4,740 results match your criteria Fracture Rib


[Trauma to the thoracic spine and chest].

Radiologe 2020 Jun 29. Epub 2020 Jun 29.

Universitätsklinik für Orthopädie und Unfallchirurgie, Medizinische Universität Wien, Wien, Österreich.

Background: The assessment of traumatic lesions to the chest and thoracic spine can pose a challenge for the emergency radiologist. Collaboration with the treating clinicians and knowledge of the patients' history and the trauma mechanism are essential.

Standard Radiological Methods: In case of minor trauma, digital radiography may be sufficient for diagnosis. Read More

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http://dx.doi.org/10.1007/s00117-020-00712-3DOI Listing

Intimate Partner Violence-Related Fractures in the United States: An 8 Year Review.

J Fam Violence 2019 Oct 3;34(7):601-609. Epub 2018 Oct 3.

University of Arkansas for Medical Sciences, College of Medicine.

Background: Fractures associated with intimate partner violence (IPV) are devastating injuries that can have lifelong implications. With exception to the facial region, there are very limited epidemiological reports describing the types and location of IPV-related fractures. The objective of this study is to review a national database and describe trends associated with IPV-related fractures. Read More

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http://dx.doi.org/10.1007/s10896-018-0007-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318917PMC
October 2019

Prevalence and distribution of occult fractures on skeletal surveys in children with suspected non-accidental trauma imaged or reviewed in a tertiary Dutch hospital.

Pediatr Surg Int 2020 Jun 26. Epub 2020 Jun 26.

Amsterdam UMC, Department of Radiology and Nuclear Medicine, Emma Children's Hospital, University of Amsterdam, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands.

Purpose: The purpose of the study was to determine the rate of occult fractures (without clinical symptoms) per presenting clinical injury i.e., children presenting with a fracture, bruise, abusive head trauma and the types of fracture most likely to be found, in a series of infants and young children suspected of being victims of NAT. Read More

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http://dx.doi.org/10.1007/s00383-020-04706-zDOI Listing

In response to: A multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, nonflail fracture patterns (Chest Wall Injury Society NONFLAIL).

J Trauma Acute Care Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA.

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http://dx.doi.org/10.1097/TA.0000000000002845DOI Listing

Evaluation of Tp-e interval, Tp-e/QT ratio and Tp-e/QTc ratio in blunt chest trauma patients.

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):526-530

Department of Cardiology, Malatya İnönü University Faculty of Medicine, Malatya-Turkey.

Background: After blunt chest trauma, life-threatening arrhythmias may occur in the early post-injury period, as well as a few days after the injury. This study aimed to evaluate the risk of arrhythmias in blunt chest trauma patients using Tp-e interval, Tp-e/QT ratio and Tp-e/QTc ratio.

Methods: In this study, patients who applied to the emergency department due to blunt chest trauma were examined prospectively. Read More

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http://dx.doi.org/10.14744/tjtes.2020.45642DOI Listing

Traumatic myositis ossificans: multifocal lesions suggesting malignancy on FDG-PET/CT-a case report.

Skeletal Radiol 2020 Jun 25. Epub 2020 Jun 25.

Department of Oral Pathology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan.

Myositis ossificans (MO) is a benign soft-tissue lesion characterized by the heterotopic formation of the bone in skeletal muscles, usually due to trauma. MO is occasionally difficult to diagnose because of its clinical and radiological similarities with malignancy. We report a case of traumatic MO (TMO) in the masseter and brachial muscles of a 37-year-old man who presented with painless swelling in the left cheek and severe trismus. Read More

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http://dx.doi.org/10.1007/s00256-020-03521-wDOI Listing

Thoracic Spinal Stability and Motion Behavior Are Affected by the Length of Posterior Instrumentation After Vertebral Body Replacement, but Not by the Surgical Approach Type: An Study With Entire Rib Cage Specimens.

Front Bioeng Biotechnol 2020 9;8:572. Epub 2020 Jun 9.

Institute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University Medical Center, Ulm, Germany.

Spinal tumors and unstable vertebral body fractures usually require surgical treatment including vertebral body replacement. Regarding primary stability, however, the best possible treatment depends on the spinal region. The purpose of this study was to evaluate the effects of instrumentation length and approach size on thoracic spinal stability including the entire rib cage. Read More

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http://dx.doi.org/10.3389/fbioe.2020.00572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295896PMC

Comparing complications of small-bore chest tubes to large-bore chest tubes in the setting of delayed hemothorax: a retrospective multicenter cohort study.

