5,051 results match your criteria Fracture Rib

Abdominal flank bulge following intercostal neurectomy for symptomatic rib fracture nonunion.

BMJ Case Rep 2021 Jun 11;14(6). Epub 2021 Jun 11.

Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center, Rotterdam, Zuid-Holland, The Netherlands.

The gold standard for rib fracture nonunion management remains a matter of debate. Operative treatment of rib fracture nonunion has become increasingly popular. A 69-year-old man was operatively treated with intercostal neurectomy of the left eighth rib to resolve chronic thoracic pain following a rib fracture nonunion. Read More

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Which traumatic spinal injury creates which degree of instability? A systematic quantitative review.

Spine J 2021 Jun 8. Epub 2021 Jun 8.

Institute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University, Ulm, Germany. Electronic address:

Background Context: Traumatic spinal injuries often require surgical fixation. Specific three-dimensional degrees of instability after spinal injury, which represent criteria for optimum treatment concepts, however, are still not well investigated.

Purpose: The aim of this review therefore was to summarize and quantify multiplanar instability increases due to spinal injury from experimental studies. Read More

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Delayed Union of Stress Fracture of the First Rib in a Yoga Instructor: A Case Report.

JBJS Case Connect 2021 Jun 11;11(2). Epub 2021 Jun 11.

Department of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan.

Case: We describe the case of a 38-year-old woman, a yoga instructor, who had pain in the right shoulder and scapular region of 4 months' duration while performing yoga. Radiography and computed tomography diagnosed delayed union of a first rib stress fracture. The delayed union of stress fracture of the first rib was successfully treated with the limiting of yoga activity and low-intensity pulsed ultrasound (LIPUS). Read More

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Rib Cortical Bone Fracture Risk as a Function of Age and Rib Strain: Updated Injury Prediction Using Finite Element Human Body Models.

Front Bioeng Biotechnol 2021 24;9:677768. Epub 2021 May 24.

Autoliv Research, Vårgårda, Sweden.

To evaluate vehicle occupant injury risk, finite element human body models (HBMs) can be used in vehicle crash simulations. HBMs can predict tissue loading levels, and the risk for fracture can be estimated based on a tissue-based risk curve. A probabilistic framework utilizing an age-adjusted rib strain-based risk function was proposed in 2012. Read More

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Impacts of tailored, rehabilitation nursing care on functional ability and quality of life in hospitalized elderly patients after rib fractures.

Clin Rehabil 2021 Jun 6:2692155211022734. Epub 2021 Jun 6.

Department of Physiotherapy, Faculty of Health Sciences, University of Valencia, Valencia, Spain.

Objectives: We aimed to analyze the effects of a tailored rehabilitation nursing care program on functional ability and quality of life in patients with conservative treatment for rib fractures.

Design: Randomized controlled trial.

Setting: Inpatient rehabilitation hospital. Read More

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Assessing the speed-accuracy trade-offs of popular convolutional neural networks for single-crop rib fracture classification.

Comput Med Imaging Graph 2021 May 15;91:101937. Epub 2021 May 15.

Department of Electrical and Computer Engineering, University of Saskatchewan, Saskatoon, SK S7N 5C9, Canada. Electronic address:

Rib fractures are injuries commonly assessed in trauma wards. Deep learning has demonstrated state-of-the-art accuracy for a variety of tasks, including image classification. This paper assesses the speed-accuracy trade-offs and general suitability of four popular convolutional neural networks to classify rib fractures from axial computed tomography imagery. Read More

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The financial burden of rib fractures: National estimates 2007 to 2016.

Injury 2021 May 19. Epub 2021 May 19.

Division of Thoracic and Esophageal Surgery, University Hospitals Cleveland Medical Center and Case Western Reserve University School of Medicine, Cleveland, OH, United States.

Background: The aim of this study is to define the cost of rib fracture hospitalization by single, multiple, and flail type using a nationally representative sample.

Methods: The national inpatient sample (NIS) was used to identify patients with a primary diagnosis of rib fracture hospitalization 2007-2016. International Classification of Diseases, Ninth Revision (ICD-9) and Tenth Revision (ICD-10) codes were used to characterize patients as having single, multiple, or flail chest rib fractures. Read More

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Preliminary study of the characteristics of rib fractures and their impact on pulmonary ventilatory function.

J Cardiothorac Surg 2021 May 31;16(1):155. Epub 2021 May 31.

Department of Thoracic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, No. 600 Yishan Road, Shanghai, 200233, China.

Background: This study aimed to investigate the pulmonary ventilation function (PVF) according to different types of rib fractures and pain levels.

