5,350 results match your criteria Fracture Rib


Point of Care Ultrasound Identification of Multiple Rib Fractures in a Pediatric Patient with Osteogenesis Imperfecta Type 3.

Children (Basel) 2022 Jun 10;9(6). Epub 2022 Jun 10.

Department of Emergency Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore.

Patients with osteogenesis imperfecta (OI) are at an increased risk of pathological rib fractures even if there is no history of trauma. Early and accurate identification of such fractures are crucial for appropriate management. We present a case of a child with OI type 3 with multiple rib fractures who presented with transient cyanosis and increased work of breathing without a history of significant trauma. Read More

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Type II collagen-positive progenitors are important stem cells in controlling skeletal development and vascular formation.

Bone Res 2022 Jun 23;10(1):46. Epub 2022 Jun 23.

Department of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.

Type II collagen-positive (Col2) cells have been reported as skeletal stem cells (SSCs), but the contribution of Col2 progenitors to skeletal development both prenatally and postnatally during aging remains unclear. To address this question, we generated new mouse models with ablation of Col2 cells at either the embryonic or postnatal stages. The embryonic ablation of Col2 progenitors resulted in the death of newborn mice due to a decrease in skeletal blood vessels, loss of all vertebral bones and absence of most other bones except part of the craniofacial bone, the clavicle bone and a small piece of the long bone and ribs, which suggested that intramembranous ossification is involved in long bone development but does not participate in spine development. Read More

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Radiation-induced osteoradionecrosis of the ribs in a patient with breast cancer: A case report.

Radiol Case Rep 2022 Aug 13;17(8):2894-2898. Epub 2022 Jun 13.

Department of Radiology, Yeungnam University College of Medicine, Daegu, Republic of Korea.

Osteoradionecrosis of the chest wall after radiation therapy for breast cancer is rare; however, it is one of the most severe complications of radiation treatment. Radiologically, osteoradionecrosis can manifest as a focal lucent area in bone, periostitis, sclerosis, and cortical irregularity of bones on X-ray or computed tomography; therefore, differentiation from bone metastasis can be challenging. Associated insufficiency fractures, ulceration, and skin necrosis may also occur. Read More

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Acupuncture Analgesia in Patients With Traumatic Rib Fractures: A Randomized-Controlled Trial.

Front Med (Lausanne) 2022 27;9:896692. Epub 2022 May 27.

Graduate Institute of Integrated Medicine, School of Chinese Medicine, College of Chinese Medicine, Research Center for Chinese Medicine & Acupuncture, China Medical University, Taichung, Taiwan.

Pain management for traumatic rib fracture is important to prevent complications and reduce associated comorbidities. This trial investigated the analgesic efficacy of acupuncture on traumatic rib fracture. Patients with traumatic rib fracture were randomly assigned to traditional acupuncture (TA), laser acupuncture (LA) or sham laser acupuncture (SLA) groups in a 1:1:1 ratio. Read More

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Kinesiotaping in the emergency department: The effect of kinesiotaping on acute pain due to uncomplicated traumatic injury of the shoulder or chest wall. A pilot study.

Am J Emerg Med 2022 Jun 3;58:197-202. Epub 2022 Jun 3.

Professor of Trauma Surgery, Department of Surgery, OLVG, Amsterdam, the Netherlands.

Introduction: Traumatic injuries of the shoulder or chest wall are commonly treated in the Emergency Department (ED). A complementary treatment is kinesiotaping, an elastic tape often used to treat musculoskeletal dysfunction and pain. However, the added pain-reducing effect of kinesiotape in comparison to standard conservative treatment is unknown. Read More

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Ultrasound Instead of X-Ray to Diagnose Neonatal Fractures: A Feasibility Study Based on a Case Series.

Front Pediatr 2022 26;10:847776. Epub 2022 May 26.

Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China.