Scand J Trauma Resusc Emerg Med 2020 Jun 22;28(1):56. Epub 2020 Jun 22.

St. Anthony Hospital, Lakewood, CO, USA.

Background: Previous studies have provided initial data suggesting that small-bore (SB, ≤ 14Fr) chest tubes have the same efficacy as large-bore (LB, > 14 Fr) chest tubes for acute hemothorax (HTX), but data continue to be lacking in the setting of delayed HTX. This study compared complications of SB chest tubes to LB tubes in patients with delayed HTX.

Methods: This was a retrospective observational study across 7. Read More

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http://dx.doi.org/10.1186/s13049-020-00754-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310264PMC

Traumatic rib head subluxation through the intervertebral foramen causing spinal cord contusive injury in a cat.

JFMS Open Rep 2020 Jan-Jun;6(1):2055116920929260. Epub 2020 Jun 8.

Dovecote Veterinary Hospital, Derby, UK.

Case Summary: A 4-year-old cat involved in a road traffic accident presented with paraparesis, which was worse on the right-hand side. Neurolocalisation was to the T3-L3 spinal cord segments. Survey radiographs showed rib fractures but no definitive diagnosis for the paraparesis. Read More

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http://dx.doi.org/10.1177/2055116920929260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285950PMC

The benefits of early rib fixation for clinical outcomes of flail chest patients in intensive care unit.

Turk Gogus Kalp Damar Cerrahisi Derg 2019 Jun 22;28(2):331-339. Epub 2020 Apr 22.

Department of Thoracic Surgery, Izmir Katip Çelebi University, Izmir, Turkey.

Background: In the present study, we aimed to compare clinical results of conservative and surgical stabilization approaches and to investigate the effect of early reduction in patients with a flail chest.

Methods: Between March 2013 and December 2017, 34 patients (23 males, 11 females; mean age 43.7±12. Read More

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http://dx.doi.org/10.5606/tgkdc.dergisi.2020.18439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298373PMC

Long-term outcomes of patients with conserved breast cancer treated with adjuvant hypofractionated prone breast intensity-modulated radiation therapy.

J Med Imaging Radiat Oncol 2020 Jun 16. Epub 2020 Jun 16.

Department of Radiation Oncology, North Coast Cancer Institute, Lismore, New South Wales, Australia.

Introduction: New techniques for adjuvant radiation therapy after breast conservation include prone positioning, hypofractionation and intensity-modulated radiation therapy (IMRT). Long-term evaluations of this combination are lacking, and we report our own experience.

Methods: Patients with invasive breast cancer followed for a minimum 36 months post-IMRT were eligible. Read More

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http://dx.doi.org/10.1111/1754-9485.13072DOI Listing

SURGICAL STABILIZATION OF MULTIPLE RIB FRACTURES AND MULTIPLE LONG BONE FRACTURES OF LOWER EXTREMITIES IN POLYTRAUMA PATIENTS.

Georgian Med News 2020 Apr(301):28-34

2Shupyk National Medical Academy of Postgraduate Education, Kyiv; 3Kyiv City Clinical Hospital №17, Ukraine.

Objectives - determine the impact of rib osteosynthesis on the incidence of complications development and mortality in patients with multiple rib fractures and multiple long bone fractures of lower extremities. A prospective controlled trial was conducted from June 2015 to December 2019, and included adult patients with polytrauma, Injury Severity Score (ISS) ≥18p, multiple long bone fractures of lower extremities, one of which is the femur, and multiple rib fractures. All included patients were divided into two groups: in Group I - 17 patients who underwent surgical stabilization of rib fractures, Group II - 24 included patients treated without rib osteosynthesis. Read More

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Lethal recreational activities involving horses - A Forensic study.

Authors:
Roger W Byard

Leg Med (Tokyo) 2020 Jun 6;46:101728. Epub 2020 Jun 6.

