395 results match your criteria Imaging in Sternal Fractures


Intrapericardial parathyroid carcinoma: a case report.

Endocrine 2020 Apr 4. Epub 2020 Apr 4.

Department of Thyroid and Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University, No. 8 Gongren Tiyuchang Nanlu, Chaoyang District, 100020, Beijing, China.

Purpose: Ectopic parathyroid glands are thought to be the cause of a significant portion of failed primary surgery for hyperparathyroidism. Parathyroid carcinoma (PTCA) is a rare malignant tumor, and ectopic PTCA is a particularly unusual situation. Here, we describe, for the first time, a case of intrapericardial PTCA. Read More

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http://dx.doi.org/10.1007/s12020-020-02283-8DOI Listing
April 2020
3.527 Impact Factor

Lower Extremity Paralysis After Radiofrequency Ablation of Vertebral Metastases.

World Neurosurg 2020 Jan 10;133:178-184. Epub 2019 Oct 10.

Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

Background: Radiofrequency ablation (RFA) focally destroys abnormal or dysfunctional tissue using thermal energy generated from alternating current. The utilization of RFA has gained popularity as a minimally invasive procedure for the treatment of skeletal metastases with a particular focus on palliative pain treatments to the spine, pelvis, long bones, sternum, and glenoid. More recently, single-session procedures that combine RFA with vertebral augmentation techniques have allowed treatment to areas of pain associated with pathologic fractures secondary to metastatic disease. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.09.163DOI Listing
January 2020

Percutaneous Fixation by Internal Cemented Screws of the Sternum.

Cardiovasc Intervent Radiol 2020 Jan 3;43(1):103-109. Epub 2019 Sep 3.

Interventional Radiology Unit, Medical Imaging Department, Gustave Roussy - Cancer Center, 114 Rue Edouard Vaillant, 94805, Villejuif, France.

Purpose: To evaluate the feasibility, efficacy and safety of sternal percutaneous fixation by internal cemented screw (FICS) using fluoroscopy and/or CT needle guidance.

Materials And Methods: This retrospective single-center study analyzed 9 consecutive cancer patients managed with percutaneous FICS for sternal fracture fixation or osteolytic metastasis consolidation, from May 2014 to February 2019. Eastern Cooperative Oncology Group performance status, Numeric Pain Rating Scale (NPRS) and opioid use were studied preoperatively and postoperatively. Read More

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http://dx.doi.org/10.1007/s00270-019-02334-2DOI Listing
January 2020
2 Reads

[Use of lung and pleural ultrasonography in emergency and intensive care medicine].

Authors:
Gebhard Mathis

Med Klin Intensivmed Notfmed 2019 Sep 7;114(6):504-508. Epub 2019 Aug 7.

, Dr. Summer-Straße 3, 6830, Rankweil, Österreich.

Bedside lung ultrasound (LUS) in emergency rooms and intensive care units can serve as a tool to diagnose common lung pathologies, monitor their course and guide clinical management. LUS requires only a few minutes and is a useful extension of the physical examination. Fractures of the ribs as well as the sternum are seen well on ultrasound. Read More

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http://dx.doi.org/10.1007/s00063-019-0596-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7096083PMC
September 2019
3 Reads

Missed manubriosternal dislocation in patient with thoracolumbar fracture, a case report.

BMC Surg 2019 Jul 29;19(1):101. Epub 2019 Jul 29.

Department of Spine Surgery, Ningbo No.6 Hospital, No.1059, Zhongshan East Road, Ningbo, China.

Background: Spine fractures combined with sternal injury are most commonly occur in the thoracic region. Lower cervical and thoracolumbar injuries have also been reported, especially for the patients with manubriosternal dislocation. The type of spine injury is easily recognized in initial presentation, but we may miss the sternal fracture and manubriosternal dislocation. Read More

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http://dx.doi.org/10.1186/s12893-019-0564-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664747PMC
July 2019
8 Reads

Role of post mortem computed tomography in diagnosis of upper cervical fractures in child due to road accident: A case report and literature review.

Med Leg J 2019 Sep 11;87(3):151-155. Epub 2019 Jul 11.

Section of Legal Medicine, Department of Health Promotion, University of Palermo, Palermo, Italy.

