4,514 results match your criteria Rib Fractures


Erratum to: Does Surgery Reduce the Risk of Complications Among Patients with Multiple Rib Fractures? A Meta-analysis.

Clin Orthop Relat Res 2019 Mar;477(3):667

Y.-S. Liang, K.-C. Yu, School of Medicine, Taipei Medical University, Taipei, Taiwan C.-S. Wong, Department of Emergency, School of Medicine, College of Medicine, Taipei Medical, University, Taipei, Taiwan and Emergency Department, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan Y. Kao, Graduate Institute of Medical Sciences, College of Health Science, Chang Jung Christian University, Tainan, Taiwan and Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan T.-Y. Tiong, Division of Thoracic Surgery, Department of Surgery, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan K.-W. Tam, Division of General Surgery, Department of Surgery, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan, Division of General Surgery, Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan, and Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan.

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http://dx.doi.org/10.1097/CORR.0000000000000607DOI Listing

Potential benefits of incentive spirometry following a rib fracture: a propensity score analysis.

CJEM 2019 Feb 12:1-4. Epub 2019 Feb 12.

*Axe Santé des Populations et Pratiques optimales en santé,Centre de recherche du CHU de Québec - Université Laval,QC.

CLINICIAN'S CAPSULEWhat is known about the topic?Literature regarding the impact of incentive spirometry on patients with rib fractures is unclear; there are no recommendations for its use in the emergency department (ED).What did this study ask?The objective of this study was to assess the impact of incentive spirometry on delayed complications in patients with rib fractures in the ED.What did this study find?Unsupervised incentive spirometry use does not have a protective effect against delayed pulmonary complications after a rib fracture. Read More

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http://dx.doi.org/10.1017/cem.2018.492DOI Listing
February 2019

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

Anaesthesia 2019 Feb 10. Epub 2019 Feb 10.

Department of Anesthesia, Toronto Western Hospital, University of Toronto, ON, Canada.

Regional anaesthesia is often helpful in improving respiratory function and analgesia following multiple rib fractures. The erector spinae plane block has become the technique of choice in our institution due to its relative simplicity and purported safety. The aim of this retrospective cohort study was to determine its effectiveness in improving respiratory and analgesic outcomes. Read More

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http://dx.doi.org/10.1111/anae.14579DOI Listing
February 2019

Rib fracture fixation as a tool for extubation in a resource-poor environment.

BMJ Case Rep 2019 Feb 9;12(2). Epub 2019 Feb 9.

Department of General Surgery, Ngwelezana Hospital, Empangeni, KwaZulu Natal, South Africa.

An elderly female with multiple comorbidities was involved in a pedestrian vehicle accident and sustained blunt chest trauma, arriving at a resource-poor hospital in rural South Africa. She had multiple bilateral rib fractures with a unilateral flail segment that caused her to develop respiratory failure. She was intubated and sent to the intensive care unit (ICU) for ventilation. Read More

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http://dx.doi.org/10.1136/bcr-2018-227518DOI Listing
February 2019
1 Read

Characterization of Chest Wall Toxicity during Long Term Follow Up after Thoracic Stereotactic Body Radiotherapy.

Pract Radiat Oncol 2019 Feb 4. Epub 2019 Feb 4.

Department of Radiation Oncology, Virginia Commonwealth University Health Systems, Richmond, VA, USA.

Purpose: Chest wall (CW) pain and rib fractures are frequently diagnosed following stereotactic body radiotherapy (SBRT) for malignant lung tumors. We hypothesize that multiple risk factors including bone mineral density (BMD) are associated with CW toxicity and that CW pain and rib fractures often evolve into chronic clinical problems.

Methods: 118 lung tumors treated with SBRT in 100 patients with a minimum follow up of 2 years were retrospectively analyzed. Read More

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http://dx.doi.org/10.1016/j.prro.2019.01.012DOI Listing
February 2019
2 Reads

Current strategy for hollow viscus injury with active bleeding: A case report.

SAGE Open Med Case Rep 2019 12;7:2050313X18824816. Epub 2019 Jan 12.

Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Kanagawa, Japan.

Despite rapid advancements in medical technologies, the use of interventional radiology in a patient with hemodynamic instability or hollow viscus injury remains controversial. Here, we discuss important aspects regarding the use of interventional radiology for such patients. A 74-year-old Japanese male climber was injured following a 10 m fall. Read More

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http://dx.doi.org/10.1177/2050313X18824816DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350135PMC
January 2019
1 Read

Incident Fragility Fractures Have a Long-Term Negative Impact on Health-Related Quality of Life of Older People: The Canadian Multicentre Osteoporosis Study.

J Bone Miner Res 2019 Feb 5:e3666. Epub 2019 Feb 5.

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.

Although the short-term impact of incident fragility fractures on health-related quality of life (HRQL) of older people has been confirmed, we lack long-term evidence. We explored the impact of incident fragility fractures on HRQL, among people aged 50 years and older, using 10-year prospective data from the Canadian Multicentre Osteoporosis Study (CaMos). This study was based on data from 7753 (2187 men and 5566 women) participants of CaMos. Read More

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http://dx.doi.org/10.1002/jbmr.3666DOI Listing
February 2019
2 Reads

Perceptions in rib injuries: A multidisciplinary single center survey of clinician differences in risk stratification and management of patients with rib fractures.

Am J Surg 2019 Jan 23. Epub 2019 Jan 23.

Section of Trauma and Acute Care Surgery, Department of Surgery, Albany Medical Center, Albany, NY, USA. Electronic address:

Background: Although associated with significant morbidity, there is no universally accepted management of rib fractures. We hypothesized that variations in risk stratification may influence this.

Methods: A questionnaire was developed to assess providers' perceived risk factors and injury stratification of rib fracture patients at a Level 1 trauma center. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029610183091
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http://dx.doi.org/10.1016/j.amjsurg.2019.01.016DOI Listing
January 2019
4 Reads

Initial experience of erector spinae plane block in patients undergoing breast surgery: A case series.

Saudi J Anaesth 2019 Jan-Mar;13(1):72-74

Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

Postoperative pain after breast surgery is difficult to manage owing to its complex innervation. Recently, erector spinae plane (ESP) block, an interfacial block, has been described to provide pain relief after thoracic and abdominal surgeries, multiple rib fractures, and neuropathic thoracic pain. Local anesthetic injected in the erector spinae muscle sheath at the level of the 5 thoracic transverse process is distributed cranially and caudally along the sheath, and to the paravertebral space through apertures in the anterior sheath wall. Read More

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http://dx.doi.org/10.4103/sja.SJA_560_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329236PMC
January 2019

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

Anaesthesia 2019 Jan 27. Epub 2019 Jan 27.

Royal Victoria Infirmary, Newcastle upon Tyne, UK.

Rib fractures are associated with significant morbidity and mortality. Ultrasound-guided thoracic paravertebral catheter insertion has been described for the management of pain secondary to rib fractures. We conducted a retrospective observational study of all patients with rib fractures who had a paravertebral catheter inserted for analgesia provision over a 4-year period. Read More

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http://dx.doi.org/10.1111/anae.14580DOI Listing
January 2019

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

J Trauma Acute Care Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School.

Background: Previous studies demonstrate an association between rib fractures and morbidity and mortality in trauma. This relationship in low-mechanism injuries such as ground-level fall is less clearly defined. Furthermore, computed tomography (CT) has increased sensitivity for rib fractures compared with chest x-ray (CXR); its utility in elderly fall patients is unknown. Read More

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http://dx.doi.org/10.1097/TA.0000000000002208DOI Listing
January 2019
8 Reads

Multiple severe vertebral fractures during the 3-month period following a missed dose of denosumab in a postmenopausal woman with osteoporosis previously treated with alendronate
.

Int J Clin Pharmacol Ther 2019 Jan 21. Epub 2019 Jan 21.