School of Medicine, The University of Adelaide, Frome Road, Adelaide, South Australia, 5005, Australia. Electronic address:

A search was undertaken of the Forensic Science South Australia, Australia, autopsy database over a 25-year period from 1995 to 2019 with the aim of understanding more about the role that recreational horse use not involving racing may have in mortality. Eight cases were found with an age range of 8-73 years (mean 47 years) and a male:female ratio of 5:3. The major category was a fall while riding (N = 7) with the remaining case (N = 1) sustaining a lethal kicking. Read More

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http://dx.doi.org/10.1016/j.legalmed.2020.101728DOI Listing

Exploring of the Mechanism of Rib Fracture Caused by Landing on Different Parts of the Trunk after Falls from Height Using Finite Element Method.

Fa Yi Xue Za Zhi 2020 Apr;36(2):181-186

School of Forensic Medicine, Southern Medical University, Guangzhou 510515, China.

Abstract: Objective To study the mechanism of rib fracture caused by landing on different parts of the trunk using finite element method, and to provide some new techniques and new ideas for the reconstruction of the whole process of falls from height. Methods The finite element method was used to study the rib fracture of human security model THUMS4.0 caused by landing on different parts of the trunk. Read More

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http://dx.doi.org/10.12116/j.issn.1004-5619.2020.02.007DOI Listing

Assessment of a Deep Learning Algorithm for the Detection of Rib Fractures on Whole-Body Trauma Computed Tomography.

Korean J Radiol 2020 Jul;21(7):891-899

Clinic of Radiology and Nuclear Medicine, University Hospital Basel, University of Basel, Basel, Switzerland.

Objective: To assess the diagnostic performance of a deep learning-based algorithm for automated detection of acute and chronic rib fractures on whole-body trauma CT.

Materials And Methods: We retrospectively identified all whole-body trauma CT scans referred from the emergency department of our hospital from January to December 2018 (n = 511). Scans were categorized as positive (n = 159) or negative (n = 352) for rib fractures according to the clinically approved written CT reports, which served as the index test. Read More

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http://dx.doi.org/10.3348/kjr.2019.0653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7289702PMC

Automatic Detection and Classification of Rib Fractures on Thoracic CT Using Convolutional Neural Network: Accuracy and Feasibility.

Korean J Radiol 2020 Jul;21(7):869-879

Department of Radiology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, China.

Objective: To evaluate the performance of a convolutional neural network (CNN) model that can automatically detect and classify rib fractures, and output structured reports from computed tomography (CT) images.

Materials And Methods: This study included 1079 patients (median age, 55 years; men, 718) from three hospitals, between January 2011 and January 2019, who were divided into a monocentric training set (n = 876; median age, 55 years; men, 582), five multicenter/multiparameter validation sets (n = 173; median age, 59 years; men, 118) with different slice thicknesses and image pixels, and a normal control set (n = 30; median age, 53 years; men, 18). Three classifications (fresh, healing, and old fracture) combined with fracture location (corresponding CT layers) were detected automatically and delivered in a structured report. Read More

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http://dx.doi.org/10.3348/kjr.2019.0651DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7289688PMC

Comparison of intravenous lidocaine versus epidural anesthesia for traumatic rib fracture pain: a retrospective cohort study.

Reg Anesth Pain Med 2020 Jun 4. Epub 2020 Jun 4.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Stanford, California, USA

Background: Effective analgesia is essential in managing traumatic rib fractures. Intravenous lidocaine (IVL) is effective in treating perioperative pain, acute pain in the emergency department, cancer pain in hospice, and outpatient chronic neuropathic pain. Our study examined the associations between IVL versus epidural analgesia (EA) and pain for the treatment of acute rib fracture in the inpatient setting. Read More

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http://dx.doi.org/10.1136/rapm-2019-101120DOI Listing

Transphyseal Humeral Separations: What Can We Learn? A Retrospective, Multicenter Review of Surgically Treated Patients Over a 25-Year Period.

J Pediatr Orthop 2020 Jul;40(6):e424-e429

Department of Orthopaedics, University of Maryland Medical Center.

Purpose: Transphyseal humeral separations (TPHS) are rare injuries with only case reports and small series reported in the literature. This multicenter study aimed to assess the various patient characteristics, injury patterns, treatments, outcomes, and complications in a large series of these injuries.