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http://dx.doi.org/10.1177/0025817219848285DOI Listing
September 2019
2 Reads

Blunt Trauma: What Is Behind the Widened Mediastinum on Chest X-Ray (CXR)?

J Surg Res 2019 11 28;243:23-26. Epub 2019 May 28.

DeWitt Daughtry Family, Department of Surgery, University of Miami, Miami, Florida.

Background: It is commonly taught that a widened mediastinum (WM) on chest X-ray (CXR) is a marker for aortic injury (AI). We sought to describe the epidemiology of injuries for all patients with WM and compare their CXR to those of patients with confirmed AI.

Methods: Adults (age ≥ 18) sustaining blunt traumatic injuries from January 2017 to June 2017 with both CXR (supine, anterior-posterior) and chest CT were included. Read More

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http://dx.doi.org/10.1016/j.jss.2019.04.079DOI Listing
November 2019
8 Reads

Thoracoscopy-assisted repair of comminuted sternal fracture with bioresorbable plates.

Interact Cardiovasc Thorac Surg 2019 09;29(3):478-480

Second Department of Surgery (Chest Surgery), University of Occupational and Environmental Health, Kitakyushu, Japan.

We present a case of comminuted sternal fracture with posterior displacement, which was successfully repaired by 'sandwich' fixation using 2 bioresorbable plates that were placed anterior to and posterior to the sternum. All procedures including retro-sternal dissection for placement of the posterior plate were performed using video-assisted thoracoscopic surgery. The minimally invasive thoracoscopic technique provided effective repair and rigid fixation with immediate relief from intractable chest pain that had persisted before surgery. Read More

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https://academic.oup.com/icvts/advance-article/doi/10.1093/i
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http://dx.doi.org/10.1093/icvts/ivz118DOI Listing
September 2019
22 Reads

Anterior Odontoid Screw Fixation for the Treatment of Type 2 Odontoid Fracture with a Kyphotic Angulation or an Anterior Down-slope: A Technical Note.

Neurol Med Chir (Tokyo) 2019 Aug 9;59(8):321-325. Epub 2019 May 9.

Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine.

Anterior odontoid screw fixation (AOSF) is difficult and challenging to perform in patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. To demonstrate two surgical techniques to resolve kyphotic angulation or difficult fracture direction issues. Anterior odontoid screw fixation was performed in two patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. Read More

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http://dx.doi.org/10.2176/nmc.tn.2018-0249DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6694020PMC
August 2019
8 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
9 Reads

Novel roles of vibration transmittance in fracture testing.

J Cardiothorac Surg 2019 03 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
13 Reads

Clinical and radiological study of sternal fractures in pediatrics.

Radiologia 2019 May - Jun;61(3):234-238. 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
December 2019
7 Reads

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

J Emerg Med 2019 May 10;56(5):536-539. Epub 2019 Feb 10.

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
May 2019
12 Reads

A new technique for medial-end comminuted clavicle fractures.

Injury 2019 Mar 2;50(3):811-813. 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
March 2019
12 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
31 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
7 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
Publisher Site
http://dx.doi.org/10.1007/s00276-018-2132-zDOI Listing
April 2019
23 Reads

Comparison of ultrasonography and computed tomography in the determination of traumatic thoracic injuries.

Am J Emerg Med 2019 05 3;37(5):864-868. Epub 2018 Aug 3.

University of Health Sciences Antalya Education and Research Hospital, Department of Emergency Medicine, Antalya, Turkey.

Objective: In this study, the accuracy of bedside thoracic ultrasonography (TUSG) performed by emergency physicians with patients in the supine position was compared with that of thoracic computed tomography (TCT) for the determination of thoracic injuries due to trauma.

Methods: Patients who suffered the multiple traumas, whose thoracic trauma was identified on physical examination or TCT imaging were included in the study. TUSG was performed following a physical examination by the emergency physician who managed the trauma patient. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757183063
Publisher Site
http://dx.doi.org/10.1016/j.ajem.2018.08.002DOI Listing
May 2019
55 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
12 Reads

Age Distribution and Concomitant Injuries in Pulmonary Contusion: An Analysis Based on Routine Data.

Thorac Cardiovasc Surg 2018 11 24;66(8):678-685. Epub 2018 Aug 24.

Department of Trauma and Orthopedic Surgery, University Erlangen, Erlangen, Germany.

