415 results match your criteria Imaging in Sternal Fractures


[Application of deep learning-based chest CT auxiliary diagnosis system in emergency trauma patients].

Zhonghua Yi Xue Za Zhi 2021 Feb;101(7):481-486

Department of Medical Imaging, Jinling Hospital, the First School of Clinical Medicine, Southern Medical University, Nanjing, 210002, China.

To investigate the diagnostic efficacy and potential application value of deep learning-based chest CT auxiliary diagnosis system in emergency trauma patients. A total of 403 patients, including 254 males and 149 females aged from 16 to 100 (50±19) years, who received emergency treatment for trauma and chest CT examination in the Eastern Theater General Hospital from September 2019 to November 2019 were retrospectively analyzed. Dr. Read More

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February 2021

Is There a Need for Abdominal CT Scan in Trauma Patients With a Low-Risk Mechanism of Injury and Normal Vital Signs?

Cureus 2020 Nov 22;12(11):e11628. Epub 2020 Nov 22.

Department of Trauma Surgery, Mercy St. Vincent Medical Center, Toledo, USA.

Background Clinically significant injuries are often missed in trauma patients with low-risk mechanisms of injury and lack of "red flags," such as abnormal vital signs. The purpose of this retrospective analysis was to evaluate the efficacy of computed axial tomography (CT) for identifying occult injuries in a high-volume trauma center. Methods Records from our institutional trauma registry were retrospectively extracted, examining encounters from January 2015 to October 2019. Read More

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November 2020

Biomechanics and clinical outcome after posterior stabilization of mid-thoracic vertebral body fractures: a systematic literature review.

Eur J Trauma Emerg Surg 2020 Dec 2. Epub 2020 Dec 2.

Department of Trauma Surgery and Reconstructive Surgery, BG Klinikum Bergmannstrost, Halle, Germany.

Purpose: The aim of this review is to systematically screen the literature for clinical and biomechanical studies dealing with posterior stabilization of acute traumatic mid-thoracic vertebral fractures in patients with normal bone quality.

Methods: This review is based on articles retrieved by a systematic search in the PubMed and Web of Science database for publications up to December 2018 dealing with the posterior stabilization of fractures of the mid-thoracic spine.

Results: Altogether, 1012 articles were retrieved from the literature search. Read More

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December 2020

Disseminated Tuberculosis: A Case of Multiple Spread Mass.

Cureus 2020 Oct 25;12(10):e11149. Epub 2020 Oct 25.

Internal Medicine, Hospital Senhora da Oliveira Guimarães, Guimarães, PRT.

Disseminated tuberculosis is associated with significant morbidity and mortality. It results from a lymphohematogenous dissemination of mycobacterium tuberculosis (MT) and its atypical clinical presentation often delays the diagnosis. Diagnosis is established by identifying MT obtained from a biopsy sample in culture or acid-fast smear. Read More

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October 2020

Comparison of different resuscitation methods with regard to injury patterns in cardiac arrest survivors based on computer tomography.

Eur J Radiol 2020 Oct 27;131:109244. Epub 2020 Aug 27.

Department of Diagnostic and Interventional Radiology, Marburg University Hospital, Philipps-University, Marburg, Germany.

Purpose: To ensure that patients survive cardiac arrest, cardiopulmonary resuscitation (CPR) is needed. However, the procedure itself can lead to severe injuries. This study aims to examine both possibilities of resuscitation - mechanical or manual - with regard to their risk of injury. Read More

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October 2020

Computed tomographic findings of chest injuries following cardiopulmonary resuscitation: More complications for prolonged chest compressions?

Medicine (Baltimore) 2020 Aug;99(33):e21685

Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Kyung Hee University Hospital, Seoul, South Korea.

Chest injuries are common and inevitable complications of chest compressions during cardiopulmonary resuscitation (CPR). This study aimed to investigate lung parenchymal and thoracic skeletal injuries after CPR by using computed tomography (CT) and to analyze the correlation between the duration of CPR and related complications.We examined 43 non-traumatic cardiac arrest patients who were successfully resuscitated after CPR and had chest CT scans within 24 hours of CPR. Read More

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Point-of-Care Ultrasound Used to Diagnose Sternal Fractures Missed by Conventional Imaging.