Background: Fracture is a common birth injury in neonates, and its diagnosis mainly depends on chest X-ray examination, while ultrasound is typically not included in the diagnostic work-up of neonatal fractures. The aim of this study was to investigate the feasibility of using ultrasound to replace X-rays for the diagnosis of fractures in newborns and to determine the ultrasound characteristics of such fractures.

Methods: Bedside ultrasound with an appropriate probe and scanning angle was performed on 52 newborn infants with suspected fractures based on physical examination findings, and the ultrasound results were compared with the X-ray examination results. Read More

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Retrospective study of consecutive rib fracture patients treated by open reduction internal fixation in a single major trauma centre, UK.

Injury 2022 Jun 6. Epub 2022 Jun 6.

Aintree University Hospital, UK.

Introduction: Rib fractures are a common presentation in both patients presenting with high impact poly-trauma and as a result of low energy falls in the elderly. This injury can lead to various complications including prolonged hospital admission, pneumonia, need for ventilation and in admission to intensive care unit. There is much controversy around the management of this injury in the literature, with favourable outcomes for patients treated non-operatively as well as surgically. Read More

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Press Tack Needle Stimulation for Blunt Chest Trauma: A Randomized Double-Blind Control Trial.

Interact Cardiovasc Thorac Surg 2022 Jun 7. Epub 2022 Jun 7.

Graduate Institute of Acupuncture Science, China Medical University, Taichung, Taiwan.

Introduction: Blunt chest trauma is often associated with severe pain, reduced lung function and decreased sleep quality. This study aims to investigate the immediate and long-term effect of acupuncture on these factors using a randomized control double-blind design.

Methods: A total of 72 patients were randomized into 2 groups: Treatment group (press tack acupuncture) and Control group (press tack placebo). Read More

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A case of hemorrhagic shock due to intercostal artery injury that occurred during initial trauma care with multiple displaced rib fractures and traumatic head injury.

Trauma Case Rep 2022 Aug 25;40:100658. Epub 2022 May 25.

Steel Memorial Hirohata Hospital, Himeji Emergency, Trauma and Critical Care Center, 3-1, Yumesakicho Hirohata-ku, Himeji-shi, Hyogo 671-1122, Japan.

Rib fractures can cause injury to some organs. We herein report a case of hemorrhagic shock due to intercostal artery injury that occurred during initial trauma care (ITC) treated by resuscitative thoracotomy (RT) and transcatheter arterial embolization (TAE) with multiple displaced rib fractures (RFs) and traumatic head injury (THI). A man in his 50s who was injured in a traffic accident was transferred to our institution by helicopter for emergency medical treatment. Read More

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VATS-assisted surgical stabilization of rib fractures in flail chest: 1-year follow-up of 105 cases.

Gen Thorac Cardiovasc Surg 2022 Jun 3. Epub 2022 Jun 3.

Department of Surgery, Zuyderland Medical Center, Heerlen, the Netherlands.

Objectives: Early surgical stabilization of flail chest has been shown to improve chest wall stability and diminish respiratory complications. The addition of video‑assisted thoracoscopic surgery (VATS) can diagnose and manage intrathoracic injuries and evacuate hemothorax. This study analyzed the outcome of our 7-year experience with VATS-assisted surgical stabilization of rib fractures (SSRF) for flail chest. Read More

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A Cohort Study on the Comparison of Complications, Short-Term Efficacy, and Quality of Life between Thoracoscopic Surgery and Traditional Surgery in the Treatment of Rib Fractures.

Contrast Media Mol Imaging 2022 18;2022:2079098. Epub 2022 May 18.

Department of Thoracic Surgery, Shanghai Pudong Hospital Fudan University Pudong Medical Center, Shanghai 201399, China.

Objective: A case-control study was conducted, to assess the complications, short-term effectiveness, and quality of life of video-assisted thoracoscopic surgery with conventional surgery in the treatment of rib fractures.

Methods: From February 2018 to April 2021, 100 patients with rib fractures who required surgical treatment at the hospital were selected. Patients were randomly divided into control and study groups. Read More

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Radiomic Modeling of Bone Density and Rib Fracture Risk After Stereotactic Body Radiation Therapy for Early-Stage Non-Small Cell Lung Cancer.