Background: As the population ages, low-energy thoracic injuries are becoming increasingly relevant in individual injuries, particularly pulmonary contusions (PCs) and their common concomitant injuries. The objective of this study was to determine the prevalence and age distribution of thoracic trauma, especially PC, to make conclusions about common secondary diagnoses and developments in management.

Methods: A retrospective analysis of 209,820 cases, based on German routine data from the years 2009 to 2015, with a main diagnosis (MD) or secondary diagnosis (SD) of thoracic trauma (S27 according to ICD-10) was performed. Read More

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http://dx.doi.org/10.1055/s-0038-1667323DOI Listing
November 2018
16 Reads

[Lesions of the anterior chest wall-significance of additional fractures of the spine].

Unfallchirurg 2018 Aug;121(8):624-633

Unfallchirurgische Abteilung, Universitätsklinikum Erlangen, Krankenhausstr. 12, 91054, Erlangen, Deutschland.

Background: Fractures of the anterior chest wall are rare among the total number of fractures. They include sternal fractures (SF) and the adjacent cartilaginous structures of the ribs. The accident mechanism can allow conclusions to be drawn about which further accompanying injuries may be present, e. Read More

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http://dx.doi.org/10.1007/s00113-018-0529-0DOI Listing
August 2018
4 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
42 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
40 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
10 Reads

The combined utility of extended focused assessment with sonography for trauma and chest x-ray in blunt thoracic trauma.

J Trauma Acute Care Surg 2018 07;85(1):113-117

From the Division of Trauma and Surgical Critical Care (M.S., K.I., J.M.B., C.P., D.D.), Department of Emergency Medicine (N.O., T.K.), LAC+USC Medical Center, and Keck School of Medicine (J.C.), University of Southern California, Los Angeles, California.

Background: Portable chest x-ray (CXR) and extended focused assessment with sonography for trauma (EFAST) screen patients for thoracic injury in the trauma bay. It is unclear if one test alone is sufficient, if both are required, or if the two investigations are complementary. Study objectives were to define the combined diagnostic yield of EFAST and CXR among stable blunt thoracic trauma patients and to determine if a normal EFAST and CXR might obviate the need for computed tomography (CT) scan of the chest. Read More

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http://dx.doi.org/10.1097/TA.0000000000001868DOI Listing
July 2018
46 Reads

Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study.

Ulus Travma Acil Cerrahi Derg 2018 May;24(3):249-254

Department of Chest Surgery, Hitit University Çorum Training and Research Hospital, Çorum-Turkey.

Background: This study mainly aimed to determine the frequency of sternal fractures in thoracic trauma patients and to assess the differences in surgical need, cardiac findings, and treatment processes between patients with fracture on different sternal zones and displaced and non-displaced sternal fractures.

Methods: We analyzed the data of patients with sternal fracture due to thoracic trauma admitted to a state hospital between January 2011 and December 2015. Patient data comprised demographics, trauma characteristics, clinical findings, and treatment process. Read More

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http://dx.doi.org/10.5505/tjtes.2017.01336DOI Listing
May 2018
22 Reads

Thoracic trauma in fatal falls from height - Traumatic pneumopericardium correlates with height of fall and severe injury.

Forensic Sci Med Pathol 2018 06 3;14(2):188-193. Epub 2018 May 3.

Department of Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich, Winterthurerstrasse 190/52, CH-8057, Zurich, Switzerland.

Pneumopericardium (PPC) describes the collection of gas in the pericardial sac. In tension Pneumopericardium (tPPC), this collection of gas may lead to cardiac tamponade. PPC following blunt trauma is considered a rare finding, as reflected by the low number of case reports on the topic. Read More

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http://dx.doi.org/10.1007/s12024-018-9977-7DOI Listing
June 2018
40 Reads

Mid-Term Results After Sternal Reconstruction Using Titanium Plates: Is It Worth It to Plate?

Ann Thorac Surg 2018 06 26;105(6):1640-1647. Epub 2018 Feb 26.

Department of Cardiovascular Surgery, German Heart Center Munich, Technische Universität München, Munich, Germany; Insure (Institute of Translational Cardiac Surgery), Department of Cardiovascular Surgery, German Heart Center Munich, Technische Universität München, Munich, Germany.