Denosumab is a monoclonal antibody that decreases bone resorption and increases bone mass and strength in trabecular and cortical bone leading to a reduction in fracture in women and men. Its effects are reversed after discontinuation. Recently, there has been concern about the discontinuation of denosumab and the increased risk of multiple vertebral fractures that would be associated with rapid bone loss due to high bone turnover and consequent increase in markers of bone remodeling, far above the baseline values. Read More

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http://dx.doi.org/10.5414/CP203361DOI Listing
January 2019
1 Read

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

Asian Cardiovasc Thorac Ann 2019 Jan 15:218492318823367. Epub 2019 Jan 15.

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

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

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

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

Rib Fixation Versus Conservative Management Of Rib Fractures In Trauma Patients.

J Ayub Med Coll Abbottabad 2018 Oct-Dec;30(4):576-584

Department of Thoracic Surgery, CMH Lahore, Pakistan.

Background: 10-15 % of trauma patient has chest injuries. There is a paradigm shift in the last two decades towards rib fixation from conservative management. Rib fixation results in immediate pain reduction in patients. Read More

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January 2019
7 Reads

Observing Pneumothoraces: The 35 Millimeter Rule Is Safe for Both Blunt and Penetrating Chest Trauma.

J Trauma Acute Care Surg 2019 Jan 8. Epub 2019 Jan 8.

Division of Trauma, Critical Care, and Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI.

Introduction: As more pneumothoraxes (PTX) are being identified on chest computed tomography (CT), the empiric trigger for tube thoracostomy (TT) versus observation remains unclear. We hypothesized that PTX measuring ≤35 mm on chest CT can be safely observed in both penetrating and blunt trauma mechanisms.

Methods: A retrospective review was conducted of all patients diagnosed with PTX by chest CT between January 2011 and December 2016. Read More

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http://dx.doi.org/10.1097/TA.0000000000002192DOI Listing
January 2019
2 Reads

Extracorporeal Carbon Dioxide Removal in the Management of Complex Bilateral Flail Chest Injury.

ASAIO J 2019 Jan 3. Epub 2019 Jan 3.

From the Division of Critical Care Medicine, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana.

Flail chest is an uncommon consequence of traumatic injury. Medical management includes mechanical ventilation for internal pneumatic stabilization. Control of respiratory drive is necessary to avoid paradoxical movement and impairment of recovery. Read More

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http://dx.doi.org/10.1097/MAT.0000000000000942DOI Listing
January 2019
3 Reads
1.385 Impact Factor

[Morphological analysis of cardiac rupture due to blunt injury, cardiopulmonary resuscitation and myocardial infarction in forensic pathology].

Nan Fang Yi Ke Da Xue Xue Bao 2018 Dec;38(12):1514-1520

College of Forensic Medicine, Southern Medical University, Guangzhou 510515, China.

Objective: To analyze the morphological features and forensic pathological characteristics of cardiac ruptures of different causes for their differential diagnosis.

Methods: We analyzed the data of 44 autopsy cases of cardiac rupture from 2014 to 2017 in our institute, including 11 cases caused by blunt violence with intact pericardium, 4 caused by cardiopulmonary resuscitation (CPR), 9 by myocardial infarction, and 20 by aorta dissection rupture.The gross features and histopathological characteristics of cardiac rupture and pericardial effusion were analyzed and compared. Read More

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http://dx.doi.org/10.12122/j.issn.1673-4254.2018.12.19DOI Listing
December 2018
6 Reads

Sources of Variability in Structural Bending Response of Pediatric and Adult Human Ribs in Dynamic Frontal Impacts.

Stapp Car Crash J 2018 Nov;62:119-192

National Highway Traffic Safety Administration, Vehicle Research and Test Center.

Despite safety advances, thoracic injuries in motor vehicle crashes remain a significant source of morbidity and mortality, and rib fractures are the most prevalent of thoracic injuries. The objective of this study was to explore sources of variation in rib structural properties in order to identify sources of differential risk of rib fracture between vehicle occupants. A hierarchical model was employed to quantify the effects of demographic differences and rib geometry on structural properties including stiffness, force, displacement, and energy at failure and yield. Read More

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November 2018
3 Reads

Effect of object position in the field of view and application of a metal artifact reduction algorithm on the detection of vertical root fractures on cone-beam computed tomography scans: An study.