Adv Radiat Oncol 2022 May-Jun;7(3):100884. Epub 2021 Dec 29.

Department of Human Oncology, University of Wisconsin Hospital and Clinics, Madison, Wisconsin.

Purpose: Our purpose was to determine whether bone density and bone-derived radiomic metrics in combination with dosimetric variables could improve risk stratification of rib fractures after stereotactic body radiation therapy (SBRT) for early-stage non-small cell lung cancer (NSCLC).

Methods And Materials: A retrospective analysis was conducted of patients with early-stage NSCLC treated with SBRT. Dosimetric data and rib radiomic data extracted using PyRadiomics were used for the analysis. Read More

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December 2021

Impact of Time of Surgery on the Outcome after Surgical Stabilization of Rib Fractures in Severely Injured Patients with Severe Chest Trauma-A Matched-Pairs Analysis of the German Trauma Registry.

Front Surg 2022 11;9:852097. Epub 2022 May 11.

Department of Trauma Surgery and Orthopaedics, Reconstructive and Hand Surgery, Burn Medicine, German Armed Forces Central Hospital Koblenz, Koblenz, Germany.

Purpose: In severely injured patients with multiple rib fractures, the beneficial effect of surgical stabilization is still unknown. The existing literature shows divergent results, and the indication and especially the right timing of an operation are the subject of a broad discussion. The aim of this study was to determine the influence of the time point of surgical stabilization of rib fractures (SSRF) on the outcome in a multicenter database with special regard to the duration of ventilation, intensive care, and overall hospital stay. Read More

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Surgical fixation of rib fractures improves 30-day survival after significant chest injury : an analysis of ten years of prospective registry data from England and Wales.

Bone Joint J 2022 Jun;104-B(6):729-735

University of Nottingham, Nottingham, UK.

Aims: The last decade has seen a marked increase in surgical rib fracture fixation (SRF). The evidence to support this comes largely from retrospective cohorts, and adjusting for the effect of other injuries sustained at the same time is challenging. This study aims to assess the impact of SRF after blunt chest trauma using national prospective registry data, while controlling for other comorbidities and injuries. Read More

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Ultrasound Identifies First Rib Stress Fractures: A Case Series in Division I Athletes.

J Athl Train 2022 May 27. Epub 2022 May 27.

University of California - Davis Health, Sacramento, California, United States.

Isolated first rib stress fractures in athletes are thought to be rare. In this case series, three Division I athletes developed isolated first rib stress fractures over the span of one year, revealing that these may occur more often than previously understood. These fractures can be easily missed because of low incidence, lack of clinical suspicion, and vague presentation. Read More

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[Pulmonary Hematoma Likely due to a Contralateral Chest Injury, Requiring Differentiation from Lung Tumor:Report of a Case].

Kyobu Geka 2022 Jun;75(6):476-479

Department of Thoracic Surgery, Sapporo Minami-Sanjo Hospital, Sapporo, Japan.

A 23-year-old man was referred to our department for chest abnormal shadow. Computed tomography (CT) of the chest revealed a well-defined 1.2 cm nodule in the S4 segment of the right middle lobe and a well-defined 1. Read More

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Educational Case: Osteogenesis imperfecta.

Acad Pathol 2022 12;9(1):100025. Epub 2022 May 12.

Department of Pathology & Anatomy, Eastern Virginia Medical School, Norfolk, VA, USA.

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Outcomes After Operative Reconstruction of Symptomatic Rib Nonunions.

J Orthop Trauma 2022 05;36(5):e161-e166

Department of Orthopaedic Surgery, University of Minnesota, Regions Hospital, St. Paul, MN.

Objective: To assess the outcomes of patients after rib nonunion reconstruction.

Design: Retrospective case series.

Setting: Level 1 trauma center. Read More

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Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival.

Resusc Plus 2022 Jun 11;10:100242. Epub 2022 May 11.