Methods: A retrospective review was conducted at 5 pediatric institutions to identify TPHS that were treated surgically in patients 0 to 3 years of age over a 25-year period. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001455DOI Listing

Chest wall stabilization with intercostal -suture and mesh for rib fractures.

Trauma Case Rep 2020 Aug 22;28:100311. Epub 2020 May 22.

Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Japan.

Choosing an optimal procedure to stabilize the chest wall for multiple rib fractures can be challenging for surgeons. Stabilization with rib plates or intramedullary devices requires exposure of fractured bones, whereas chest stabilization with intercostal -suture and mesh does not, yet it offers the chest wall a sufficient level of stability. Here, we report a case of a flail chest due to multiple rib fractures for which a simple chest wall fixation using intercostal -suture and mesh was efficient. Read More

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http://dx.doi.org/10.1016/j.tcr.2020.100311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256319PMC

Clinical significance of rib fractures' anatomical patterns.

Injury 2020 May 23. Epub 2020 May 23.

Department of Surgery, Kaplan Medical Center, Rehovot and The Hebrew University Medical School, Jerusalem, Israel. Electronic address:

Objectives: Rib fractures are common and carry significant morbidity. Chest CT provides an accurate mapping of the fractures. The aim of this study is to propose an anatomical classification of rib fractures, and assess their relation to complication development. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.023DOI Listing

Comparing FE human body model rib geometry to population data.

Biomech Model Mechanobiol 2020 May 22. Epub 2020 May 22.

International Center for Automotive Medicine, University of Michigan, Ann Arbor, MI, USA.

Finite element human body models (HBMs) are used to assess injury risk in a variety of impact scenarios. The ribs are a key structural component within the chest, so their accuracy within HBMs is vitally important for modeling human biomechanics. We assessed the geometric correspondence between the ribs defined within five widely used HBMs and measures drawn from population-wide studies of rib geometry, focusing on (1) rib global shape, (2) rib cross-sectional size and shape, and (3) rib cortical bone thickness. Read More

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http://dx.doi.org/10.1007/s10237-020-01335-2DOI Listing

The Clinical Characteristics of Fractures in Pediatric Patients Exposed to Proton Pump Inhibitors.

J Pediatr Gastroenterol Nutr 2020 Jun;70(6):815-819

Children's Mercy Hospital, Kansas City, MI.

Objectives: There are increasing concerns regarding proton pump inhibitor (PPI) use and the risk of fractures in adults. Few studies have evaluated this risk among pediatric patients. This study examined fractures and fracture location among pediatric patients exposed to PPI compared with those without documented exposure. Read More

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http://dx.doi.org/10.1097/MPG.0000000000002690DOI Listing

Opioid prescription practices for patients discharged from the emergency department with acute musculoskeletal fractures.

CJEM 2020 May 21:1-8. Epub 2020 May 21.

Ottawa Hospital Research Institute, Ottawa, ON.

Background: Opioid related mortality rate has increased 200% over the past decade. Studies show variable emergency department (ED) opioid prescription practices and a correlation with increased long-term use. ED physicians may be contributing to this problem. Read More

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http://dx.doi.org/10.1017/cem.2020.50DOI Listing

May the initial CT scan predict the occurrence of delayed hemothorax in blunt chest trauma patients?

Eur J Trauma Emerg Surg 2020 May 21. Epub 2020 May 21.

Surgical and Trauma Intensive Care Unit, Anesthesiology and Critical Care Department, Hôpital Pellegrin, CHU Bordeaux, Place Amélie Raba Léon, 33076, Bordeaux Cedex, France.

Purpose: To assess the impact of delayed hemothorax on outcomes in blunt chest trauma patients without life-threatening condition at admission and characterize the predictive value of predefined anatomical factors for delayed hemothorax.

Methods: In a single-centre retrospective study, every spontaneous breathing patient admitted for a blunt chest trauma without significant pleural effusion at ICU admission was included. A multivariable regression model was used to determine the covariate-adjusted odd of secondary respiratory complications in patients with delayed hemothorax ≥ 500 ml. Read More

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http://dx.doi.org/10.1007/s00068-020-01391-4DOI Listing

Analgesia of Patients with Multiple Rib Fractures in Critical Care: A Survey of Healthcare Professionals in the UK.

Indian J Crit Care Med 2020 Mar;24(3):184-189

Department of Anesthesia and Critical Care, Queen Elizabeth Hospital Birmingham, Birmingham, UK.