Imaging Sci Dent 2018 Dec 20;48(4):245-254. Epub 2018 Dec 20.

Dental Sciences Research Center, Department of Maxillofacial Radiology, Faculty of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.

Purpose: To assess the effects of object position in the field of view (FOV) and application of a metal artifact reduction (MAR) algorithm on the diagnostic accuracy of cone-beam computed tomography (CBCT) for the detection of vertical root fractures (VRFs).

Materials And Methods: Sixty human single-canal premolars received root canal treatment. VRFs were induced in 30 endodontically treated teeth. Read More

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http://dx.doi.org/10.5624/isd.2018.48.4.245DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305778PMC
December 2018

Predictors of Dependency in Geriatric Trauma Patients with Rib Fractures: A Population Study.

Am Surg 2018 Dec;84(12):1856-1860

The geriatric trauma population is unique. These patients are at risk of being discharged to rehabilitation or a skilled nursing facility, instead of being returned to their homes, placing a significant burden on both the patient families and society. This study evaluated which patient characteristics increase the likelihood of a previously independent geriatric blunt trauma becoming functionally dependent and being discharged to a location other than home. Read More

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December 2018
7 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

Automatic rib cage unfolding with CT cylindrical projection reformat in polytraumatized patients for rib fracture detection and characterization: Feasibility and clinical application.

Eur J Radiol 2019 Jan 13;110:121-127. Epub 2018 Nov 13.

Service d'Imagerie Guilloz, Hôpital Central, Centre Hospitalier Universitaire de Nancy, 29 Ave du Maréchal de Lattre de Tassigny, Nancy, 54035, France.

Objectives: To assess the use of CT with unfolded cylindrical projection (UCP) for rib fracture detection and characterization.

Methods: The images from 60 polytraumatized patients who underwent whole body CT were evaluated for the presence and characterization of rib fractures (displaced or not, single or multiple). Two readers independently evaluated conventional CT images and UCP images in two readout sessions at least one month apart. Read More

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http://dx.doi.org/10.1016/j.ejrad.2018.11.011DOI Listing
January 2019
1 Read

Surgical versus conservative therapy for multiple rib fractures: a retrospective analysis.

Ann Transl Med 2018 Nov;6(22):439

Department of Cardiothoracic Surgery, The 105th Hospital of Chinese People's Liberation Army, Hefei 230031, China.

Background: In this study, we aimed to evaluate the clinical effects of multiple rib fracture treatments using a rib plate fixator.

Methods: From June 2014 to December 2016, 110 cases of patients with multiple rib fractures were collected for our study from the 105th Hospital of PLA; 59 patients were treated by surgery, and 51 patients received conservative treatment. We compared surgical rib plate fixation with conservative treatment for patients with multiple rib fractures. Read More

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http://dx.doi.org/10.21037/atm.2018.10.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281531PMC
November 2018
1 Read

Clinical characteristics of 1653 injured motorcyclists and factors that predict mortality from motorcycle crashes in Malaysia.

Chin J Traumatol 2018 Nov 30. Epub 2018 Nov 30.

Department of General Surgery, Hospital Sultanah Aminah, Johor Bahru, Malaysia.

Purpose: Amongst the ASEAN countries, Malaysia has the highest road fatality risk (>15 fatalities per 100 000 population) with 50% of these fatalities involving motorcyclist. This contributes greatly to ward admissions and poses a significant burden to the general surgery services. From mild rib fractures to severe intra-abdominal exsanguinations, the spectrum of cases managed by surgeons resulting from motorcycle accidents is extensive. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183022
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http://dx.doi.org/10.1016/j.cjtee.2018.11.001DOI Listing
November 2018
2 Reads

Special form of osteoporosis in a 53-year-old man.

BMJ Case Rep 2018 Dec 13;11(1). Epub 2018 Dec 13.

Division of Endocrinology and Diabetes, Luzerner Kantonsspital, Luzern, Switzerland.

