1,215 results match your criteria Fracture Sternal


Manubriosternal joint dislocation due to blunt force trauma.

Trauma Case Rep 2019 Jun 29;21:100187. Epub 2019 Mar 29.

Division Cardiothoracic Surgery, University of California Davis, Sacramento, CA, United States of America.

A 35-year-old woman was involved in a motor vehicle collision and suffered a manubriosternal joint dislocation with posterior subluxation of the manubrium. She underwent open reduction and internal fixation with sternal plate reconstruction. This report highlights the mechanism and management of these rare traumatic chest wall injuries. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444288PMC

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
7 Reads

Sternal fractures in a level III trauma intensive care unit.

Rev Col Bras Cir 2019 Mar 21;46(1):e2059. Epub 2019 Mar 21.

Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Geral e Trauma, São Paulo, SP, Brasil.

Objective: to evaluate epidemiology, anatomical characteristics, management, and prognosis of critical patients with sternum fractures.

Methods: retrospective analysis of patients admitted to intensive care unit (ICU) of a Level III trauma center in Sao Paulo, Brazil.

Results: 1552 trauma patients were admitted from January 2012 to April 2016. Read More

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http://dx.doi.org/10.1590/0100-6991e-20192059DOI Listing

Epidemiologic Features of Traumatic Fractures in Children and Adolescents: A 9-Year Retrospective Study.

Biomed Res Int 2019 20;2019:8019063. Epub 2019 Feb 20.

Department of Orthopedics, General Hospital of Northern Theater Command of Chinese PLA, Shenyang, Liaoning 110016, China.

Purpose: Fractures are common among all types of paediatric injuries, with differences in incidence over time. Here, we present the epidemiologic features of traumatic fractures in a population of youth ≤ 18 years of age who were admitted to our university-affiliated hospitals from 2002 to 2010.

Methods: We retrospectively reviewed 2450 children and adolescents who had traumatic fractures. Read More

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http://dx.doi.org/10.1155/2019/8019063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402285PMC
February 2019

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

Novel roles of vibration transmittance in fracture testing.

J Cardiothorac Surg 2019 Mar 12;14(1):53. Epub 2019 Mar 12.

Metamaterials Unit, Faculty of Science, University of Malta, Msida, Malta.

This letter re-assesses a publication in the Journal of Cardiothoracic Surgery entitled 'Vibration transmittance measures sternotomy stability - a preliminary study in human cadavers.' The roles of ultrasound in testing for sternotomy stability and that of stress vibration transmittance in cases of fracture of the posterior table of the sternum or in hairline undisplaced fractures are examined in view of their differing sound wave frequency ranges. Read More

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http://dx.doi.org/10.1186/s13019-019-0884-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417125PMC
March 2019
1 Read

Clinical and radiological study of sternal fractures in pediatrics.

Radiologia 2019 Feb 23. Epub 2019 Feb 23.

Cirujano infantil, Clínica Las Condes, Santiago de Chile, Chile.

Sternal fractures are considered uncommon in pediatric patients. Classically, they have been described as fractures secondary to high-energy trauma that have a risk of associated lesions.

Objective: To describe the clinical and imaging features of sternal fractures in patients less than 18 years of age. Read More

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http://dx.doi.org/10.1016/j.rx.2019.01.004DOI Listing
February 2019

Rationale and Options for Choosing an Optimal Closure Technique for Primary Midsagittal Osteochondrotomy of the Sternum. Part 1: A Theoretical and Critical Review of Functional Anatomy, Biomechanics, and Fracture Healing.

Crit Rev Biomed Eng 2019 ;47(1):1-25

Hamilton Health Sciences, Suite 515, 644 Main Street West, Hamilton, Ontario, Canada L8S 1A1.

The sternum is central in binding the bilateral costal structures to form the anterior wall of the thorax. The airtight subatmospheric pressure cavity of the thorax during respiration and episodes of cough produces significant dynamic forces acting perpetually on its walls, influencing functions of the contained viscera. The embryonic development of the sternum concurs with that of the heart and parts of the pectoral girdle. Read More

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http://www.dl.begellhouse.com/journals/4b27cbfc562e21b8,3608
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http://dx.doi.org/10.1615/CritRevBiomedEng.2019026452DOI Listing
January 2019
4 Reads

Sternal fractures in children: An analysis of the National Trauma Data Bank.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Pediatric Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, TX. Electronic address:

Purpose: The purpose of this study was to describe the epidemiology and evaluate the clinical significance of traumatic sternal fractures.

