4,426 results match your criteria Fracture Rib


Epidemiological profile of thoracic trauma in a reference hospital of Foz do Rio Itajai.

Rev Col Bras Cir 2019 18;46(2):e2121. Epub 2019 Apr 18.

Universidade do Vale do Itajaí, Curso de Medicina, Itajaí, SC, Brasil.

Objective: to describe the epidemiological profile of thoracic trauma in the region of Foz do Rio Itajai, in the state of Santa Catarina, Brazil.

Methods: observational, descriptive and prospective study performed through the collection of data starting with a form elaborated by researchers and filled in by the team in charge of a reference hospital between June 2017 and May 2018.

Results: one hundred and nineteen forms from victims of thoracic trauma were analyzed, constituted of 70. Read More

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http://dx.doi.org/10.1590/0100-6991e-20192121DOI Listing

Damage control orthopedics applied in an 8-year-old child with life-threatening multiple injuries: A CARE-compliant case report.

Medicine (Baltimore) 2019 Apr;98(16):e15294

University Children's Hospital Basel (UKBB), Department of Pediatric Surgery, 4056 Basel.

Rationale: Damage control is a staged surgical approach to manage polytraumatized patients. The damage control approach comprises three steps. First, bleeding is controlled and fractures are stabilized temporarily; second, vital parameters are stabilized and the child is rewarmed in the intensive care unit; and third, the child is reoperated for definitive repair of injuries. Read More

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http://Insights.ovid.com/crossref?an=00005792-201904190-0005
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http://dx.doi.org/10.1097/MD.0000000000015294DOI Listing
April 2019
2 Reads

Damage control surgery for unstable thoracic wall injury.

Trauma Case Rep 2019 Jun 6;21:100188. Epub 2019 Apr 6.

Shimane Advanced Trauma Center, Shimane University Hospital, Japan.

Damage control surgery (DCS) consists of three steps: an abbreviated initial operation, resuscitation in the ICU, and a planned reoperation. Although DCS for lung and heart injury have been established, there is no concept of DCS for the chest wall. We experienced a successful case, in which a DCS of chest wall lifting procedure and internal pneumatic stabilization were performed on the flail chest accompanied by a remarkable destruction of chest wall. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S23526440193002
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http://dx.doi.org/10.1016/j.tcr.2019.100188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454092PMC
June 2019
1 Read

Excision of Giant Schwannoma in a Nonagenarian-operative techniques for enhanced recovery after thoracotomy in the high-risk patient.

J Surg Case Rep 2019 Apr 16;2019(4):rjz110. Epub 2019 Apr 16.

Department of Surgery, St Vincent's Hospital, University of Melbourne, Melbourne, Victoria 3065, Australia.

Thoracotomy is acknowledged as one of the most painful procedures in surgical practice, with the potential to result in significant acute and chronic sequelae, which become especially relevant in high-risk patient populations. Certain pathologies necessitate this surgical approach, and in those circumstances we must aim to mitigate postoperative complications by employing surgical techniques that decrease the risk of nerve injury, rib fracture, and unnecessary soft tissue trauma. We describe an approach to thoracotomy that incorporates evidence-based strategies to lessen the risk of these potential complications, which resulted in rapid postoperative recovery in a nonagenarian. Read More

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http://dx.doi.org/10.1093/jscr/rjz110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465953PMC

Retraction mechanics of Finochietto-style self-retaining thoracic retractors.

Biomed Eng Online 2019 Apr 16;18(1):45. Epub 2019 Apr 16.

Physcient Inc., 112 South Duke St., Suite 4A, Durham, NC, 27701, USA.

Objectives: Analyze the mechanics of Finochietto-style retractors, including the responses of thoracic tissues during thoracotomy, with an emphasis on tissue trauma and means for its reduction.

Methods: Mechanical analyses of the retractor were performed, including analysis of deformation under load and kinematics of the crank mechanism. Thoracotomies in a porcine model were performed in anesthetized animals (7) and fresh cadavers (17) using an instrumented retractor. Read More

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http://dx.doi.org/10.1186/s12938-019-0664-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469031PMC
April 2019
2 Reads

Mechanism of injury, injury patterns and associated injuries in patients operated for chest wall trauma.

Eur J Trauma Emerg Surg 2019 Apr 6. Epub 2019 Apr 6.

Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Sahlgrenska University Hospital, University of Gothenburg, Per Dubbsgatan 15, 413 45, Gothenburg, Sweden.

Purpose: Chest wall injuries are common in blunt trauma and associated with significant morbidity and mortality. The aim of this study was to determine the most common mechanisms of injury (MOI), injury patterns, and associated injuries in patients who undergo surgery for chest wall trauma.