Department of Clinical Sciences, Medical Faculty, Lund University, Helsingborg, Sweden.

Aim: To determine compression force variation (CFV) during mechanical cardiopulmonary resuscitation (CPR) and its relationship with CPR-related injuries and survival.

Methods: Adult non-traumatic OHCA patients who had been treated with mechanical CPR were evaluated for CPR-related injuries using chest X-rays, thoracic computed tomography or autopsy. The CFV exerted by the LUCAS 2 device was calculated as the difference between the maximum and the minimum force values and was categorised into three different groups (high positive CFV ≥ 95 newton (N), high negative CFV ≤ -95 N, and low variation for intermediate CFV). Read More

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Development of an artificial intelligence-assisted computed tomography diagnosis technology for rib fracture and evaluation of its clinical usefulness.

Sci Rep 2022 May 19;12(1):8363. Epub 2022 May 19.

Department of Radiology, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan.

Artificial intelligence algorithms utilizing deep learning are helpful tools for diagnostic imaging. A deep learning-based automatic detection algorithm was developed for rib fractures on computed tomography (CT) images of high-energy trauma patients. In this study, the clinical effectiveness of this algorithm was evaluated. Read More

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Biomechanical study of embracing and non-embracing rib plates.

J Appl Biomater Funct Mater 2022 Jan-Dec;20:22808000221099132

Thoracic Surgery Department, The 3rd Hospital of Hebei Medical University, Shijiazhuang, China.

The study was carried out to explore the biomechanical properties of embracing and non-embracing rib plates. Forty-eight adult cadaver rib specimens were divided randomly into six groups: three fixation model groups were made using embracing plates (two pairs of equals on both sides of the broken end), and the other three groups were fixed with a pre-shaped anatomical plate (three locking screws on each side of the end were equally spaced). The biomechanical properties of these models were analyzed using non-destructive three-point bending tests, non-destructive torsion experiments, and destructive axial compression tests. Read More

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A murine model of large-scale bone regeneration reveals a selective requirement for Sonic Hedgehog.

NPJ Regen Med 2022 May 17;7(1):30. Epub 2022 May 17.

Department of Stem Cell Biology and Regenerative Medicine, Keck School of Medicine, University of Southern California, 1425 San Pablo Street, Los Angeles, CA, 90089, USA.

Building and maintaining skeletal tissue requires the activity of skeletal stem and progenitor cells (SSPCs). Following injury, local pools of these SSPCs become active and coordinate to build new cartilage and bone tissues. While recent studies have identified specific markers for these SSPCs, how they become activated in different injury contexts is not well-understood. Read More

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Effect of Seasonality on Variation Among Patients Presenting With Rib Fractures in the United States.

Am Surg 2022 May 15:31348221102609. Epub 2022 May 15.

Division of General Surgery, Department of Surgery, 6429Stanford University, Stanford, CA, USA.

Background: A prior single-site study from the Midwest exploring seasonality of traumatic rib fractures found injuries are more common during summer months and lower in winter months. There have been no modern studies evaluating seasonality of these common injuries nationally. Our aim was to describe temporal and spatial distribution of rib fractures in the United States. Read More

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Assessment of Rib Fracture in Acute Trauma Using Automatic Rib Segmentation and a Curved, Unfolded View of the Ribs: Is There a Saving of Time?

J Clin Med 2022 Apr 29;11(9). Epub 2022 Apr 29.

Department of Radiology, Klinikum Wels-Grieskirchen, 4600 Wels, Austria.

Introduction: The fast and accurate diagnosis of rib fractures in polytrauma patients is important to reduce the mortality rate and relieve long-term pain and complications.

Aim: To evaluate the diagnostic accuracy and potential time savings using automatic rib segmentation and a curved, unfolded view for the detection of rib fractures in trauma patients.

Methods: The multidetector computed tomography raw data of 101 consecutive polytrauma patients (72 men; mean age 45 years, age range 17 to 84 years) admitted to a university hospital were retrospectively post-processed to generate a curved, unfolded view of the rib cage. Read More

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Delayed Presentation of First Rib Osteomyelitis Following Trauma.