Methods: Patients age ≤18 years with sternal fractures in the National Trauma Database research datasets from 2007-2014 were identified. Patient demographics, injuries, procedures, and outcomes were analyzed using descriptive statistics and logistic regression. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.031DOI Listing
January 2019

Assessing keel bone damage in laying hens by palpation: effects of assessor experience on accuracy, inter-rater agreement and intra-rater consistency.

Poult Sci 2019 Feb;98(2):514-521

Animal Sciences Unit, Flanders Research Institute for Agriculture, Fisheries and Food (ILVO), Scheldeweg 68, B-9090 Melle, Belgium.

Accurate assessment is essential when evaluating keel bone damage. Palpation is commonly used to assess keel bone damage in living hens. However, there is little information on the accuracy of assessment of deviations and fractures on different parts of the keel, and on the consistency within, and agreement between, assessors. Read More

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http://dx.doi.org/10.3382/ps/pey326DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376219PMC
February 2019

Sternal Fracture Complicated by a Subcutaneous Abscess in a 5-Year-Old Boy and Diagnosed Using Point-of-Care Ultrasound.

J Emerg Med 2019 Feb 8. Epub 2019 Feb 8.

Department of Pediatrics, Awaji Medical Center, Sumoto City, Hyogo Prefecture, Japan.

Background: Although fractures of the sternum are rare in young children, owing to the compliance of the chest wall, these fractures are still possible and require thorough examination. We present a case that emphasizes the usefulness of point-of-care ultrasound in the diagnosis of a pediatric sternal fracture complicated by a subcutaneous abscess.

Case Report: A 5-year-old boy presented with tenderness of the sternum, with diffuse swelling extending bilaterally to the anterior chest wall. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.12.040DOI Listing
February 2019
1 Read

A new technique for medial-end comminuted clavicle fractures.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, PR China; Zhejiang Provincial Key Laboratory of Orthpaedics, Wenzhou, Zhejiang, 325000, PR China. Electronic address:

Fractures of the medial comminuted clavicle are rare injuries but are associated with significant morbidity and mortality. Although rare, such injuries deserve rapid diagnosis and effective treatment to avoid future complications. An optimal, standardized operative treatment has not yet been established. Read More

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http://dx.doi.org/10.1016/j.injury.2019.02.002DOI Listing
February 2019
2 Reads

The Depth of Sternal Fracture Displacement Is Not Associated With Blunt Cardiac Injury.

J Surg Res 2019 Mar 9;235:322-328. Epub 2018 Nov 9.

Division of Acute Care Surgery, Department of Surgery, University of Alabama at Birmingham, Alabama.

Background: Little evidence exist associating displaced sternal fractures with blunt cardiac injury (BCI), especially regarding the depth and severity of sternal fracture displacement and risk of BCI. The purpose of this study was to quantify sternal fracture severity by the degree of displacement and to evaluate the association of fracture severity with BCI.

Materials And Methods: A single institution retrospective review was performed from 2011 to 2014. Read More

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http://dx.doi.org/10.1016/j.jss.2018.08.051DOI Listing

A case of double-refractory multiple myeloma with both the IgH-MMSET fusion protein and the congenital abnormality t(11;22).

Int J Hematol 2019 Jan 24. Epub 2019 Jan 24.

Department of Hematology/Oncology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan.

A 67-year-old female was referred to our hospital with a sternal fracture in March 2008. She received a diagnosis of multiple myeloma (MM) BJP-κ type (ISS stage III). G-banding karyotype revealed 46, XX, t(11;22)(q23. Read More

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http://dx.doi.org/10.1007/s12185-019-02603-3DOI Listing
January 2019

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

Human Shoulder Response to Lateral Impact in Intermediate Loading Conditions Between High-Velocity, Short-Duration and Low-Velocity, Long-Duration.

Stapp Car Crash J 2018 Nov;62:319-357

Université Paris René Descartes (Paris, France).

The EuroSID-2re (ES-2re) Anthropomorphic Test Device (ATD) commonly known as the crash test dummy is also used in the military domain to assess the risk of injury of armored vehicles occupants from lateral impact. The loading conditions range from low velocity - long duration impacts (4 m/s - 50 ms) similar to the automotive domain, to high velocity - short duration impacts (28 m/s - 3 ms) corresponding to cases where the panel deforms under an explosion. The human shoulder response to lateral impact was investigated at bounds of the loading condition spectrum previously mentioned, and also at intermediate conditions (14 m/s - 9 ms) in previous studies. Read More

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November 2018
3 Reads

Thoracic cage injuries.