Introduction: Good analgesia has been shown to reduce the risk of pneumonia, chronic pain, and mortality in patients with multiple rib fractures (MRFs). This survey explores the current analgesic practice in the UK, protocol use, barriers to provision, and physician preferences.

Materials And Methods: A web-based survey was distributed nationally to an enriched cohort of clinicians working in UK trauma units with an interest in MRF management. Read More

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http://dx.doi.org/10.5005/jp-journals-10071-23375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225763PMC

Diagnostic Accuracy of Physical Examination and History Taking in Traumatic Rib Fracture; A Single Center Experience.

Bull Emerg Trauma 2020 Apr;8(2):111-114

Department of Emergency Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.

Objective: To evaluate the diagnostic accuracy of history taking and physical examination in the patients with traumatic rib fractures.

Methods: In a cross-sectional study, all patients with multiple traumas who referred to the emergency department were evaluated for the mechanism of injury, chief complaints, vital signs and oxygen saturation. History taking and physical examination were performed according to Barbara Bates reference. Read More

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http://dx.doi.org/10.30476/BEAT.2020.46451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211385PMC

Rib fracture displacement is a strong predictor for long-term opioid requirement in blunt chest trauma patients.

Injury 2020 Jul 7;51(7):1686-1688. Epub 2020 May 7.

Anesthesiology and Critical Care Department, CHU Bordeaux, 33000 Bordeaux, France; Univ. Bordeaux Segalen, 33000 Bordeaux, France.

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http://dx.doi.org/10.1016/j.injury.2020.05.003DOI Listing

Stability of Surgical Rib Fixation Hardware after Repeat Chest Trauma.

J Emerg Trauma Shock 2020 Jan-Mar;13(1):84-87. Epub 2020 Mar 19.

Department of Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.

Surgical management of rib fractures has long been a controversial topic, but improvements in rib plating technology have led to a recent increase in interest among surgeons. Unfortunately, follow-up data are limited in patients following rib fracture plating. We present a unique case of an adult male who had multiple ribs plated for symptomatic rib fracture nonunions and developed periprosthetic fractures following repeat trauma several months later. Read More

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http://dx.doi.org/10.4103/JETS.JETS_67_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204963PMC

Anatomy of the Ribs and Management of their Fractures as Viewed by Avicenna (980-1037 Ad).

Acta Med Hist Adriat 2019 12;17(2):305-312

Department of Orthopedic Surgery, Bone and Joint Disease Research Center, Chamran Hospital, Shiraz University of Medical Sciences, District 6, Chamran Blvd, 71948-15644 Shiraz, Iran. E‑mail:

Introduction: Avicenna statedinteresting points on the symptoms of rib bone fractures, their physical examination, and also treatment and management of the complications in his master piece Canon in Tibb.

Method: We reviewed Avicenna's Canon and his viewpoints on the anatomy of the rib bones and their fractures and compared it with conventional medicine.

Result: He described the ana omy of the ribs; he explained the effectiveness of their structure in the prote tion of vital organs. Read More

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http://dx.doi.org/10.31952/amha.17.2.8DOI Listing
December 2019

Neurofibromatosis type 1 associated with hypophosphatemic osteomalacia due to hypersecretion of fibroblast growth factor 23: a case report.

J Med Case Rep 2020 May 9;14(1):56. Epub 2020 May 9.

Department of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medicine and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.

Background: Neurofibromatosis type 1 is characterized by multiple café au lait spots and cutaneous and plexiform neurofibromas, and is one of the most common autosomal dominant hereditary disorders caused by mutations of the neurofibromatosis type 1 tumor suppressor gene. Osteomalacia in neurofibromatosis type 1 is very rare and is characterized by later onset in adulthood. In humans, fibroblast growth factor 23, which is a causative factor of tumor-induced osteomalacia, is not only a paracrine and autocrine factor, but is also a physiological regulator of phosphate balance in normal serum. Read More

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http://dx.doi.org/10.1186/s13256-020-02381-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210688PMC

Postmortem Computed Tomography and Magnetic Resonance Imaging of an Abdominal Gunshot Wound.

Am J Forensic Med Pathol 2020 Jun;41(2):119-123

From the Department of Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich, Zurich.