Methods: This was a retrospective study of patients with thoracic trauma admitted to our ward from May 1, 2015, to February 1, 2017. Vital capacity (VC), forced expiratory volume in 1 s (FEV1), and peak expiratory flow (PEF) were measured on admission. Read More

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Should Rib Fracture Patients be Treated at High Acuity Trauma Hospitals?

J Surg Res 2021 May 28;266:328-335. Epub 2021 May 28.

Division of Trauma, Critical Care, Burns, and Acute Care Surgery, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio; Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, Ohio. Electronic address:

Background: It is well known that severely injured trauma patients have better outcomes when treated at centers that routinely treat high acuity trauma. The benefits of specialty treatment for chest trauma have not been shown. We hypothesized that patients with high risk rib fractures treated in centers that care for high acuity trauma would have better outcomes than patients treated in other centers. Read More

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Rib Fracture Fixation: Where and What is the Baseline?

Zsolt J Balogh

Injury 2021 06;52(6):1239-1240

Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW, Australia. Electronic address:

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Synthesis, structure, and properties of carbon/carbon composites artificial rib for chest wall reconstruction.

Sci Rep 2021 May 28;11(1):11285. Epub 2021 May 28.

State Key Laboratory for Powder Metallurgy, Central South University, Changsha, 410083, Hunan, People's Republic of China.

In this work, braided carbon fiber reinforced carbon matrix composites (3D-C/C composites) are prepared by chemical vapor infiltration process. Their composite structure, mechanical properties, biocompatibility, and in vivo experiments are investigated and compared with those of traditional 2.5D-C/C composites and titanium alloys TC4. Read More

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Empyema associated with a cough-induced rib fracture.

BMJ Case Rep 2021 May 25;14(5). Epub 2021 May 25.

Department of Internal Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.

A 44-year-old man presented to the emergency department with fever and right anterior chest pain. He reported a persistent cough and the development of sudden-onset right anterior chest pain after coughing. The inspiratory pain in the right lung was severe, and therefore deep breathing was impossible. Read More

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Case report-Vascular injury in association with posteriorly displaced medial clavicle fracture.

Trauma Case Rep 2021 Jun 21;33:100483. Epub 2021 Apr 21.

Starship Hospital Orthopaedic Department, 2 Park Road, Grafton, Auckland 1023, New Zealand.

The primary stabiliser of the diarthrodial sterno-clavicular (SC) joint is the costo-clavicular ligament, this holds the clavicle to the first costal cartilage and the end of the first rib. The costo-clavicular and surrounding ligaments help maintain the stability and strength of the SC joint. As a result, SC joint dislocations are far less common than fractures to the clavicle due to the relatively larger forces required to disrupt these ligaments. Read More

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The role for regional anesthesia in medical emergencies during deep space flight.

Reg Anesth Pain Med 2021 May 21. Epub 2021 May 21.

Department of Anesthesiology, Weill Cornell Medicine, New York, New York, USA.

As humanity presses the boundaries of space exploration and prepares for long-term interplanetary travel, including to Mars, advanced planning for the safety and health of the crewmembers requires a multidisciplinary approach. In particular, in the event of a survivable medical emergency requiring an interventional procedure or prolonged pain management, such as traumatic limb injury or rib fracture, anesthetic protocols that are both safe and straightforward to execute must be in place. In this daring discourse, we discuss particular considerations related to the use of regional techniques in space and present the rationale that regional anesthesia techniques may be the safest option in many medical emergencies encountered during prolonged space flight. Read More

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Rib fracture fixation in a patient on veno-venous ECMO for severe blunt thoracic trauma.

Ann R Coll Surg Engl 2021 May 21. Epub 2021 May 21.

Aberdeen Royal Infirmary, UK.

Thoracic chest wall trauma is a common injury in patients admitted to hospital following injury and is associated with high mortality. British Orthopaedic Association Standards for Trauma and Orthopaedics guidelines recommend consideration of rib fracture fixation in patients with flail chest wall injuries with respiratory compromise or uncontrollable pain. Veno-venous extracorporeal membrane oxygenation (ECMO) can be utilised in patients with severe respiratory dysfunction and we present the case of a patient who underwent rib fracture fixation while receiving ECMO. Read More

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Rib fracture detection in computed tomography images using deep convolutional neural networks.

Medicine (Baltimore) 2021 May;100(20):e26024

Department of Radiology, Graduate School of Medicine, University of Tokyo, Bunkyo-ku.