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

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

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

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http://dx.doi.org/10.1016/j.ejrad.2018.12.003DOI Listing
January 2019
4 Reads

The dominant nutrient foramen at the clavicular midshaft: an anatomical study.

Surg Radiol Anat 2019 Apr 19;41(4):361-364. Epub 2018 Dec 19.

Center for Orthopedic and Trauma Surgery, University Medical Center, Kerpenerstr. 62, 50937, Cologne, Germany.

Background: The aim of the present study was to describe the prevalence and topography of the dominant nutrient foramen at the clavicle.

Methods: 317 macerated human clavicles (167 right and 150 left) were available for the study. After detecting the dominant nutrient foramen, the total distance from the sternal surface to the examined nutrient foramen was measured. Read More

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http://dx.doi.org/10.1007/s00276-018-2169-zDOI Listing
April 2019
2 Reads

All-terrain vehicle use related fracture rates, patterns, and associations from 2002 to 2015 in the USA.

Injury 2019 Feb 11;50(2):324-331. Epub 2018 Dec 11.

Indiana University, Department of Orthopaedic Surgery, United States.

Background: Since their introduction to USA markets in the late 20 century, all-terrain vehicles (ATVs) have been a significant source of trauma. Many paediatric studies have demonstrated the disproportionate rate in which minors are affected by ATV-related trauma, but no studies have been performed on a large sample size spanning all age and geographic ranges. This study is the first to analyze ATV-related fracture rates, patterns, and associated risks across all ages nationwide. Read More

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http://dx.doi.org/10.1016/j.injury.2018.12.005DOI Listing
February 2019
2 Reads

Keel bone fractures affect egg laying performance but not egg quality in laying hens housed in a commercial aviary system.

Poult Sci 2019 Apr;98(4):1589-1600

Center for Proper Housing: Poultry and Rabbits (ZTHZ), Animal Welfare Division, VPH Institute, University of Bern, 3052 Zollikofen, Switzerland.

The aim of this study was to investigate the effect of keel bone fracture (KBF) severity and healing activity on individual productivity of laying hens. Focal hens (75 Lohmann Selected Leghorn (LSL), 75 Lohmann Brown (LB)) were housed alongside non-focal hens in 10 identical pens containing a commercial aviary system (15 focal hens per pen). Eggs of focal hens were identified by orally administering a dye on 3 consecutive days, resulting in a hen-specific color pattern in the yolk. Read More

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http://dx.doi.org/10.3382/ps/pey544DOI Listing
April 2019
4 Reads

Complex sternal and rib reconstruction with allogeneic material.

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

Tulsa Plastic Surgery, Tulsa, OK, USA.

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

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

Frequency and intensity of pulmonary bone marrow and fat embolism due to manual or automated chest compressions during cardiopulmonary resuscitation.

Forensic Sci Med Pathol 2019 03 15;15(1):48-55. Epub 2018 Nov 15.

Department of Anatomy, University of Otago, Dunedin, New Zealand.

Iatrogenic consequences of cardiopulmonary resuscitation (CPR) include sternal or rib fractures, pulmonary bone marrow embolisms (BME) and fat embolisms (FE). This report aimed to analyze the frequency and intensity of pulmonary BME and FE in fatal cases receiving final CPR efforts with the use of automated chest compression devices (ACCD) or manual chest compressions (mCC). The study cohort (all cardiac causes of death, no ante-mortem fractures) consisted of 15 cases for each group 'ACCD', 'mCC' and 'no CPR'. Read More

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http://link.springer.com/10.1007/s12024-018-0044-1
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http://dx.doi.org/10.1007/s12024-018-0044-1DOI Listing
March 2019
11 Reads

[CME: Significance of Thoracic Sonography in Thoracic Trauma].

Authors:
Susanne Morf

Praxis (Bern 1994) 2018 Nov;107(23):1243-1248

1 Institut für klinische Notfallmedizin, Spital Limmattal.

CME: Significance of Thoracic Sonography in Thoracic Trauma Abstract. Trauma patients should be treated according to international guidelines. Depending on the severity of the trauma, an immediate threat to life must be ruled out and sonography is part of the complementation of diagnostics. Read More

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http://dx.doi.org/10.1024/1661-8157/a003135DOI Listing
November 2018
2 Reads

Redefining the morphometry of subclavian vessels for clavicle fracture treatments.

