

Sources of Variability in Structural Bending Response of Pediatric and Adult Human Ribs in Dynamic Frontal Impacts.

Stapp Car Crash J 2018 Nov;62:119-192

National Highway Traffic Safety Administration, Vehicle Research and Test Center.

Despite safety advances, thoracic injuries in motor vehicle crashes remain a significant source of morbidity and mortality, and rib fractures are the most prevalent of thoracic injuries. The objective of this study was to explore sources of variation in rib structural properties in order to identify sources of differential risk of rib fracture between vehicle occupants. A hierarchical model was employed to quantify the effects of demographic differences and rib geometry on structural properties including stiffness, force, displacement, and energy at failure and yield. Read More

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November 2018
3 Reads

Clinical Utility of Routine Chest X-Rays During the Initial Stabilization of Trauma Patients.

South Med J 2019 Jan;112(1):55-59

From the San Antonio Military Medical Center, Fort Sam Houston, the William Beaumont Army Medical Center, Fort Bliss, the Army Medical Department (AMEDD) Center and School, Fort Sam Houston, and the US Army Institute for Surgical Research, San Antonio, Texas.

Objectives: The Advanced Trauma Life Support (ATLS) course encourages the use of chest x-ray (CXR) to identify injuries that may change clinical management during the initial stage of trauma resuscitations. Several studies have failed to show benefit for the routine use of CXR without a clinical indication, however. We sought to validate these findings by determining the incidence of clinically significant findings discovered on a portable single-view CXR during the initial stabilization of trauma patients at a Level 1 trauma center. Read More

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http://dx.doi.org/10.14423/SMJ.0000000000000921DOI Listing
January 2019
3 Reads

Effect of object position in the field of view and application of a metal artifact reduction algorithm on the detection of vertical root fractures on cone-beam computed tomography scans: An study.

Imaging Sci Dent 2018 Dec 20;48(4):245-254. Epub 2018 Dec 20.

Dental Sciences Research Center, Department of Maxillofacial Radiology, Faculty of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.

Purpose: To assess the effects of object position in the field of view (FOV) and application of a metal artifact reduction (MAR) algorithm on the diagnostic accuracy of cone-beam computed tomography (CBCT) for the detection of vertical root fractures (VRFs).

Materials And Methods: Sixty human single-canal premolars received root canal treatment. VRFs were induced in 30 endodontically treated teeth. Read More

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http://dx.doi.org/10.5624/isd.2018.48.4.245DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305778PMC
December 2018

Predictors of Dependency in Geriatric Trauma Patients with Rib Fractures: A Population Study.

Am Surg 2018 Dec;84(12):1856-1860

The geriatric trauma population is unique. These patients are at risk of being discharged to rehabilitation or a skilled nursing facility, instead of being returned to their homes, placing a significant burden on both the patient families and society. This study evaluated which patient characteristics increase the likelihood of a previously independent geriatric blunt trauma becoming functionally dependent and being discharged to a location other than home. Read More

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December 2018
7 Reads

Quantitative assessment and risk factors for chest wall deformity resulting from tissue expansion for breast reconstruction.

Breast Cancer 2019 Jan 2. Epub 2019 Jan 2.

Department of Oral and Maxillofacial Surgery, and Plastic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa-machi, Maebashi, Gunma, 371-8511, Japan.

Background: Chest wall deformity after tissue expansion for breast reconstruction is less recognized than complications such as infection, hematoma, skin necrosis and capsular contracture. However, the condition should not be discounted because pain, rib fracture and dyspnea may occur in severe cases. The aim of this study is to evaluate the extent of chest wall deformity quantitatively using computed tomography (CT) and to identify risk factors for this condition after tissue expansion. Read More

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http://dx.doi.org/10.1007/s12282-018-00942-3DOI Listing
January 2019
1 Read

A Novel Technique: Ultrasound-Guided Serratus Anterior Plane Block for the Treatment of Post-Traumatic Intercostal Neuralgia. A Case Report.

Am J Phys Med Rehabil 2018 Dec 28. Epub 2018 Dec 28.