Abstract: To evaluate the rib fracture detection performance in computed tomography (CT) images using a software based on a deep convolutional neural network (DCNN) and compare it with the rib fracture diagnostic performance of doctors.We included CT images from 39 patients with thoracic injuries who underwent CT scans. In these images, 256 rib fractures were detected by two radiologists. Read More

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Minimally invasive surgery rib fracture fixation based on location and anatomical landmarks.

Eur J Trauma Emerg Surg 2021 May 13. Epub 2021 May 13.

Department of Cardiothoracic Surgery, Shijiazhuang Third Hospital, No. 15 Tiyu South Street, Shijiazhuang, 050011, Hebei, China.

Background: Rib fracture is closely related to thoracic injury with high morbidity and mortality. This study aimed to investigate the clinical effect of Zhang ZhiFei (ZZF) zoning method on the selection of incision and approach in minimally invasive surgery for rib fracture.

Methods: A total of 110 patients with rib fractures from July 2017 to July 2019 were enrolled in the study. Read More

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Role of autopsy imaging-computed tomography in the post-mortem study of farm animals.

Vet Rec Open 2021 Dec 7;8(1):e1. Epub 2021 Apr 7.

Faculty of Agriculture University of Miyazaki Miyazaki Japan.

Background: Autopsy imaging (Ai) is used to determine the cause of death, providing pre-dissection information. Ai is often used in the field of human forensic medicine but has never been applied on farm animals.

Methods: Ai-computed tomography (CT) was performed before necropsy for farm animals (one goat, one ox, one cow and three calves) that died or were euthanised. Read More

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December 2021

[Surgical Resection of the Rib Fragment to Prevent Lung Injury in a Patient with Chest Trauma:Report of a Case].

Kyobu Geka 2021 May;74(5):397-400

Department of Thoracic and Cardiovascular Surgery, Hirosaki University, Hirosaki, Japan.

An 82-year old man was admitted for a left fifth rib fracture with traumatic pneumothorax. Computed tomography showed a sharp rib fragment protruding into the thoracic cavity. Thoracic drainage was not performed before surgery to avoid lung injury by the rib fragment. Read More

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Evaluation of Lung Contusion, Associated Injuries, and Outcome in a Major Trauma Center in Shiraz, Southern Iran.

Emerg Med Int 2021 22;2021:3789132. Epub 2021 Apr 22.

Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.

Objective: Blunt chest trauma as one of the most common injuries in trauma cases can cause significant morbidity and mortality. The purpose of this study was to determine the clinical course of traumatic injuries with an initial diagnosis of a pulmonary contusion in patients.

Method: In this retrospective study, we evaluated the demographic and clinical features of patients who were referred to a major trauma center in southern Iran. Read More

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Improving rib fracture management in Morriston hospital: using QI to develop an erector spinae plane catheter service.

Tom Rees Arthur Ee

BMJ Open Qual 2021 May;10(2)

Anaesthesia, Royal Gwent Hospital, Newport, UK.

Introduction: Trauma audit research network (TARN) data for 2018 indicated that we admitted 100 patients with chest wall injuries in our District General Hospital (DGH). Our own retrospective audit of pain team referrals confirmed long length of stay (median 14 days), with 59% requiring level 2/3 care and 11% mortality risk. We noticed that Regional anaesthesia was offered to less than 25% of patients despite 63% reporting severe pain and decided to introduce an erector spinae plane (ESP) catheter service for rib fractures. Read More

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Optimizing Surgical Stabilization of Rib Fractures Using Intra-Operative Ultrasound Localization.

J Trauma Acute Care Surg 2021 Apr 29. Epub 2021 Apr 29.

Brown University, Alpert Medica School, Department of Surgery.

Background: Surgical stabilization of rib fractures (SSRF) significantly improve the outcomes of patients with rib fractures. Ultrasound is a specific modality for localizing rib fractures. We hypothesized that use of perioperative ultrasound localization of fracture sites optimizes surgical approach and clinical outcomes. Read More

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An Unusual Association between Neurofibromatosis Type 1 and Diffuse B Cell Lymphoma.

Case Rep Oncol Med 2021 13;2021:5575957. Epub 2021 Apr 13.

Saint Agnes Hospital, Baltimore, MA, USA.

Neurofibromatosis type 1 (NF-1) is known to be associated with increased risk of malignancy by at least fourfold. Malignant lymphomas are rare in adults with NF-1. Hereby, we present a 75-year-old male with NF-1 complaining of weakness, nausea, and vomiting associated with abdominal pain. Read More

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Experimental study exploring the factors that promote rib fragility in the elderly.