Surg Radiol Anat 2019 Apr 3;41(4):365-372. Epub 2018 Nov 3.

Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Purpose: Clavicle fractures are common injuries in adults and children. Although neurovascular damage is rarely seen, acute subclavian artery pseudoaneurysms and injuries to subclavian vessels were reported for closed fractures of the clavicle. The aim of this study was to identify the morphological details of the subclavian vessels and their relation to the sternoclavicular joint and body of the clavicle. Read More

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http://link.springer.com/10.1007/s00276-018-2132-z
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http://dx.doi.org/10.1007/s00276-018-2132-zDOI Listing
April 2019
10 Reads

Cutaneous paresthesia after internal plate fixation of clavicle fractures and underlying anatomical observations.

Medicine (Baltimore) 2018 Oct;97(41):e12729

Department of Traumatic Orthopedics and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Guangxi, China.

To assess the clinical and anatomical causes of cutaneous paresthesia after internal fixation of clavicle fractures.This study included 135 patients who underwent internal fixation of clavicle fractures from May 2013 to June 2016 at the First and Second Affiliated Hospital of Guangxi Medical University. The incidence of postoperative supraclavicular nerve injury, the duration of numbness, and improvements after plate removal were retrospectively analyzed. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810120-0005
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http://dx.doi.org/10.1097/MD.0000000000012729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203588PMC
October 2018
6 Reads

Sternal Injuries in Sport: A Review of the Literature.

Sports Med 2018 Dec;48(12):2715-2724

Department of Orthopedics and Sports Medicine, USF Morsani College of Medicine, 13330 Laurel Drive, Tampa, FL, 33612, USA.

Sternal fractures were first described in published literature in the 19th century as a complication of traumatic injury. Though sternal fracture and other sternal injuries have been described in trauma literature, there remains a paucity of literature with regards to sternal injury in sport. Sternal injury may include disruption at the body, manubrium and xiphoid process, or at associated sternoclavicular, manubriosternal, and xiphisternal joints. Read More

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http://link.springer.com/10.1007/s40279-018-0990-5
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http://dx.doi.org/10.1007/s40279-018-0990-5DOI Listing
December 2018
1 Read

Combined extra-/intrathoracic correction of pectus carinatum and other asymmetric chest wall deformities : A novel technique.

Oper Orthop Traumatol 2018 Dec;30(6):469-478

Orthopädische Universitätsklinik Friedrichsheim gGmbH, Marienburgstr. 2, 60528, Frankfurt, Germany.

Objective: Description of a novel technique to surgically correct (asymmetric) pectus carinatum and other chest deformities using a metal bar without fixation to the ribs.

Indications: Severe thoracic deformity, extensive psychological strain, social isolation, pain and respiratory complaints. Pseudarthrosis or insufficient correction of a thoracic deformity after prior surgery. Read More

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http://link.springer.com/10.1007/s00064-018-0567-3
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http://dx.doi.org/10.1007/s00064-018-0567-3DOI Listing
December 2018
1 Read

Pediatric sternal fractures from a Level 1 trauma center.

J Pediatr Surg 2018 Sep 8. Epub 2018 Sep 8.

Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine; Children's Hospital of Pittsburgh, Pittsburgh, PA, United States.

Background/purpose: Sternal fractures are rare in children. The purpose of this series is to document traumatic findings in pediatric patients with sternal fractures at a Level 1 trauma center.

Study Design: We reviewed the charts of patients with radiologically confirmed sternal fractures from a trauma database at a pediatric Level 1 trauma center between January 1, 2000 and December 31, 2015. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.08.040DOI Listing
September 2018
23 Reads

Uncommon cause of chest pain in a postoperative spinal patient.

Authors:
Rajesh Dwivedi

BMJ Case Rep 2018 Sep 14;2018. Epub 2018 Sep 14.

Health Care for Older People, Nottingham University Hospitals NHS Trust, Nottingham, UK.