Background: Sternal dehiscence after median sternotomy is a challenging problem in situations of frail bone, fractures, or complete sternectomy. Plate osteosynthesis offers a promising approach to restore sternal integrity. However, there is only scarce data on mid-term outcome. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.01.057DOI Listing
June 2018
6 Reads

Early Surgical Reconstruction of Sternum with Longitudinal Rigid Polymer Plating after Acute Chest Trauma.

Ann Thorac Cardiovasc Surg 2018 Dec 27;24(6):324-327. Epub 2018 Feb 27.

Department of Cardiovascular Surgery, Sanger Heart & Vascular Institute, Charlotte, NC, USA.

Purpose: The surgical management of the patients with traumatic sternal fractures remains controversial. The aim of this study was to evaluate the effectiveness of an early surgical reconstruction of a displaced sternal fracture utilizing longitudinal rigid polymer fixation in the settings of an acute chest trauma.

Methods: To perform the sternal fixation, we utilized a longitudinal rigid plating system. Read More

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https://www.jstage.jst.go.jp/article/atcs/24/6/24_cr.17-0015
Publisher Site
http://dx.doi.org/10.5761/atcs.cr.17-00156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300427PMC
December 2018
18 Reads
0.690 Impact Factor

Scapular Fractures in the Pan-scan Era.

Acad Emerg Med 2018 07 25;25(7):738-743. Epub 2018 May 25.

Department of Emergency Medicine, The University of California San Francisco, San Francisco, CA.

Background: Scapular fractures have been traditionally taught to be associated with significant injuries and major morbidity. As we demonstrated with sternal fracture, pulmonary contusion, and rib fracture, increased chest computed tomography (CT) utilization and head-to-pelvis CT (pan-scan) protocols in blunt trauma evaluation, however, may diagnose minor, clinically irrelevant scapular fractures, possibly rendering previous teachings obsolete.

Objectives: The objectives were to determine the 1) percentages of scapular fractures seen on chest CT only (SOCTO) versus seen on both chest x-ray (CXR) and CT and of isolated scapular fracture (scapular fracture without other thoracic injuries); 2) frequencies of associated thoracic injury with scapular fracture; and 3) proportion of patients admitted, mortality, hospital length of stay, and injury severity scores (ISS), comparing four patient groups: scapular fracture, nonscapular fracture, scapular fracture SOCTO, and isolated scapular fracture. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/acem.13377
Publisher Site
http://dx.doi.org/10.1111/acem.13377DOI Listing
July 2018
40 Reads

Insufficiency Fractures at Unusual Sites: A Case Series.

J Orthop Case Rep 2017 Jul-Aug;7(4):76-79

Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India.

Introduction: Insufficiency fractures (IFs) are a subtype of stress fractures commonly associated with osteoporosis and Vitamin D deficiency. These nontraumatic fractures often occur in the pelvis and spine, but the involvement of other unusual sites is also not very uncommon. Plain radiographs and magnetic resonance imaging scan are the most commonly used imaging modalities for the diagnosis of IF. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702713PMC
November 2017
15 Reads

Chest compression-related fatal internal mammary artery injuries manifesting after venoarterial extracorporeal membrane oxygenation: a case series.

J Med Case Rep 2017 Nov 11;11(1):318. Epub 2017 Nov 11.

Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo, 130-8575, Japan.

Background: Cardiopulmonary resuscitation-related bleeding, especially internal mammary artery injuries, can become life-threatening complications after initiating venoarterial extracorporeal membrane oxygenation owing to the frequent involvement of concomitant anticoagulant treatment, antiplatelet treatment, targeted temperature management, and bleeding coagulopathy. We report the cases of five patients who experienced this complication and discuss their management.

Case Presentation: We retrospectively evaluated five patients with cardiopulmonary resuscitation-related internal mammary artery injuries who were treated between February 2011 and February 2016 at our institution. Read More

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http://dx.doi.org/10.1186/s13256-017-1485-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5681756PMC
November 2017
27 Reads

Use of whole body CT to detect patterns of CPR-related injuries after sudden cardiac arrest.

Eur Radiol 2018 Oct 9;28(10):4122-4127. Epub 2017 Nov 9.

Department of Radiology, University of Washington, 1959 N.E. Pacific Street, Seattle, WA, 98195-7117, USA.