Serratus anterior plane block has been used for pain management during the acute period of conditions affecting the thorax, such as post-thoracotomy recovery, rib fracture, and breast surgery recovery. Here, we report the use of serratus anterior plane block in post-traumatic chronic pain treatment. We describe a case of post-traumatic chronic intercostal neuralgia, in which successful pain relief was achieved via repeated injections of local anesthetic and steroid combinations in the serratus anterior plane under ultrasonographic guidance. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001121DOI Listing
December 2018

Thoracic cage injuries.

Eur J Radiol 2019 Jan 6;110:225-232. Epub 2018 Dec 6.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA. Electronic address:

Rib fractures are the most common form of blunt thoracic injury. Multiple rib fractures are an important indicator of trauma severity, with increased morbidity and mortality occurring with increasing numbers of rib fractures, especially in the elderly. Thoracic cage injuries may be associated with concomitant and potentially life-threating injuries. Read More

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http://dx.doi.org/10.1016/j.ejrad.2018.12.003DOI Listing
January 2019
1 Read

Automatic rib cage unfolding with CT cylindrical projection reformat in polytraumatized patients for rib fracture detection and characterization: Feasibility and clinical application.

Eur J Radiol 2019 Jan 13;110:121-127. Epub 2018 Nov 13.

Service d'Imagerie Guilloz, Hôpital Central, Centre Hospitalier Universitaire de Nancy, 29 Ave du Maréchal de Lattre de Tassigny, Nancy, 54035, France.

Objectives: To assess the use of CT with unfolded cylindrical projection (UCP) for rib fracture detection and characterization.

Methods: The images from 60 polytraumatized patients who underwent whole body CT were evaluated for the presence and characterization of rib fractures (displaced or not, single or multiple). Two readers independently evaluated conventional CT images and UCP images in two readout sessions at least one month apart. Read More

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http://dx.doi.org/10.1016/j.ejrad.2018.11.011DOI Listing
January 2019
2 Reads

Surgical versus conservative therapy for multiple rib fractures: a retrospective analysis.

Ann Transl Med 2018 Nov;6(22):439

Department of Cardiothoracic Surgery, The 105th Hospital of Chinese People's Liberation Army, Hefei 230031, China.

Background: In this study, we aimed to evaluate the clinical effects of multiple rib fracture treatments using a rib plate fixator.

Methods: From June 2014 to December 2016, 110 cases of patients with multiple rib fractures were collected for our study from the 105th Hospital of PLA; 59 patients were treated by surgery, and 51 patients received conservative treatment. We compared surgical rib plate fixation with conservative treatment for patients with multiple rib fractures. Read More

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http://dx.doi.org/10.21037/atm.2018.10.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281531PMC
November 2018
1 Read

Limited Influence of Flail Chest in Patients With Blunt Thoracic Trauma - A Matched-pair Analysis.

In Vivo 2019 Jan-Feb;33(1):133-139

Trauma Department, Hannover Medical School, Hannover, Germany

Background: Flail chest is considered as one of the most severe forms of blunt thoracic trauma. However, its actual influence on post-traumatic morbidity and mortality is debatable.

Materials And Methods: A retrospective cohort analysis was performed of multiply injured patients (injury severity score ≥16) at a level I trauma center. Read More

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http://iv.iiarjournals.org/lookup/doi/10.21873/invivo.11449
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http://dx.doi.org/10.21873/invivo.11449DOI Listing
September 2018
8 Reads

Special form of osteoporosis in a 53-year-old man.

BMJ Case Rep 2018 Dec 13;11(1). Epub 2018 Dec 13.

Division of Endocrinology and Diabetes, Luzerner Kantonsspital, Luzern, Switzerland.

Male osteoporosis often remains unrecognised. Osteoporotic fractures occur approximately 10 years later in men than in women due to higher peak bone mass. However, 30% of all hip fractures occur in men. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22667
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http://dx.doi.org/10.1136/bcr-2018-226672DOI Listing
December 2018
8 Reads

Metabolic bone disease risk factors strongly contributing to long bone and rib fractures during early infancy: A population register study.