Am Surg 2022 May 10:31348221101580. Epub 2022 May 10.

1479University of Maryland Medical Center, Baltimore, MD, USA.

Rib osteomyelitis can be caused by a contiguous infection after a traumatic fracture. Post traumatic osteomyelitis can present as chronic six or more weeks after bone infection. However, this patient developed first rib osteomyelitis 17 years after trauma, following the initiation of anticoagulation therapy. Read More

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Admission Triage With Pain, Inspiratory Effort, Cough Score can Predict Critical Care Utilization and Length of Stay in Isolated Chest Wall Injury.

J Surg Res 2022 Sep 6;277:310-318. Epub 2022 May 6.

Division of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania, Philadelphia.

Introduction: Damage to the thoracic cage is common in the injured patient, both when the injuries are confined to this single cavity and as part of the overall injury burden of a polytraumatized patient. In a subset of these patients, the severity of injury to the intrathoracic viscera is either underappreciated at admission or blossom over the following 48-72 h. The ability to promptly identify these patients and abrogate complications therefore requires triage of such at-risk patients to close monitoring in a critical care environment. Read More

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September 2022

Road traffic accident-related thoracic trauma: Epidemiology, injury pattern, outcome, and impact on mortality-A multicenter observational study.

PLoS One 2022 6;17(5):e0268202. Epub 2022 May 6.

Service d'Accueil des Urgences-SAMU 69, Centre Hospitalier Universitaire Édouard Herriot, Lyon, Hospices Civils de Lyon, France.

Background: Thoracic trauma is a major cause of death in trauma patients and road traffic accident (RTA)-related thoracic injuries have different characteristics than those with non-RTA related thoracic traumas, but this have been poorly described. The main objective was to investigate the epidemiology, injury pattern and outcome of patients suffering a significant RTA-related thoracic injury. Secondary objective was to investigate the influence of serious thoracic injuries on mortality, compared to other serious injuries. Read More

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Surgical Infection Society: Chest Wall Injury Society Recommendations for Antibiotic Use during Surgical Stabilization of Traumatic Rib or Sternal Fractures to Reduce Risk of Implant Infection.

Surg Infect (Larchmt) 2022 May;23(4):321-331

Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.

Surgical stabilization of rib fractures is recommended in patients with flail chest or multiple displaced rib fractures with physiologic compromise. Surgical stabilization of rib fractures (SSRF) and surgical stabilization of sternal fractures (SSSF) involve open reduction and internal fixation of fractures with a plate construct to restore anatomic alignment. Most plate constructs are composed of titanium and presence of this foreign, non-absorbable material presents opportunity for implant infection. Read More

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Long term outcomes following rib fracture fixation in patients with major chest trauma.

Injury 2022 Apr 25. Epub 2022 Apr 25.

Adult Critical care Unit, The Royal London hospital, Barts Health NHS Trust, United Kingdom; William Harvey Research Institute, Queen Mary University London, United Kingdom. Electronic address:

Background: Severe chest injuries are associated with significant morbidity and mortality. Surgical rib fixation has become a more commonplace procedure to improve chest wall mechanics, pain, and function. The aim of this study was to characterise the epidemiology and long-term functional outcomes of chest trauma patients who underwent rib fixation in a major trauma centre (MTC). Read More

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Delayed dorsal scapular artery hematoma following blunt thoracic trauma: a case report and review of the literature.

J Med Case Rep 2022 May 4;16(1):179. Epub 2022 May 4.

Department of Emergency Medicine, Holbæk Hospital, Holbæk, Denmark.

Background: The present case contributes to the limited literature on delayed chest wall hematomas following blunt trauma. The literature review provides a summary of similar previously reported cases.

Case Presentation: We report the case of a 59-year-old Caucasian male who presented to the emergency department with a rapidly expanding chest wall hematoma. Read More

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