Pediatr Emerg Care 2021 Feb;37(2):106-107

From the Denver Health Medical Center, University of Colorado, Aurora, CO.

Abstract: Sternal fractures have often been associated with high-impact thoracic trauma. In children, this is not always the case. X-ray and even computed tomography can miss subtle sternal fractures. Read More

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February 2021

Traumatic costovertebral joint dislocation.

BMJ Case Rep 2020 Aug 18;13(8). Epub 2020 Aug 18.

Trauma Surgery, Amsterdam UMC, Amsterdam, The Netherlands.

Rib fractures due to blunt trauma are a common chest injury seen at the emergency department; however, injuries to the costovertebral joints are very rare. We present a case of a 24-year-old man who was admitted after a high-speed car collision and was assessed in a level 1 trauma centre in Amsterdam. He had multiple injuries, including dislocation of the costovertebral joint of ribs 7-10. Read More

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Urgent Surgical Treatment of Blunt Chest Trauma Followed by Cardiac and Pericardial Injuries.

Med Arch 2020 Apr;74(2):115-118

Private Clinic "Karabeg" Sarajevo, Bosnia and Herzegovina.

Introduction: Widespread opinion that penetrating chest injuries are more urgent, in terms of treatment and care, contributed to underestimation of the urgency of blunt chest trauma, which in most cases is treated conservatively. It remains an open question frequency when the injuries of the heart and pericardium are not timely diagnosed and surgically treated.

Aim: To demonstrate the importance of well-timed surgical treatment of blunt chest trauma, when coupled with cardiac and pericardial injuries. Read More

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An unusual cause of chest pain: Exercise induced sternal fracture in a young man.

Am J Emerg Med 2020 10 23;38(10):2244.e1-2244.e2. Epub 2020 May 23.

McGill University, Canada; Jewish General Hospital, McGill University, Canada.

This case report describes a 26-year-old male who presented with anterior chest pain after weightlifting at the gym. Point-of-care ultrasound was used to diagnose a sternal fracture, which was then confirmed on CT scan. This rare mechanism of sports related sternal fracture is discussed, as well as a review of the literature. Read More

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October 2020

Clinical experience of whole-body computed tomography as the initial evaluation tool after extracorporeal cardiopulmonary resuscitation in patients of out-of-hospital cardiac arrest.

Scand J Trauma Resusc Emerg Med 2020 Jun 11;28(1):54. Epub 2020 Jun 11.

Department of Surgery, National Taiwan University Hospital, College of Medicine, National Taiwan University, No. 7, Chung-Shan South Road, Taipei, 100, Taiwan.

Background: The routine application of whole-body CT after extracorporeal cardiopulmonary resuscitation (ECPR) in out-of-hospital cardiac arrest (OHCA) has not been extensively investigated. We aimed to evaluate the benefit of CT in this context.

Methods: We retrospectively analyzed all OHCA patients who had received ECPR between January 2006 to May 2019. Read More

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Intrapericardial parathyroid carcinoma: a case report.

Endocrine 2020 08 4;69(2):456-460. 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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Traumatic medial clavicle fracture induced by chin bar of a full-face helmet following a downhill mountainbike accident.

Sportverletz Sportschaden 2020 Mar 18;34(1):48-50. Epub 2020 Feb 18.

Sportklinik Stuttgart GmbH, Stuttgart, Germany.

Downhill mountain biking is a rapidly growing sport. In our case we want to present an isolated medial clavicular fracture following a mountain bike accident with a critical review on the used protection device. A 35 year old healthy patient presented to our hospital after bike accident during downhill mountain biking in Austria with pain over his right medial clavicle. Read More

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Morphometric analyses of clavicle's nutrient foramen.

Surg Radiol Anat 2020 Aug 12;42(8):871-875. Epub 2020 Feb 12.

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

Purpose: Fractures of the clavicle, which has an important location and function in the upper extremity and shoulder joint, compose 10% of all fracture cases. During the osteosynthesis of clavicle fractures and in the post-operative period of patients, considering the detailed morphometric and topographic properties of the nutrient foramen of clavicle is important to avoid the disruption of arterial nutrition of the clavicle and prevent unexpected injuries. The aim of this study was to investigate the morphometric properties of the nutrient foramen of clavicle in more detail using computedtomography images. Read More

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Early full-body computed tomography in patients after extracorporeal cardiopulmonary resuscitation (eCPR).