Aims And Objectives: We have recently implemented a dedicated sudden cardiac arrest (SCA) - whole-body computed tomography (WBCT) protocol to evaluate SCA patients with return of spontaneous circulation (ROSC) following cardiopulmonary resuscitation (CPR). The aim of this study is to evaluate the number and pattern of CPR-related injuries in ROSC patients with SCA-WBCT.

Methods And Materials: Single-centre retrospective review of 39 patients (13 female; 20 male, mean age 51. Read More

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http://dx.doi.org/10.1007/s00330-017-5117-0DOI Listing
October 2018
20 Reads

The Operative Management of Flail Chest Injuries with Concomitant Sternal Fracture.

Chirurgia (Bucur) 2017 Sept-Oct;112(5):573-593

Flail Chest Injuries (FCI) are one of the most severe thoracic injuries. Moreover, an additional sternal fracture (SF) even worsens the outcome, such as the duration of mechanical ventilation, therefore an surgical fixation of the fractures could be considered in certain cases to improve the weaning from the ventilator. This paper aims to emphasize on the management of different types of SF in FCI. Read More

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http://dx.doi.org/10.21614/chirurgia.112.5.573DOI Listing
March 2018
14 Reads

Analysis on the Age Distribution of Sternum Fractures.

Thorac Cardiovasc Surg 2018 11 27;66(8):670-677. Epub 2017 Oct 27.

Department of Pediatric Surgery, University Hospital Erlangen, Germany.

Background: Sternum fractures (SFs) are described as a rare entity of bony fractures. Various accident mechanisms may cause SF such as the direct impact of traffic accidents and also by indirect mechanisms within the framework of falls. Osteoporotic fractures also play an increasing role in SF, but no reliable data on the age distribution of SF in a representative collective have been published so far. Read More

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http://dx.doi.org/10.1055/s-0037-1607305DOI Listing
November 2018
14 Reads

Chest wall - underappreciated structure in sonography. Part I: Examination methodology and ultrasound anatomy.

J Ultrason 2017 Sep 29;17(70):197-205. Epub 2017 Sep 29.

Self-education Sonography Group, Genetics Division, Pomeranian Medical University, Szczecin, Poland.

Chest wall ultrasound has been awarded little interest in the literature, with chest wall anatomy described only in limited extent. The objective of this study has been to discuss the methodology of chest wall ultrasound and the sonographic anatomy of the region to facilitate professional evaluation of this complex structure. The primarily used transducer is a 7-12 MHz linear one. Read More

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http://dx.doi.org/10.15557/JoU.2017.0029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5647615PMC
September 2017
28 Reads

Frequency and influencing factors of cardiopulmonary resuscitation-related injuries during implementation of the American Heart Association 2010 Guidelines: a retrospective study based on autopsy and postmortem computed tomography.

Int J Legal Med 2017 Nov 13;131(6):1655-1663. Epub 2017 Sep 13.

Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.

Aim: To determine the frequency of cardiopulmonary resuscitation (CPR)-related injuries and factors involved in their occurrence, data based on forensic autopsy and postmortem computed tomography (PMCT) during implementation of the 2010 American Heart Association Guidelines for CPR were studied.

Methods: We retrospectively evaluated data on adult patients with non-traumatic deaths who had undergone manual CPR and autopsy from January 2012 to December 2014. CPR-related injuries were analyzed on autopsy records and PMCT images and compared with results of previous studies. Read More

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http://link.springer.com/10.1007/s00414-017-1673-8
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http://dx.doi.org/10.1007/s00414-017-1673-8DOI Listing
November 2017
34 Reads

Sternal Fracture in Children: Diagnosis by Ultrasonography.

European J Pediatr Surg Rep 2017 Jan 31;5(1):e39-e42. Epub 2017 Aug 31.

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

Because of its subcutaneous location, the sternum can be examined sonographically using a linear scanner. We report about two children who experienced blunt chest trauma. Anterior-posterior chest X-rays were normal. Read More

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http://dx.doi.org/10.1055/s-0037-1606197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578814PMC
January 2017
9 Reads

SGEM Hot Off the Press: Delayed complications of sternal fractures.

CJEM 2017 09 24;19(5):392-397. Epub 2017 Aug 24.

‡Department of Emergency Medicine,University of Calgary,Calgary,AB.