The use of postmortem computed tomography (CT) has been described in many articles concerning gunshot injuries. Postmortem magnetic resonance imaging (MRI) for better assessment of soft tissue injuries has also been mentioned in the literature, albeit much less often. The use of postmortem MRI for abdominal gunshot wounds has not been previously presented in the literature. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000547DOI Listing

Clinical Decision Support Intervention for Rib Fracture Treatment.

J Am Coll Surg 2020 Apr 30. Epub 2020 Apr 30.

Trauma Services, North Memorial Health Hospital, Robbinsdale, University of Minnesota, Minneapolis, MN; Department of Surgery, University of Minnesota, Minneapolis, MN; Institute for Health Informatics, University of Minnesota, Minneapolis, MN. Electronic address:

Background: Rib fractures are associated with significant morbidity and mortality. Despite the publication of management guidelines and national outcomes benchmarking, there is significant variation in evidence-based (EB) adherence and outcomes. Systems for clinical decision support intervention (CDSI) allow rapid ordering of bundled disease-specific EB treatments. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2020.04.023DOI Listing

Rib Plating Offers Favorable Outcomes in Patients with Chronic Non-Union of Prior Rib Fractures.

Ann Thorac Surg 2020 Apr 27. Epub 2020 Apr 27.

Department of Thoracic Surgery, Swedish Cancer Institute, 1101 Madison St, Suite 900, Seattle, WA, 98104. Electronic address:

Background: Although open reduction and internal fixation (ORIF) is an accepted treatment for a proportion of acute rib fractures, there is paucity of literature on its potential to treat chronic, non-union fractures. This study evaluates the outcomes and quality of life of patients who underwent ORIF for chronic, symptomatic non-union rib fractures.

Methods: Thirty two patients were explored for possible ORIF of non-union rib fractures (> 6 months after injury). Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.03.075DOI Listing

Primary thoracoabdominal hernias.

Hernia 2020 Apr 24. Epub 2020 Apr 24.

Department of Surgery, Division of Minima Access and Bariatric Surgery, Prisma Health Upstate, 701 Grove Rd, ST 3, Greenville, SC, 29605, USA.

Background: Primary thoracoabdominal hernias involve the triad of an intercostal hernia, abdominal wall hernia, and diaphragmatic hernia. We report a case series of this rare entity and describe the evolution and outcomes.

Methods: We completed a retrospective analysis of thoracoabdominal hernia repairs performed January 2010-April 2019 at Prisma Health-Upstate and Carolinas Medical Center. Read More

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http://dx.doi.org/10.1007/s10029-020-02194-7DOI Listing

Skeletal Health and Associated Injury Risk in Collegiate Female Rowers.

J Strength Cond Res 2020 Apr 21. Epub 2020 Apr 21.

Department of Health and Exercise Science, University of Oklahoma, Norman, Oklahoma.

Baker, BS, Buchanan, SR, and Bemben, DA. Skeletal health and associated injury risk in collegiate female rowers. J Strength Cond Res XX(X): 000-000, 2020-Rowing has been associated with low bone mass and stress fractures. Read More

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http://dx.doi.org/10.1519/JSC.0000000000003588DOI Listing

Case report of bilateral penetrating renal trauma caused by a wooden stick.

Medicine (Baltimore) 2020 Apr;99(16):e19853

Department of Urology, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen, China.

Rationale: Kidney is the most frequently injured organ of the genitourinary system during trauma. Bilateral penetrating renal trauma (BPRT) is extremely rare and sporadically reported in the previous literature. Here, we reported a unique case of BPRT. Read More

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http://dx.doi.org/10.1097/MD.0000000000019853DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220106PMC
April 2020
5.723 Impact Factor

A Novel Approach to Scaling Age-, Sex-, and Body Size-Dependent Thoracic Responses using Structural Properties of Human Ribs.

Stapp Car Crash J 2019 Nov;63:307-329

Injury Biomechanics Research Center, The Ohio State University.

Thoracic injuries are frequently observed in motor vehicle crashes, and rib fractures are the most common of those injuries. Thoracic response targets have previously been developed from data obtained from post-mortem human subject (PMHS) tests in frontal loading conditions, most commonly of mid-size males. Traditional scaling methods are employed to identify differences in thoracic response for various demographic groups, but it is often unknown if these applications are appropriate, especially considering the limited number of tested PMHS from which those scaling factors originate. Read More

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November 2019

PMHS and WorldSID Kinematic and Injury Response in Far-Side Events in a Vehicle-Based Test Environment.