PLoS One 2018 19;13(12):e0208033. Epub 2018 Dec 19.

Forensic Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Background: The aim of this study was to assess the incidence of fractures in infancy, overall and by type of fracture, its association with accidents, metabolic bone disease risk factors, and abuse diagnosis.

Methods: The design was a population-based register study in Sweden. Participants: Children born 1997-2014, 0-1 years of age diagnosed with fracture-diagnosis according to International Classification of Diseases (ICD10) were retrieved from the National Patient Register and linked to the Swedish Medical Birth Register and the Death Cause Register. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208033PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300197PMC
December 2018
2 Reads

Injury patterns and incidence of intra-abdominal injuries in elderly ground level fall patients: Is the PAN-SCAN warranted?

Am J Surg 2018 Dec 8. Epub 2018 Dec 8.

Department of Surgery, The University of Kansas School of Medicine - Wichita, Wichita, KS, USA; Department of Trauma Services, Via Christi Hospital Saint Francis, Wichita, KS, USA. Electronic address:

Background: This study aimed to determine the incidence of intra-abdominal injuries in elderly patients after a ground-level fall.

Methods: A 6-year retrospective review was conducted on patients 65 years of age or older involved in a fall from standing and evaluated at a level 1 trauma center. Each patient presented with a pelvic, thoracolumbar, and/or lower rib fracture. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.11.041DOI Listing
December 2018
3 Reads

The use of cadaver models to diagnose rib fractures: A pilot study.

Am J Emerg Med 2019 Feb 16;37(2):313-316. Epub 2018 Nov 16.

Department of Emergency Medicine, Staten Island University Hospital, Northwell Health, Staten Island, NY, United States of America.

Background: In the emergency department, rib fractures are a common finding in patients who sustain chest trauma. Rib fractures may be a sign of significant, underlying pathology, especially in the elderly patients where rib fractures are associated with significant morbidity and mortality. To date, no studies have evaluated the ability of ultrasound to detect rib fractures using cadaver models and subsequently use this model as a teaching tool. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.11.019DOI Listing
February 2019

Thoracoscope combined with internal support system of chest wall in open reduction and internal fixation for multiple rib fractures.

Exp Ther Med 2018 Dec 1;16(6):4650-4654. Epub 2018 Oct 1.

Department of Cardiothoracic Surgery, Tianjin Hospital, Tianjin 300211, P.R. China.

This study aimed to investigate the feasibility of applying thoracoscope combined with internal support system of chest wall (ISSW) in minimally invasive internal fixation for rib fracture on patients with multiple rib fractures. A total of 84 patients undergoing open reduction and internal fixation for rib fracture from January 2017 to December 2017 in the Department of Cardiothoracic Surgery, Tianjin Hospital were selected into the study, and retrospective analyses were carried out. The clinical data, pain score, operating time, intraoperative blood loss, indwelling time of thoracic tube, total drainage volume of thoracic tube for 3 days after operation, indwelling time of wound drainage tube, total drainage volume of wound drainage tube, length of stay, hospitalization costs, postoperative complications, C-reactive protein (CRP) and pulmonary function of patients in the groups were compared. Read More

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http://dx.doi.org/10.3892/etm.2018.6817DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257545PMC
December 2018
1 Read

The relation between scapula fracture and the severity of trauma in blunt thoracic trauma

Turk J Med Sci 2018 Dec 12;48(6):1228-1233. Epub 2018 Dec 12.

Department of Emergency Medicine, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey

Background/aim: The aim of this study was to determine the level of presence of scapula fractures (SFs) in cases of blunt thoracic trauma and to identify other injuries accompanying SF.

Materials And Methods: Blunt thoracic trauma cases with SF determined on direct radiography or computerized tomography (CT) were categorized as Group 1. Group 2 was constituted by selecting cases with high injury severity score (ISS) with no SF. Read More

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http://dx.doi.org/10.3906/sag-1802-149DOI Listing
December 2018

Thoracic spine dislocation in Gorham-Stout Syndrome: Case report and literature review.