Methods: This was a retrospective study of trauma patients with multiple rib fractures and unstable thoracic cage injuries who were managed surgically at Sahlgrenska University Hospital during the period September 2010-September 2017. Read More

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http://dx.doi.org/10.1007/s00068-019-01119-zDOI Listing
April 2019
8 Reads

Early Use of a Chest Trauma Protocol in Elderly Patients with Rib Fractures Improves Pulmonary Outcomes.

Am Surg 2019 Mar;85(3):288-291

Rib fractures are among the most common injuries identified in blunt trauma patients. Morbidity increases with increasing age and increasing number of rib fractures. The use of noninvasive ventilation has been shown to be helpful as a rescue technique avoiding intubation in patients who have become hypoxemic but little data with regard to its use to prophylactically prevent worsening respiratory status are available. Read More

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March 2019
1 Read

Thoracic trauma: a descriptive review of 4168 consecutive cases in East China.

Medicine (Baltimore) 2019 Apr;98(14):e14993

Department of Thoracic Surgery.

Thoracic trauma in China was scarcely reported. This study aimed to summarize the clinical profiles and to analyze the management approaches of patients with traumatic thoracic injury.Data for consecutive patients with thoracic trauma from January 2003 to January 2018 were retrospectively collected and analyzed. Read More

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http://dx.doi.org/10.1097/MD.0000000000014993DOI Listing
April 2019
3 Reads
5.723 Impact Factor

Systematic review of systematic reviews for effectiveness of internal fixation for flail chest and rib fractures in adults.

BMJ Open 2019 Apr 1;9(4):e023444. Epub 2019 Apr 1.

York Trials Unit, Health Sciences, University of York, York, UK.

Objectives: Multiple systematic reviews have reported on the impact of rib fracture fixation in the presence of flail chest and multiple rib fractures, however this practice remains controversial. Our aim is to synthesise the effectiveness of surgical rib fracture fixation as evidenced by systematic reviews.

Design: A systematic search identified systematic reviews comparing effectiveness of rib fracture fixation with non-operative management of adults with flail chest or unifocal non-flail rib fractures. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023444DOI Listing
April 2019
2 Reads

On the protective capacity of a safety vest for the thoracic injury caused by falling down.

Biomed Eng Online 2019 Apr 2;18(1):40. Epub 2019 Apr 2.

School of Life Science, Beijing Institute of Technology, 5 South Zhongguancun Street, Beijing, 100081, People's Republic of China.

Background: Aged people all over the world are prone to fall down accidentally and be injured with fracture, such as the rib fracture. To protect the elderly, the safety vest has been developed to protect them from being injured when falling down. To effectively protect the elderly, more analysis on the protective capacity of a safety vest under different situation are needed. Read More

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http://dx.doi.org/10.1186/s12938-019-0652-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444614PMC
April 2019
5 Reads

Isolated open comminuted fracture of the first rib.

J Postgrad Med 2019 Mar 29. Epub 2019 Mar 29.

Department of Emergency Medicine, JIPMER, India.

In the emergency department, open isolated rib fractures are rarely seen. There is scarce literature related to open isolated first rib comminuted fracture. We report a 33-year-old male who presented with an isolated open first rib comminuted fracture following a road traffic accident. Read More

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http://dx.doi.org/10.4103/jpgm.JPGM_352_18DOI Listing
March 2019
1 Read

Reconstruction of infra orbital rim with rib cartilage.

Indian J Dent Res 2019 Jan-Feb;30(1):154-156

Department of OMFS, Noorul Islam College of Dental Sciences, Thiruvananthapuram, Kerala, India.

Maxillo Mandibular injuries are most common through road traffic accident. The defects and deformities are usually prominent in case of facial injuries. The ultimate aim of recontouring and reconstruction of the facial defect is to achieve the maximum functional as well as esthetic part of the face. Read More

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http://dx.doi.org/10.4103/ijdr.IJDR_205_17DOI Listing

Diagnostic Accuracy of Computed Tomography Scout Film and Chest X-ray for Detection of Rib Fractures in Patients with Chest Trauma: A Cross-sectional Study.

Cureus 2019 Jan 13;11(1):e3875. Epub 2019 Jan 13.

Internal Medicine, Rutgers New Jersey Medical School, Newark, USA.

Background: Rib fractures are a major source of morbidity in patients with chest trauma. Computed tomography (CT) scout film is a low-dose image that is obtained prior to a complete chest CT study for all patients undergoing a CT scan. In this study, we evaluated the diagnostic performance of CT scout film vis-à-vis that of chest X-ray for detection of rib fractures using chest CT scan as the reference standard. Read More

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http://dx.doi.org/10.7759/cureus.3875DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420333PMC
January 2019

Cough-induced costal cartilage fracture.