An 84-year-old woman with previous spinal operations including vertebroplasty and lumbar decompressions was admitted electively under the spinal team for right-sided L4/5 decompression for worsening back pain which she undergoes using a posterior approach. Postoperatively, she develops stabbing upper central chest pain and given unremarkable chest X-ray, ECG and cardiac troponin, she undergoes a CT pulmonary angiogram which shows a fracture of the upper part of sternum but no pulmonary embolism. There is no history of recent trauma and this is deemed to be secondary to prolonged spinal surgery in the prone position in a patient with osteopenic bones. Read More

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http://dx.doi.org/10.1136/bcr-2018-225293DOI Listing
September 2018
4 Reads

Modifications and Further Development of the Original Nuss Procedure: Blessing or Curse?

Eur J Pediatr Surg 2018 Aug 13;28(4):304-319. Epub 2018 Sep 13.

Department of Pediatric Surgery, Children's Hospital of The King's Daughters, Norfolk, Virginia, United States.

The procedure introduced by Donald Nuss in 1997 for the treatment of pectus excavatum at the American Pediatric Surgical Association meeting has now been adopted by pediatric, thoracic, and plastic surgeons around the world. Rather than resection of the costal cartilages and sternal fracture, which had been standard practice for decades, he advocated using a metal bar to push the sternum into position. Reasoning that the chest wall of children is very flexible, he felt that resection was unnecessary. Read More

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http://dx.doi.org/10.1055/s-0038-1668564DOI Listing
August 2018
3 Reads

Chest compression-associated injuries in cardiac arrest patients treated with manual chest compressions versus automated chest compression devices (LUCAS II) - a forensic autopsy-based comparison.

Forensic Sci Med Pathol 2018 12 10;14(4):515-525. Epub 2018 Sep 10.

Emergency Department, Heinrich Heine University, University Hospital, Duesseldorf, Germany.

The aim of this autopsy study was to investigate chest-compression associated injuries to the trunk in out-of-hospital and in-hospital non-traumatic cardiac arrest patients treated with automated external chest compression devices (ACCD; all with LUCAS II devices) versus exclusive manual chest compressions (mCC). In this retrospective single-center study, all forensic autopsies between 2011 and 2017 were included. Injuries following cardiopulmonary resuscitation (CPR) in patients treated with mCC or ACCD were investigated and statistically compared using a bivariate logistic regression. Read More

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http://dx.doi.org/10.1007/s12024-018-0024-5DOI Listing
December 2018
5 Reads

The distributed pattern of the neurovascular structures around clavicle to minimize structural injury in clinical field: anatomical study.

Surg Radiol Anat 2018 Nov 27;40(11):1261-1265. Epub 2018 Aug 27.

Department of Anatomy, College of Medicine, Chung-Ang University, Seoul, South Korea.

Introduction: The aim of this study was to determine the location and distribution pattern of neurovascular structures superior and inferior to the clavicle by detailed dissection.

Methods: Fifteen adult non-embalmed cadavers with a mean age of 71.5 years were studied. Read More

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http://dx.doi.org/10.1007/s00276-018-2091-4DOI Listing
November 2018
12 Reads

Keel bone damage assessment: consistency in enriched colony laying hens.

Poult Sci 2019 Feb;98(2):1017-1022

Department of Animal Sciences, Purdue University, West Lafayette, 47907 IN, United States.

Damage to the keel bone is a major issue in the laying hen industry. The goal of this study was to compare palpation results of live laying hens to digital computed tomography (CT) images, to assess changes in palpation reliability as training and familiarity increased, and to examine keel bone morphology over time. The longitudinal study consisted of 2 trials of 3 observation periods using 40 different (n = 120) W-36 hens housed in enriched colony cages. Read More

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https://academic.oup.com/ps/advance-article/doi/10.3382/ps/p
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http://dx.doi.org/10.3382/ps/pey373DOI Listing
February 2019
3 Reads

[Renal mucinous tubular and spindle cell carcinoma combined with multiple bone metastasis: a case report and literature review].

Beijing Da Xue Xue Bao Yi Xue Ban 2018 Aug;50(4):732-736

Department of Urology, Karamay Central Hospital of Xinjiang, Karamay 834000, Xinjiang, China.

Mucinous tubular and spindle cell carcinoma (MTSCC) is a rare sub-type of renal cell carcinoma (RCC). It has been considered to be a kind of "indolent" tumor with low-grade fashion, weak invasive capacity and relatively favorable prognosis. However, in the current case, a 3. Read More

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August 2018
2 Reads

Surgical reconstruction of traumatic flail chest with titanium plaques.