Surg Neurol Int 2018 1;9:223. Epub 2018 Nov 1.

Spanish Hospital, Mendoza, Argentina.

Background: The Gorham-Stout syndrome (GSS), also known as phantom bone disease, is a rare bone condition of unknown etiology. Involvement of the spine is described in <50 cases in the literature. Here, we report a case of thoracic spine fracture dislocation in a young female who was known to have GSS. Read More

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http://dx.doi.org/10.4103/sni.sni_311_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238329PMC
November 2018
1 Read

Effect of Tumor Location and Dosimetric Predictors for Chest Wall Toxicity in Single Fraction SBRT for Stage I Non-Small Cell Lung Cancer.

Pract Radiat Oncol 2018 Dec 7. Epub 2018 Dec 7.

Department of Radiation Oncology, Cleveland Clinic, Cleveland, OH.

Purpose/objective(s): Dosimetric parameters to limit CWT are not well defined in single-fraction stereotactic body radiation therapy (SF-SBRT) phase II trials. We sought to determine the relationship of tumor location and dosimetric parameters with CWT for SF-SBRT.

Materials/methods: From a prospective registry of 1,462 patients, we identified patients treated with 30 Gy or 34 Gy. Read More

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http://dx.doi.org/10.1016/j.prro.2018.11.011DOI Listing
December 2018
2 Reads

Stereotactic body radiation therapy for stage I non-small cell lung carcinomas: Moderate hypofractionation optimizes outcome.

Lung Cancer 2018 Dec 16;126:201-207. Epub 2018 Nov 16.

Department of Radiotherapy, Centre Paul Strauss, 3, rue de la porte de l'hôpital, BP 42, 67065, Strasbourg cedex, France; Laboratory of Radiobiology, EA 3430, Fédération de Médecine Translationnelle de Strasbourg (FMTS), Strasbourg University, Strasbourg, France. Electronic address:

Objectives: In case of inoperability or refusal of surgery, stereotactic body radiation therapy (SBRT) is the most effective treatment for a stage I non-small cell lung carcinoma (NSCLC). The results obtained by this irradiation technique are considerably superior to those observed in the time of conventional 3D irradiation and its toxicities are much less important, which makes it possible in elderly patients, or those presenting cardio-pulmonary comorbidities and a poor perfomance status.

Materials And Methods: This study is a retrospective analysis of 90 patients who underwent SBRT for a stage I NSCLC between 2010 and 2015. Read More

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http://dx.doi.org/10.1016/j.lungcan.2018.11.013DOI Listing
December 2018

A pathology not be overlooked in blunt chest trauma: Analysis of 181 patients with bilateral pneumothorax.

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):521-527

Department of Thoracic Surgery, Ege University Faculty of Medicine, İzmir-Turkey.

Background: Bilateral pneumothorax (BPTx) can become tension PTx and a cause of mortality, especially in severe multi-trauma patients. The purpose of this study was to analyze the incidence, morbidity, mortality, and associated factors of BPTx in multi-trauma patients in order to highlight the importance of the management of these cases, as well as complications, morbidity, and mortality.

Methods: The data of 181 patients with BPTx, from a total of 3782 trauma patients, were reviewed retrospectively. Read More

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http://dx.doi.org/10.5505/tjtes.2018.76435DOI Listing
November 2018
1 Read

Serious chronic disease of the cervical spine and trauma in a young female from the middle ages (Czech Republic).

Int J Paleopathol 2019 Mar 27;24:185-196. Epub 2018 Nov 27.

Centre for GeoGenetics, Natural History Museum, Øster Voldgade 5-7, 1350, Copenhagen, Denmark. Electronic address:

The skeletal remains of the young female (20-24 years) from Grave JP/106, discovered in the Southern Suburb of the Břeclav - Pohansko Stronghold (Early Middle Ages, 9th century-beginning of the 10 century, present day Czech Republic) display several noteworthy pathologies. The first is deformation of the mandible, which was most probably caused by a fracture of the ramus in combination with a subcondylar fracture. The spine of this young woman also exhibits a probable traumatic injury of the cervical spine in combination with a slowly growing structure situated inside the spinal canal, which caused deformation centered upon C7. Read More

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http://dx.doi.org/10.1016/j.ijpp.2018.11.004DOI Listing
March 2019
1 Read

Chest wall toxicity after stereotactic body radiation therapy: a pooled-analysis of 57 studies.