Clin Imaging 2019 Mar 13;55:161-164. Epub 2019 Mar 13.

Department of Radiology, New York Presbyterian Hospital-Weill Cornell Medical Center, 525 East 68th Street, Box 141, New York, NY 10065, United States of America.

We present two cases of atraumatic costal cartilage fracture secondary to violent coughing. Although costal cartilage fractures due to trauma and bony rib fractures due to violent coughing have been described, to our knowledge there have been no prior reported cases of cough-induced costal cartilage fracture. It is important for radiologists to consider costal cartilage fractures, which are often more subtle than osseous injuries, in patients with chest pain, and understand that they may not always be preceded by direct trauma. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.03.007DOI Listing
March 2019
2 Reads

Car Accident With Airbag Deployment Trauma Showed Special Pattern in Bone Scan.

Clin Nucl Med 2019 May;44(5):429-430

A 72-year-old man had rectal adenocarcinoma with partial obstruction with liver and lung metastases. Bone scan showed special pattern with bony destructions to the lateral aspect of the left first to fourth and right first to 10th ribs (in a row in continuous vertical alignment), the costal end of the left second rib, the left sternoclavicular junction, and sternum. Patient recalled a car traffic accident with airbag deployment trauma to the anterior aspect of the chest about 2 months prior. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002537DOI Listing
May 2019
1 Read

The advantages of adding rib fixations during VATS for retained hemothorax in serious blunt chest trauma - A prospective cohort study.

Int J Surg 2019 Mar 14;65:13-18. Epub 2019 Mar 14.

Division of Thoracic Surgery, Department of Surgery, Kaohsiung-Veterans General Hospital, Kaohsiung, Taiwan; Division of Trauma, Department of Emergency, Kaohsiung-Veterans General Hospital, Kaohsiung, Taiwan; Department of Cosmetic Science, College of Human Ecology, Chang Gung University of Science and Technology, Taoyuan, Taiwan. Electronic address:

Background: Serious blunt chest trauma usually induces hemothorax, pneumothorax, and rib fracture. Early video-assisted thoracoscopic surgery (VATS) to evacuate retained hemothorax is one commonly used treatment. In this study, a new strategy was implemented to combine VATS with fractured rib fixation simultaneously. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.02.022DOI Listing
March 2019
1 Read

Regional anaesthesia for rib fractures: too many choices, too little evidence.

Anaesthesia 2019 05 11;74(5):564-568. Epub 2019 Mar 11.

Department of Anaesthesia, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

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http://dx.doi.org/10.1111/anae.14634DOI Listing

Salvage of rib stabilization hardware with antibiotic beads.

Am J Surg 2019 Feb 28. Epub 2019 Feb 28.

Division of Trauma, Critical Care, and General Surgery, Mayo Clinic Rochester, Rochester, MN, United States. Electronic address:

Background: Surgical stabilization of rib fractures (SSRF) can be used to improve pulmonary mechanics; however, hardware infection is a morbid complication. Antibiotic impregnated beads have been used to suppress infection in orthopedic practices. We aimed to determine the efficacy of antibiotic beads for infected and at-risk SSRF hardware. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.02.032DOI Listing
February 2019
2 Reads

[Clinical effect of cardiopulmonary resuscitation with active abdominal compression-decompression].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2019 Feb;31(2):228-231

Emergency Medical Center, Hainan General Hospital, Haikou 570311, Hainan, China. Corresponding author: Chen Wenteng, Email:

Objective: To explore the resuscitation effect of active abdominal compression-decompression cardiopulmonary resuscitation (AACD-CPR) on patients with cardiac arrest.

Methods: The patients with cardiac arrest admitted to emergency medical center of Hainan General Hospital from June 2014 to January 2016 were enrolled, who were satisfied with the indication of AACD-CPR and had no contraindication for AACD-CPR, and with 40-150 kg weight and over 16 years old. All of enrolled patients were given mechanical ventilation and conventional drug rescue. Read More

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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2019.02.021DOI Listing
February 2019
7 Reads

Facial Fractures as a Result of Falls in the Elderly: Concomitant Injuries and Management Strategies.

Craniomaxillofac Trauma Reconstr 2019 Mar 17;12(1):45-53. Epub 2018 May 17.

Department of Plastic Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey.

Mechanical falls are a common cause of facial trauma in the elderly population. It has been shown that the likelihood of sustaining a facial fracture due to a fall or activities of daily life significantly increases with age. Craniomaxillofacial fractures are most common during the first three decades of life; however, elderly patients more frequently require lengthy hospital stays and surgical intervention, and have shown increased complication rates compared with younger patients. Read More

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http://dx.doi.org/10.1055/s-0038-1642034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391279PMC
March 2019
5 Reads

Surgical management versus non-surgical management of rib fractures in chest trauma:a systematic review and meta-analysis.