Sci Rep 2021 Apr 29;11(1):9307. Epub 2021 Apr 29.

Institute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, University of Ulm, Helmholtzstraße 14, 89081, Ulm, Germany.

Rib fractures represent a common injury type due to blunt chest trauma, affecting hospital stay and mortality especially in elderly patients. Factors promoting rib fragility, however, are little investigated. The purpose of this in vitro study was to explore potential determinants of human rib fragility in the elderly. Read More

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Effect of Stirring Pin Rotation Speed on Microstructure and Mechanical Properties of 2A14-T4 Alloy T-Joints Produced by Stationary Shoulder Friction Stir Welding.

Materials (Basel) 2021 Apr 13;14(8). Epub 2021 Apr 13.

State Key Laboratory of Advanced Welding and Joining, Harbin Institute of Technology, Harbin 150001, China.

In this study, 2A14-T4 Al-alloy T-joints were prepared via stationary shoulder friction stir welding (SSFSW) technology where the stirring pin's rotation speed was set as different values. In combination with the numerical simulation results, the macro-forming, microstructure, and mechanical properties of the joints under different welding conditions were analyzed. The results show that the thermal cycle curves in the SSFSW process are featured by a steep climb and slow decreasing variation trends. Read More

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Surgical Stabilisation of Traumatic Rib Fractures with Chronic, Residual Type A Aortic Dissection.

Healthcare (Basel) 2021 Apr 1;9(4). Epub 2021 Apr 1.

Department of Surgery, St George Hospital, Kogarah, NSW 2217, Australia.

Surgical stabilisation of rib fractures (SSRF) reduces morbidity and mortality. However, its impact in complicated cases, particularly those with underlying thoracic pathologies, is of continued interest. Electronic records were retrospectively reviewed after obtaining informed consent from the patient. Read More

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Extrapulmonary Tuberculosis masquerading as chest wall malignancy: Just never ceases to surprise!

IDCases 2021 6;24:e01114. Epub 2021 Apr 6.

Pulmonary Department, Hamad General Hospital, Qatar.

With the emergence of the acquired immunodeficiency syndrome, we witnessed a higher incidence of disseminated and extrapulmonary tuberculosis. The infection sites commonly include lymph nodes, pleura, and osteoarticular areas, although any organ can be involved. Given the atypical presentation of the extrapulmonary disease, it poses a significant diagnostic challenge for the physicians; therefore, a high index of suspicion should be maintained, particularly where tuberculosis is endemic. Read More

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Bone density and fracture risk following SBRT for non-spine bone metastases.

J Radiosurg SBRT 2021 ;7(3):199-206

Johns Hopkins University School of Medicine, Department of Radiation Oncology and Molecular Radiation Sciences, Baltimore, MD, USA.

Purpose/methods: This retrospective study evaluated local recurrence (LR) and fracture risk in non-spine bone metastases treated with SBRT.

Results: 181 lesions in 116 patients are reported. The median dose was 27 Gy (range 15-40) in 3 fractions (range 1-6). Read More

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January 2021

A clinical practice guideline using percentage of predicted forced vital capacity improves resource allocation for rib fracture patients.

J Trauma Acute Care Surg 2021 May;90(5):769-775

From the Department of Trauma and Acute Care Surgery (J.D.B., A.D.K., T.J.S.), University of Colorado Health Memorial Hospital, Colorado Springs; Department of Surgery (J.D.B., A.D.K., T.J.S.), University of Colorado, Aurora; and Department of Pharmacy (L.P.C., A.A.D., E.W.B.), University of Colorado Health Memorial Hospital, Colorado Springs, Colorado.

Background: Predicting rib fracture patients that will require higher-level care is a challenge during patient triage. Percentage of predicted forced vital capacity (FVC%) incorporates patient-specific factors to customize the measurements to each patient. A single institution transitioned from a clinical practice guideline (CPG) using absolute forced vital capacity (FVC) to one using FVC% to improve triage of rib fracture patients. Read More

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Not All Gymnastic Exercises Are Suitable for Everyone: An Uncommon Cause of Thoracic Outlet Syndrome: A Case Report.

JBJS Case Connect 2021 04 21;11(2). Epub 2021 Apr 21.

Department of Surgery, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong.

Case: A 34-year-old man spontaneously presented with bilateral thoracic outlet syndrome over 1 year. He was a gymnast active in rowing and weightlifting, with "slanted" shoulders, narrowed costoclavicular spaces, and well-developed scalene muscles. Imaging revealed fractures of multiple bilateral upper ribs in various degrees of nonunion. Read More

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