Int J Radiat Oncol Biol Phys 2018 Nov 26. Epub 2018 Nov 26.

Department of Radiation Oncology, University Hospitals Seidman Cancer Center, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, the United States. Electronic address:

Purpose: The significance of clinical and dosimetric risk factors in relation to chest wall (CW) injury after stereotactic body radiation therapy (SBRT) for lung tumors were analyzed through a meta-analysis of 57 published studies.

Methods And Materials: Studies related to CW injury after lung SBRT were obtained through searching PubMed, Embase and Cochrane electronic databases. An estimate of the incidence of CW pain (CWP) or rib fracture (RF) was derived using a Bayesian hierarchical model. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03603016183402
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http://dx.doi.org/10.1016/j.ijrobp.2018.11.036DOI Listing
November 2018
11 Reads

Pulsed Ultrasounds Reduce Pain and Disability, Increasing Rib Fracture Healing, in a Randomized Controlled Trial.

Pain Med 2018 Nov 29. Epub 2018 Nov 29.

Section of Thoracic Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia.

Introduction: Rib fractures are an important health issue worldwide, with significant, pain, morbidity, and disability for which only symptomatic treatment exists.

Objectives: Based on our previous experimental model, the objective of the current study was to assess for the first time whether pulsed ultrasound (PUS) application could have beneficial effects on humans.

Methods: Prospective, double-blinded, randomized, controlled trial of 51 patients. Read More

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http://dx.doi.org/10.1093/pm/pny224DOI Listing
November 2018
3 Reads
2.300 Impact Factor

Retroperitoneal Extrapleural Approach for Corpectomy of the First Lumbar Vertebra : Technique and Outcome.

J Korean Neurosurg Soc 2019 Jan 30;62(1):61-70. Epub 2018 Nov 30.

Department of Neurosurgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Objective: Corpectomy of the first lumbar vertebra (L1) for the management of different L1 pathologies can be performed using either an anterior or posterior approach. The aim of this study was to evaluate the usefulness of a retroperitoneal extrapleural approach through the twelfth rib for performing L1 corpectomy.

Methods: Thirty consecutive patients underwent L1 corpectomy between 2010 and 2016. Read More

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http://dx.doi.org/10.3340/jkns.2017.0271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328794PMC
January 2019
1 Read

Oral administration of probiotic Lactobacillus casei Shirota relieves pain after single rib fracture: a randomized double-blind, placebo-controlled clinical trial.

Asia Pac J Clin Nutr 2018 ;27(6):1252-1257

Department of Oral and Maxillofacial surgery, the Third Hospital of Hebei Medical University, Hebei Province, China.

Background And Objectives: Probiotic treatment has proven to increase the density of bone mass, prevent against bone loss, and improve bone formation. We aimed to assess the effect of oral administration of the probiotic Lactobacillus casei Shirota (LcS) on pain relief in patients with single rib fracture.

Methods And Study Design: A total of 283 eligible patients who had a single rib fracture were enrolled and randomly assigned to receive skimmed milk containing either a commercial probiotic LcS or placebo every day through oral administration for 1 month after the fracture. Read More

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http://dx.doi.org/10.6133/apjcn.201811_27(6).0012DOI Listing
January 2018
2 Reads

The expedited discharge of patients with multiple traumatic rib fractures is cost-effective.

Injury 2019 Jan 13;50(1):109-112. Epub 2018 Oct 13.

Division of Trauma, Department of Surgery, Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103, United States. Electronic address:

Introduction: Rib fractures are a cause of significant morbidity and mortality in trauma patients. It is well documented that optimizing pain control, mobilization, and respiratory care decreases complications. However, the impact of these interventions on hospital costs and length of stay is not well defined. Read More

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http://dx.doi.org/10.1016/j.injury.2018.10.014DOI Listing
January 2019
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CT-lung volume estimates in trauma patients undergoing stabilizing surgery for flail chest.