Stapp Car Crash J 2019 Nov;63:83-126

Honda R&D Americas.

Far-side kinematics and injury are influenced by the occupant environment. The goal of the present study was to evaluate in-vehicle human far-side kinematics, kinetics and injury and to assess the ability of the WorldSID to represent them. A series of tests with five Post-Mortem Human Subjects and the WorldSID were conducted in a vehicle-based sled test environment. Read More

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November 2019

Surgical fixation of rib fractures decreases intensive care length of stay in flail chest patients.

Ann Transl Med 2020 Mar;8(5):216

Department of Thoracic Surgery, Qingpu Branch of Zhongshan Hospital, Fudan University, Shanghai 201700, China.

Background: Nonoperative treatment is currently the standard therapy for rib fractures. However, there is a trend towards surgical fixation from conservative management over the last decade. While surgical fixation of rib fractures has shown promising results, its impact on the clinical results remains unclear based on the current literature. Read More

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http://dx.doi.org/10.21037/atm.2020.01.39DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154414PMC

Initial chest X-ray in multiple trauma patients: Still works!

Neuro Endocrinol Lett 2019 Dec;40(7-8):305-307

Department of Surgery, University Hospital Hradec Kralove, Czech Republic.

Objective: Blunt thoracic aortic injury is life-threatening injury. High suspicion on this clinical condition can be made by initial chest X-ray on emergency department. The aim of study was to detect which other signs, except widened mediastinum, are specific for rupture of the thoracic aorta. Read More

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December 2019

Prevelance of the costal cartilage fracture on the computerised tomography in chest trauma.

Eur J Trauma Emerg Surg 2020 Apr 17. Epub 2020 Apr 17.

Department of Radiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.

Introduction: Radiography remains limited in costal cartilage injuries, and sonography, CT and MR imaging turns out to be more sensitive in the detection of cartilage injuries. This study aims to determine the frequency of costal cartilage fractures detected in the CT images of the patients with high energy chest trauma and to evaluate the association of costal cartilage fracture with the complications of trauma.

Methods: The CT images of 93 patients aged 18-91 years with a trauma admitted to the Emergency Department of the State Hospital between February 2019 and June 2019 were studied retrospectively. Read More

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http://dx.doi.org/10.1007/s00068-020-01368-3DOI Listing

The Challenges of Ultrasound-guided Thoracic Paravertebral Blocks in Rib Fracture Patients.

Cureus 2020 Apr 10;12(4):e7626. Epub 2020 Apr 10.

Anesthesiology, Veterans Affairs Puget Sound Health Care System, University of Washington, Seattle, USA.

Thoracic paravertebral blocks (TPVBs) provide an effective pain relief modality in conditions where thoracic epidurals are contraindicated. Historically, TPVBs were placed relying solely on the landmark-based technique, but the availability of ultrasound imaging makes it a valuable and practical tool during the placement of these blocks. TPVBs also provide numerous advantages over thoracic epidurals, namely, minimal hypotension, absence of urinary retention, lack of motor weakness, and remote risk of an epidural hematoma. Read More

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http://dx.doi.org/10.7759/cureus.7626DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153808PMC

Trauma-Associated Pulmonary Laceration in Dogs-A Cross Sectional Study of 364 Dogs.

Vet Sci 2020 Apr 12;7(2). Epub 2020 Apr 12.

Clinical Pathology Division, San Marco Veterinary Clinic and Laboratory, via dell'Industria 3, 35030 Veggiano, Padova, Italy.

In this study, we describe the computed tomography (CT) features of pulmonary laceration in a study population, which included 364 client-owned dogs that underwent CT examination for thoracic trauma, and compared the characteristics and outcomes of dogs with and without CT evidence of pulmonary laceration. Lung laceration occurred in 46/364 dogs with thoracic trauma (prevalence 12.6%). Read More

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http://dx.doi.org/10.3390/vetsci7020041DOI Listing

Complications and Outcome after Rib Fracture Fixation: A Systematic Review.

J Trauma Acute Care Surg 2020 Apr 8. Epub 2020 Apr 8.

Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Department of Orthopaedic Surgery, Harvard Medical School Orthopedic Trauma Initiative, Massachusetts General Hospital, Boston, United States of America. Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Department of Orthopaedic Surgery, Harvard Medical School Orthopedic Trauma Initiative, Massachusetts General Hospital, Boston, United States of America. Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Department of Orthopedic and Trauma Surgery, Cantonal Hospital Lucerne, Lucerne, Switzerland Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.

Background: In recent years, there has been a growing interest in operative treatment for multiple rib fractures and flail chest. However, to date, there is no comprehensive study that extensively focused on the incidence of complications associated with rib fracture fixation. Furthermore, there is insufficient knowledge about the short- and long-term outcomes after rib fracture fixation. Read More

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http://dx.doi.org/10.1097/TA.0000000000002716DOI Listing

Diaphragm ultrasound: A novel approach to assessing pulmonary function in patients with traumatic rib fractures.

J Trauma Acute Care Surg 2020 Jul;89(1):96-102

From the Stony Brook University Hospital (D.N.O., S.R.), School of Medicine, Stony Brook, New York; Division of Pulmonary and Critical Care Medicine, Department of Medicine (S.A.), Stony Brook University Renaissance School of Medicine, Stony Brook, New York; Department of Biostatistics (E.T.), Stony Brook University Hospital, Stony Brook, New York; and Division of Trauma, Department of Medicine (E.H., J.A.V., R.S.J.), Stony Brook University Renaissance School of Medicine, Stony Brook, New York.

Background: Rib fractures following blunt trauma are a major cause of morbidity. Various factors have been used for risk stratification for complications. Ultrasound (US) measurements of diaphragm thickness (Tdi) and related measures such as thickening fraction (TF) have been verified for use in the evaluation of diaphragm function. Read More

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http://dx.doi.org/10.1097/TA.0000000000002723DOI Listing

Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?

Clin Exp Emerg Med 2020 03 31;7(1):67-70. Epub 2020 Mar 31.

Servizio Anestesia e Rianimazione 2, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.

In recent years, several techniques of regional anesthesia have been proposed to provide analgesia to the anterior thoracic cage; notably, most of these techniques require a parasternal approach. However, in this context, the potential role of a more common and well-established technique, namely the modified pectoral nerve block (known as PECS II block), has been poorly investigated. Here, we describe a case involving a patient with bilateral anterolateral multiple rib fractures associated with sternum fracture, who was successfully treated using bilateral PECS II blocks. Read More

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http://dx.doi.org/10.15441/ceem.18.089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141978PMC

Generic finite element models of human ribs, developed and validated for stiffness and strain prediction - To be used in rib fracture risk evaluation for the human population in vehicle crashes.

J Mech Behav Biomed Mater 2020 Jun 24;106:103742. Epub 2020 Mar 24.

Division of Vehicle Safety, Department of Mechanics and Maritime Sciences, Chalmers University of Technology, Sweden; Autoliv Research, Sweden.

To enable analysis of the risk of occupants sustaining rib fractures in a crash, generic finite element models of human ribs, one through twelve, were developed. The generic ribs representing an average sized male, were created based on data from several sources and publications. The generic ribs were validated for stiffness and strain predictions in anterior-posterior bending. Read More

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http://dx.doi.org/10.1016/j.jmbbm.2020.103742DOI Listing

Case of medullary thyroid carcinoma with desmoid-type fibromatosis.

Pathol Int 2020 Jun 5;70(6):364-369. Epub 2020 Apr 5.

Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

A 36-year-old man was admitted to hospital for a right thyroid nodule incidentally discovered on a chest computed tomography scan for a rib fracture. He had no history of radiation to the head and neck, no known family history of endocrine disease, and no medical or surgical history. A 17 × 10 mm, well-demarcated, multinodular, whitish nodule with neither necrosis nor hemorrhage was found in the right thyroid. Read More

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http://dx.doi.org/10.1111/pin.12926DOI Listing

Results and Long-Term Functional Outcomes of Rib Fracture Fixation: A Case Series in Singapore and a Review of Indications for Surgical Fixation.

Ann Acad Med Singapore 2020 Feb;49(2):93-97

Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, Tan Tock Seng Hospital, Singapore.

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February 2020