Authors:
Xin Liu Kai Xiong

J Cardiothorac Surg 2019 Feb 27;14(1):45. Epub 2019 Feb 27.

Tianjin Medical University General Hospital, An Shan Road No.154, Heping District, Tianjin, 300192, China.

Objective: Rib fractures are common injuries sustained by patients who experience high-impact chest trauma, and they result in severe respiratory compromise because of the altered mechanics of respiration. Several studies have shown that the ventilation requirements and incidence of pulmonary complications may be decreased with operative intervention. The purpose of this study was to evaluate the effect of surgical fixation treatments for rib fractures through systematic review and meta-analysis. Read More

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http://dx.doi.org/10.1186/s13019-019-0865-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391832PMC
February 2019
1 Read

Acute rib fracture caused by preoperative positioning for direct lateral interbody fusion: A case report.

Medicine (Baltimore) 2019 Feb;98(8):e14700

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Dongam-gu, Cheonan.

Rationale: Degenerative spondylolisthesis is defined as forward slippage of a vertebra with respect to the underlying vertebra and is associated with the induction of lumbar canal stenosis. The use of anterior column support for degenerative lumbar conditions has been well documented. Direct lateral interbody fusion (DLIF) gains access via a lateral approach through the retroperitoneal fat and psoas muscle. Read More

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http://dx.doi.org/10.1097/MD.0000000000014700DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407977PMC
February 2019
5 Reads

Characterization of all-terrain vehicle-related chest injury patterns in children.

Emerg Radiol 2019 Feb 21. Epub 2019 Feb 21.

McGovern Medical School, Department of Diagnostic and Interventional Imaging, University of Texas Health Science Center at Houston, 6431 Fannin Street, 2.130B, Houston, TX, 77030, USA.

Purpose: To evaluate chest injury patterns in pediatric patients involved in all-terrain vehicle (ATV) accidents.

Methods: Retrospective review of patients 0-18 years old admitted to a level I trauma institute following an ATV-related incident from 2004 to 2013 was performed. Chest injury type, accident mechanism, driver/passenger status, and demographic and clinical data were compared between patients with and without chest injury. Read More

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http://dx.doi.org/10.1007/s10140-019-01679-yDOI Listing
February 2019
1 Read

Traumatic hemothorax due to chance fracture requiring emergency surgical management: A report of two cases.

SAGE Open Med Case Rep 2018 20;6:2050313X18819617. Epub 2018 Dec 20.

Department of General Thoracic Surgery, Shiga University of Medical Science, Otsu, Japan.

Traumatic hemothorax is usually caused by thoracic organ damage. Cases of atypical bleeding sources may be difficult to diagnose. Here we present two surgical cases of vertebral fracture that caused hemothorax. Read More

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http://dx.doi.org/10.1177/2050313X18819617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372993PMC
December 2018

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
Publisher Site
http://dx.doi.org/10.1017/cem.2018.492DOI Listing
February 2019
2 Reads

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

Anaesthesia 2019 May 10;74(5):585-593. 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

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
4 Reads

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
8 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
7 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
21 Reads

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

Anaesthesia 2019 May 27;74(5):594-601. 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

Endovascular Treatment of Blunt Thoracic Aortic Injury by Fractured Rib.

Ann Vasc Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Vascular Surgery, Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona, Ancona, 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-computed tomography scan demonstrated the correct position of the endoprosthesis without any leakage or periaortic hemorrhage. Read More

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

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
5 Reads

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

J Trauma Acute Care Surg 2019 May;86(5):838-843

From the Department of Emergency Medicine (J.M.S., L.A.B., L.S.C., G.J.L., S.P.T., N.I.S., C.L.R.), and Department of Radiology (R.B.L.), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

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
May 2019
19 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
5 Reads

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
5 Reads

Nontraumatic rupture of the costal margin: a single-center experience.

Asian Cardiovasc Thorac Ann 2019 Feb 15;27(2):105-109. Epub 2019 Jan 15.

Department of Thoracic Surgery, Nottingham University Hospitals, Nottingham, UK.

Background: Rupture of the costal margin is uncommon. Whilst most often seen after major trauma, we describe its occurrence in patients with no direct chest trauma.

Methods: A search was performed in our thoracic surgery database for all patients with rupture of the costal margin. Read More

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http://dx.doi.org/10.1177/0218492318823367DOI Listing
February 2019
1 Read

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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February 2019
13 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
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Nonlinear models of injury risk and implications in intervention targeting for thoracic injury mitigation.

Traffic Inj Prev 2018 9;19(sup2):S103-S108. 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
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http://dx.doi.org/10.1080/15389588.2018.1528356DOI Listing
January 2019
11 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
3 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
12 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
4 Reads