Injury 2019 Jan 16;50(1):101-108. Epub 2018 Oct 16.

Department of Radiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Bruna stråket 11B, 413 45, Gothenburg, Sweden. Electronic address:

Aim: To estimate and compare lung volumes from pre- and post-operative computed tomography (CT) images and correlate findings with post-operative lung function tests in trauma patients with flail chest undergoing stabilizing surgery.

Patients And Methods: Pre- and post-operative CT images of the thorax were used to estimate lung volumes in 37 patients who had undergone rib plate fixation at least 6 months before inclusion for flail chest due to blunt thoracic trauma. Computed tomography lung volumes were estimated from airway distal to each lung hilum by outlining air-filled lung tissue either manually in images of 5 mm slice thickness or automatically in images of 0. Read More

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http://dx.doi.org/10.1016/j.injury.2018.10.016DOI Listing
January 2019
6 Reads

Using electromagnetic navigation for intraoperative rib fracture localization during rib plating: A case report.

Int J Surg Case Rep 2018 22;53:386-389. Epub 2018 Nov 22.

Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, Houston, TX, United States; Department of Surgery, Weill Cornell Medical College, Houston Methodist Hospital, Houston, TX, United States. Electronic address:

Introduction: The precise localization of fractured ribs represents one of the primary challenges of surgical rib fixation. Computed tomography (CT) provides the facture's general location, but it is difficult to use the imaging alone to properly place a surgical incision. We used electromagnetic navigation to identify the exact location of the fracture on the patient's skin. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.11.029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260384PMC
November 2018
6 Reads

Endovascular Reconstruction of Subclavian Artery Aneurysms in Patients with Arterial Thoracic Outlet Syndrome.

Ann Vasc Surg 2018 Nov 23. Epub 2018 Nov 23.

Vascular Surgery Division, UCLA David Geffen School of Medicine, Los Angeles, CA. Electronic address:

Background: Subclavian artery aneurysms associated with thoracic outlet syndrome (TOS) have traditionally been managed by open surgical reconstruction. Endovascular subclavian artery reconstruction is novel in the setting of arterial TOS (aTOS). Our objective is to report our results with endovascular subclavian artery reconstruction in aTOS patients over a 10-year period with attention to surgical approach and late results. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.10.005DOI Listing
November 2018
2 Reads

Complex sternal and rib reconstruction with allogeneic material.

Arch Plast Surg 2018 Nov 15;45(6):593-597. Epub 2018 Nov 15.

Tulsa Plastic Surgery, Tulsa, OK, USA.

Sternal malunion, or loss, developed after a median sternotomy cannot only be difficult to manage and treat, but also may diminish one's quality-of-life drastically. The technique presented here represents a multispecialty approach in one stage for the reconstruction of an unstable thoracic cage. The procedure utilized a donated sternum and ribs. Read More

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http://dx.doi.org/10.5999/aps.2017.00122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258986PMC
November 2018
17 Reads

The use of a portable ultrasound system in the surgical assessment of rib fractures in an elderly patient.

Ann Med Surg (Lond) 2018 Dec 16;36:96-98. Epub 2018 Oct 16.

Department of Cardiovascular Surgery, Clifford Hospital, 3 Hongfu Road, Panyu, Guangzhou, Guangdong Province, PR China.

Introduction: Portable ultrasound is a modality of medical ultrasonography that utilizes small and light devices, and is an established diagnostic method used in clinical settings such as Cardiology, Vascular Surgery, Radiology, Endocrinology, Pediatric and Obstetric & Gynecology.

Presentation Of Cases: We present a case report of 86-years old patient who underwent surgical rib fixation for multiple rib fractures followed by falling from standing height and our management experience.

Discussion: The use of portable ultrasound device in operation theatre demonstrates several advantages. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20490801183022
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http://dx.doi.org/10.1016/j.amsu.2018.10.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6226824PMC
December 2018
21 Reads