Int J Surg Case Rep 2018 1;50:72-74. Epub 2018 Aug 1.

Anesthesiology Unit, Antalya Gazipaşa State Hospital, Cumhuriyet District, Hastane Street, 07900, Gazipaşa, Antalya, Turkey.

Introduction: Multiple rib fractures exposes serious respiratory disorders and they are generally treated with non surgical methods. Nevertheless, in cases of long term pain despite medical treatment, parenchymal injury, hematoma, posture disorder and flail chest, surgery is needed. Flail chest, as the most critical form of blunt chest trauma, can disturb the hemodynamic of patient significantly and threaten life. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.07.033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6083373PMC
August 2018
26 Reads

Pectointercostal Fascial Block Catheters for Thoracic Injuries: A Case Series.

A A Pract 2018 Dec;11(12):340-343

Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Providing analgesia for patients with anterior rib and sternum fracture has been addressed from various types of modalities. Regional anesthesia via epidurals or peripheral nerve blocks, opiates, and other forms of multimodal pain regimens have been used. However, in the polytraumatic injury patient, positioning for an epidural may be problematic, and a predominantly opiate-based treatment plan may compromise respiratory status. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000821DOI Listing
December 2018
2 Reads

Simultaneous Surgical Treatment of Sternum and Costal Cartilage Fractures.

Ann Thorac Surg 2019 Feb 3;107(2):e119-e120. Epub 2018 Aug 3.

Department of Thoracic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. Electronic address:

Studies have confirmed that, for severe flail chest or sternal fractures and even multiple rib fractures, surgical treatment can effectively reduce hospital stay and relieve chest wall pain. However, fixation of multiple costal cartilage fractures in such a small area is a challenge if an internal fixator is simply placed directly on the sternum. This case report shares a method of simultaneous fixation of multiple costal cartilage and sternal fractures through a small incision, and it is also appropriate for multiple costal cartilage fractures without sternal fracture. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975183104
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http://dx.doi.org/10.1016/j.athoracsur.2018.06.044DOI Listing
February 2019
44 Reads
3.850 Impact Factor

[Epidemiology, injury entities and treatment practice for chest wall injuries : Current scientific knowledge and treatment recommendations].

Unfallchirurg 2018 Aug;121(8):605-614

Klinik für Unfallchirurgie und Orthopädie, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str. 7, 12683, Berlin, Deutschland.

Background: Fractures of the bony chest wall are common injuries. They affect almost every second severely injured person and are gaining more and more importance even after low-energy accidents, especially among older people. Complications mainly occur due to respiratory insufficiency, secondary pulmonary complications and remaining deformities with a functional disorder of the chest wall. Read More

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http://dx.doi.org/10.1007/s00113-018-0532-5DOI Listing
August 2018
9 Reads

National risk factors for blunt cardiac injury: Hemopneumothorax is the strongest predictor.

Am J Surg 2019 Apr 25;217(4):639-642. Epub 2018 Jul 25.

University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USA.

Background: Blunt cardiac injury (BCI) can occur after chest trauma and may be associated with sternal fracture (SF). We hypothesized that injuries demonstrating a higher transmission of force to the thorax, such as thoracic aortic injury (TAI), would have a higher association with BCI.

Methods: We queried the National Trauma Data Bank (NTDB) from 2007-2015 to identify adult blunt trauma patients. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.07.043DOI Listing
April 2019
2 Reads

[Rib fixation for flail chest after resuscitation].

Ned Tijdschr Geneeskd 2018 Jun 7;162. Epub 2018 Jun 7.

Haaglanden Medisch Centrum (locatie Westeinde), afd. Traumachirurgie, Den Haag.

Background: Rib fractures are a common complication caused by chest compressions during resuscitation. Flail chest may occur as a consequence, leading to respiratory failure.

Case Description: We present two cases in which surgical rib fixation was performed to treat flail chest after resuscitation. Read More

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June 2018
21 Reads

Blunt rupture of the thoracic duct after severe thoracic trauma.

Trauma Surg Acute Care Open 2018 20;3(1):e000183. Epub 2018 Jun 20.

Department of Surgery, CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska, USA.