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http://dx.doi.org/10.1017/cem.2017.374DOI Listing
September 2017
5 Reads

Stairlike fracture of the sternum.

CMAJ 2017 07;189(27):E914

Departments of Radiology (Sade) and Thoracic Surgery (Aydin), Ataturk University, Medical Faculty, Erzurum, Turkey

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http://dx.doi.org/10.1503/cmaj.161344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505759PMC
July 2017
8 Reads

Anatomical variations of the sternal angle and anomalies of adult human sterna from the Galloway osteological collection at Makerere University Anatomy Department.

Folia Morphol (Warsz) 2017 Mar 29. Epub 2017 Mar 29.

Background: Anatomical variations of the sternal angle and anomalies of the sternum are unique happenings of major clinical significance.It is known that misplaced sternal angles may lead to inaccurate counting of ribs and create challenges with intercostal nerve blocks and needle thoracostomies. Sternal foramina may pose a great hazard during sternal puncture, due to inadvertent cardiac or great vessel injury. Read More

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https://journals.viamedica.pl/folia_morphologica/article/vie
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http://dx.doi.org/10.5603/FM.a2017.0026DOI Listing
March 2017
23 Reads
1 Citation
0.524 Impact Factor

Efficacy analysis of a novel sternoclavicular hook plate for treatment of unstable sternoclavicular joint dislocation or fracture.

J Orthop Surg (Hong Kong) 2017 01;25(1):2309499016684488

Taizhou Hospital of Zhejiang Province, Linhai, Zhejiang, China.

Purpose: Sternoclavicular joint is an amphiarthrodial joint formed by the clavicle and sternal manubrium. This joint becomes chronically unstable in case of a medial clavicle dislocation or fracture, and improper treatment could cause malformation and pain. We aimed to determine the efficacy of a novel sternoclavicular hook plate for treatment of unstable sternoclavicular joint dislocation or fracture. Read More

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http://dx.doi.org/10.1177/2309499016684488DOI Listing
January 2017
23 Reads

Sternal stress fracture in a middle-aged woman.

BMJ Case Rep 2017 Feb 7;2017. Epub 2017 Feb 7.

Department of Family and Sports Medicine, University of North Carolina at Chapel Hill, Greensboro, North Carolina, USA.

A middle-aged premenopausal woman presented with 3 months of right chest wall pain after beginning a new weight training programme. Examination was significant only for mild-to-moderate tenderness to palpation over the right pectoral muscle and sternoclavicular joint. In-office musculoskeletal ultrasound scan, chest X-ray and shoulder X-rays were unremarkable. Read More

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http://dx.doi.org/10.1136/bcr-2016-218203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5307278PMC
February 2017
8 Reads

[Fracture-separation of the medial clavicular epiphysis: about 6 cases and review of the literature].

Pan Afr Med J 2016 22;25:19. Epub 2016 Sep 22.

Service d'Orthopédie-Traumatologie de l'Hôpital Général de Grand Yoff, Dakar, Sénégal.

This study aims to describe the epidemiological characteristics and the different anatomo-clinical entities of the fracture-separation of the medial clavicular epiphysis but also to relate the morphological and functional results of bloody reduction followed by osteosuture using non absorbable thread. Five boys and one girl (mean age 14 years) showed a closed and isolated shoulder girdle trauma. Clinical examination and medical imaging, especially CT scan, allowed the diagnosis of epiphyseal separation and to classify the degree of medial clavicular epiphysiseal ossification indicating the direction of displacement as well as the nature of displacement according to the Salter-Harris classification. Read More

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http://dx.doi.org/10.11604/pamj.2016.25.19.8787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268753PMC
March 2017
42 Reads

Investigation of complications secondary to chest compressions before and after the 2010 cardiopulmonary resuscitation guideline changes by using multi-detector computed tomography: a retrospective study.

Scand J Trauma Resusc Emerg Med 2017 Jan 26;25(1). Epub 2017 Jan 26.

Department of Emergency Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea.

Background: The purpose of this study was to identify the relationship between the deeper and faster chest compressions suggested by the 2010 cardiopulmonary resuscitation guidelines and complications arising from chest compressions, using multi-detector computed tomography.