Resuscitation 2020 01 4;146:149-154. Epub 2019 Dec 4.

Department of Cardiology and Angiology I, Heart Center Freiburg University, Faculty of Medicine, University of Freiburg, Germany; Department of Medicine III (Interdisciplinary Medical Intensive Care), Medical Center, University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.

Introduction: Initiation of venoarterial extracorporeal membrane oxygenation (ECMO) under ongoing cardiopulmonary resuscitation (eCPR) in patients with refractory cardiac arrest may improve otherwise deleterious outcome. In general, the duration of mechanical resuscitation from collapse to ECMO ranges from 40 to 70 min. CPR-related injuries are reported frequently in non-eCPR patients. Read More

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January 2020

Analysis of cases of traumatic pneumothorax - conclusions based on post-mortem CT examinations for routine autopsy diagnostics

Arch Med Sadowej Kryminol 2019 ;69(1-2):56-69

Katedra i Zakład Medycyny Sądowej, Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Polska/Chair and Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland.

The analysis comprised a total of 450 cases covering the period 2017-2018, in which death was a result of traffic accident, fall from a height, and crushing. Post-mortem examinations carried out at the Department of Forensic Medicine in Krakow consisted of conventional autopsy and post-mortem computed tomography (PMCT). The aims of the study were to evaluate the prevalence of pneumothorax in the study group, and attempt to identify a correlation between pneumothorax and the presence of specific types of thoracic injuries and the circumstances of trauma. Read More

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Inter- and intra-observer variability of the AO/OTA classification for sternal fractures: a validation study.

Arch Orthop Trauma Surg 2020 Jun 15;140(6):735-739. Epub 2019 Nov 15.

Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland.

Introduction: Recently, a new classification system for sternal fractures has been published in the Journal of Orthopedic trauma by the Arbeitsgemeinschaft für Osteosynthesefragen (AO) foundation and the Orthopaedic Trauma Association (OTA). The aim of this study was to evaluate inter- and intra-observer variability of the AO/OTA classification for sternal fractures.

Materials And Methods: Twenty multidetector computed tomography (CT) scans of patients with sternal fractures were classified independently by six senior and six junior orthopedic trauma surgeons of two level-1 trauma centers. Read More

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Pediatric sternal fractures: A single center retrospective review.

J Pediatr Surg 2020 Jul 6;55(7):1224-1227. Epub 2019 Nov 6.

Department of Surgery, Boston Children's Hospital and Harvard Medical School Boston, MA. Electronic address:

Purpose: We sought to investigate the diagnosis, management, and outcomes of pediatric sternal fractures.

Methods: We used ICD codes to search our trauma registry and Hound Dog software to search the hospital data warehouse for all cases of radiologically confirmed sternal fracture in patients <21 years from January 1, 1997 to July 1, 2017. We extracted demographics, mechanism of injury, diagnostic modality, associated injuries, and clinical outcomes. Read More

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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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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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January 2020

Osteosynthesis of sternal fractures with double locking compression plate fixation: a retrospective cohort study.

Eur J Orthop Surg Traumatol 2020 Jan 28;30(1):75-81. Epub 2019 Aug 28.

Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland.

Purpose: Sternal fractures are rare injuries and mostly treated non-operatively. In selected cases, internal fixation becomes necessary. No standard operative approach has been determined yet among experts. Read More

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January 2020

[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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September 2019

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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Effect of chest compression on skeletal chest injuries: a retrospective study.

Eur J Emerg Med 2020 Feb;27(1):59-63

Department of Emergency Medicine.

Objective: Reports indicate that chest compression may induce skeletal chest injuries. We aimed to assess the factors associated with skeletal chest injuries and the probability of skeletal chest injuries following cardiopulmonary resuscitation (CPR) in patients who were successfully resuscitated after cardiac arrest.

Methods: This retrospective analysis used data from adult patients who were successfully resuscitated after cardiac arrest. Read More

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February 2020

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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November 2019

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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September 2019

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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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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