A 53-year-old man was admitted to our trauma center after sustaining thoracoabdominal injuries, secondary to a rear-end motor vehicle collision. As he stepped out of his vehicle, he was struck by a tractor trailer at 55 mph. The following were the initial vital signs on his arrival: heart rate 140 beats/min, blood pressure 142/80 mm Hg, respiratory rate 28 breaths/min, temperature 36. Read More

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http://dx.doi.org/10.1136/tsaco-2018-000183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018842PMC
June 2018
19 Reads

Giant Uterine Leiomyoma in a Young Woman as an Incidental Finding After a Car Accident: a Case Report.

Acta Medica (Hradec Kralove) 2018;61(1):29-32

Department of Gynecology and Obstetrics, Faculty Hospital in Žilina, Slovakia.

Leiomyomas are the most common benign tumor of the uterus. Occasionally, they may reach an extreme dimension. The authors present a case of a 44-year old woman, who suffered a car accident as a driver of personal motor vehicle. Read More

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http://dx.doi.org/10.14712/18059694.2018.20DOI Listing
November 2018
2 Reads

Modeling collisions in laying hens as a tool to identify causative factors for keel bone fractures and means to reduce their occurrence and severity.

PLoS One 2018 10;13(7):e0200025. Epub 2018 Jul 10.

School of Veterinary Sciences, University of Bristol, Lower Langford, North Somerset, England.

Keel fractures represent a major productivity and welfare issue for the laying hen industry with greater than 50% of birds in recent surveys across various commercial operations and nations exhibiting some form of damage by end of lay. While the causes are likely multifactorial and influenced by age, diet, genetic line, and other factors, high energy collisions with house furnishings and conspecifics in the barn are believed to be a major contribution to the frequency and severity of factures. The current study applies a previously described ex vivo impact testing protocol to quantify susceptibility to keel bone damage across an extensive range of collision energies and ages. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0200025PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038993PMC
January 2019
1 Read

Flail Chest: Less Deadly than Originally Thought.

World J Surg 2018 Dec;42(12):3927-3931

Division of Trauma and Critical Care, University of Southern California, Los Angeles, CA, USA.

Introduction: Flail chest is considered a highly morbid condition with reported mortality ranging from 10 to 20%. It is often associated with other severe injuries, which may complicate management and interpretation of outcomes. The physiologic impact and prognosis of isolated flail chest injury is poorly defined. Read More

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http://dx.doi.org/10.1007/s00268-018-4723-6DOI Listing
December 2018
7 Reads

Ultrasound diagnosis of cardiac rupture caused by mechanical chest compression.

Turk J Emerg Med 2018 Jun 26;18(2):82-84. Epub 2018 Feb 26.

Department of Emergency Medicine, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei City, Taiwan.

A 74-year-old male with chronic kidney disease presented to the emergency department with asystole. Mechanical chest compression was started immediately using a piston-type thumper device. The initial potassium level was 7. Read More

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http://dx.doi.org/10.1016/j.tjem.2018.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005916PMC
June 2018
9 Reads

Unexpected early complication of implantable-cardioverter defibrillator.

BMJ Case Rep 2018 Jun 6;2018. Epub 2018 Jun 6.

Kettering General Hospital NHS Foundation Trust, Kettering, UK.

A 41-year-old woman was visiting Oxford, where she had a sudden cardiac arrest. Cardiopulmonary resuscitation was started by a bystander until the paramedics arrived, who found her in ventricular fibrillation, and delivered three shocks. After 28 min she had return of spontaneous circulation. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22452
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http://dx.doi.org/10.1136/bcr-2018-224521DOI Listing
June 2018
14 Reads

[Development and biomechanical study of anatomical locking plate of sternoclavicular joint].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 01;32(1):7-13

Southwest Medical University, Luzhou Sichuan, 646000, P.R.China.

Objective: To develop an anatomical locking plate in accordance with the anatomical characteristics of the sternoclavicular joint, which is reliable fixation and easy to operate, so as to provide an ideal internal fixation device for the treatment of sternoclavicular joint dislocation or peripheral fractures.

Methods: Gross measurement and CT measurement were performed on the 8 adult antiseptic and moist cadaver specimens (16 sides) to measure the parameters of surrounding bone structure of the sternoclavicular joint. The parameters included the thickness of presternum, sternal notch width, anteroposterior diameter of proximal 1/3 of clavicle, upper and lower diameters of proximal 1/3 of clavicle, angle between proximal end of clavicle and presternum in coronal plane, and angle of thoracoclavicular joint at anatomic position forward. Read More

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http://dx.doi.org/10.7507/1002-1892.201705094DOI Listing
January 2018
11 Reads