Methods: We performed a retrospective analysis of prospective registry data. This study was conducted with in- and out-of-hospital cardiac arrest patients who underwent successful resuscitation in the emergency departments of two academic tertiary care centres from October 2006 to September 2010 (pre-2010 group) and from October 2011 to September 2015 (post-2010 group). Read More

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http://dx.doi.org/10.1186/s13049-017-0352-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5267458PMC
January 2017
31 Reads

Chest wall stabilization in ventilator-dependent traumatic flail chest patients: who benefits?

Eur J Cardiothorac Surg 2017 04;51(4):696-701

Division of General Thoracic Surgery, University Hospital Bern/Inselspital, Bern, Switzerland.

Objectives: Traumatic flail chest is a potentially life threatening injury, often associated with prolonged invasive mechanical ventilation and intensive care unit stay. This study evaluates the usefulness and cost-effectiveness of surgical rib stabilization in patients with flail chest resulting in ventilator dependent respiratory insufficiency.

Methods: A retrospective study on a consecutive series of patients with flail chest with the need for mechanical ventilation was performed. Read More

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http://dx.doi.org/10.1093/ejcts/ezw365DOI Listing
April 2017
66 Reads
3 Citations
3.304 Impact Factor

The unstable thoracic cage injury: The concomitant sternal fracture indicates a severe thoracic spine fracture.

Injury 2016 Nov 29;47(11):2465-2472. Epub 2016 Aug 29.

Department of Trauma Surgery, University Hospital Zürich, Switzerland.

Introduction: The thoracic cage is an anatomical entity composed of the upper thoracic spine, the ribs and the sternum. The aims of this study were primarily to analyse the combined injury pattern of thoracic cage injuries and secondarily to evaluate associated injuries, trauma mechanism, and clinical outcome. We hypothesized that the sternal fracture is frequently associated with an unstable fracture of the thoracic spine and that it may be an indicator for unstable thoracic cage injuries. Read More

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http://dx.doi.org/10.1016/j.injury.2016.08.026DOI Listing
November 2016
32 Reads

Small female rib cage fracture in frontal sled tests.

Traffic Inj Prev 2017 01 3;18(1):77-82. Epub 2016 Jun 3.

a University of Virginia , Center for Applied Biomechanics , Charlottesville , Virginia.

Objectives: The 2 objectives of this study are to (1) examine the rib and sternal fractures sustained by small stature elderly females in simulated frontal crashes and (2) determine how the findings are characterized by prior knowledge and field data.

Methods: A test series was conducted to evaluate the response of 5 elderly (average age 76 years) female postmortem human subjects (PMHS), similar in mass and size to a 5th percentile female, in 30 km/h frontal sled tests. The subjects were restrained on a rigid planar seat by bilateral rigid knee bolsters, pelvic blocks, and a custom force-limited 3-point shoulder and lap belt. Read More

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http://dx.doi.org/10.1080/15389588.2016.1193599DOI Listing
January 2017
13 Reads

Areal and volumetric bone mineral density and risk of multiple types of fracture in older men.

Bone 2016 11 20;92:100-106. Epub 2016 Aug 20.

Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States. Electronic address:

Although many studies have examined the association between low bone mineral density (BMD) and fracture risk in older men, none have simultaneously studied the relationship between multiple BMD sites and risk of different types of fractures. Using data from the Osteoporotic Fractures in Men study, we evaluated the association between areal BMD (aBMD) by dual-energy X-ray absorptiometry (DXA) and volumetric BMD (vBMD) by quantitative computed tomography (QCT) measurements, and different types of fractures during an average of 9.7years of follow-up. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056840PMC
http://dx.doi.org/10.1016/j.bone.2016.08.014DOI Listing
November 2016
23 Reads

Anatomic Study of Anterior Transdiscal Axial Screw Fixation for Subaxial Cervical Spine Injuries.

Medicine (Baltimore) 2016 Aug;95(31):e3723

From the Department of Spinal Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Anterior transdiscal axial screw (ATAS) fixation is an alternative or supplement to the plate and screw constructs for the upper cervical spine injury. However, no existing literatures clarified the anatomic feasibility of this technique for subaxial cervical spine. Therefore, the objective of this study was to evaluate the anatomical feasibility and to establish guidelines for the use of the ATAS fixation for the subaxial cervical spine injury. Read More

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http://dx.doi.org/10.1097/MD.0000000000003723DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4979770PMC
August 2016
24 Reads