Male osteoporosis often remains unrecognised. Osteoporotic fractures occur approximately 10 years later in men than in women due to higher peak bone mass. However, 30% of all hip fractures occur in men. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22667
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http://dx.doi.org/10.1136/bcr-2018-226672DOI Listing
December 2018
7 Reads

Metabolic bone disease risk factors strongly contributing to long bone and rib fractures during early infancy: A population register study.

PLoS One 2018 19;13(12):e0208033. Epub 2018 Dec 19.

Forensic Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Background: The aim of this study was to assess the incidence of fractures in infancy, overall and by type of fracture, its association with accidents, metabolic bone disease risk factors, and abuse diagnosis.

Methods: The design was a population-based register study in Sweden. Participants: Children born 1997-2014, 0-1 years of age diagnosed with fracture-diagnosis according to International Classification of Diseases (ICD10) were retrieved from the National Patient Register and linked to the Swedish Medical Birth Register and the Death Cause Register. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208033PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300197PMC
December 2018
2 Reads

Injury patterns and incidence of intra-abdominal injuries in elderly ground level fall patients: Is the PAN-SCAN warranted?

Am J Surg 2018 Dec 8. Epub 2018 Dec 8.

Department of Surgery, The University of Kansas School of Medicine - Wichita, Wichita, KS, USA; Department of Trauma Services, Via Christi Hospital Saint Francis, Wichita, KS, USA. Electronic address:

Background: This study aimed to determine the incidence of intra-abdominal injuries in elderly patients after a ground-level fall.

Methods: A 6-year retrospective review was conducted on patients 65 years of age or older involved in a fall from standing and evaluated at a level 1 trauma center. Each patient presented with a pelvic, thoracolumbar, and/or lower rib fracture. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.11.041DOI Listing
December 2018
3 Reads

Surgical Management of Multiple Rib Fractures Reduces the Hospital Length of Stay and the Mortality Rate in Major Trauma Patients: A Comparative Study in a UK Major Trauma Center.

J Orthop Trauma 2019 Jan;33(1):9-14

Department of Trauma and Orthopaedics, Aintree University Hospital, Liverpool, United Kingdom.

Objectives: To investigate and assess the effectiveness of surgical fixation of rib fractures in complex traumatic chest injuries compared with traditional nonoperative management.

Design: Retrospective observational comparative study.

Setting: Level 1 Major Trauma Centre in North West England. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001264DOI Listing
January 2019
6 Reads

The Role of Surgical Stabilization of Rib Fractures in Polytrauma.

Authors:
John Mayberry

J Orthop Trauma 2019 Jan;33(1):1-2

Sharp Memorial Hospital, San Diego, CA.

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http://dx.doi.org/10.1097/BOT.0000000000001389DOI Listing
January 2019

The use of cadaver models to diagnose rib fractures: A pilot study.

Am J Emerg Med 2019 Feb 16;37(2):313-316. Epub 2018 Nov 16.

Department of Emergency Medicine, Staten Island University Hospital, Northwell Health, Staten Island, NY, United States of America.

Background: In the emergency department, rib fractures are a common finding in patients who sustain chest trauma. Rib fractures may be a sign of significant, underlying pathology, especially in the elderly patients where rib fractures are associated with significant morbidity and mortality. To date, no studies have evaluated the ability of ultrasound to detect rib fractures using cadaver models and subsequently use this model as a teaching tool. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.11.019DOI Listing
February 2019

Chest injuries of elderly postmortem human surrogates (PMHSs) under seat belt and airbag loading in frontal sled impacts: Comparison to matching THOR tests.

Traffic Inj Prev 2018 Dec 13:1-9. Epub 2018 Dec 13.

d Biomechanics and Accident Analysis , Ludwig Maximilians University , Munich , Germany.

Objective: The goal of the study was to develop experimental chest loading conditions that would cause up to Abbreviated Injury Scale (AIS) 2 chest injuries in elderly occupants in moderate-speed frontal crashes. The new set of experimental data was also intended to be used in the benchmark of existing thoracic injury criteria in lower-speed collision conditions.

Methods: Six male elderly (age >63) postmortem human subjects (PMHS) were exposed to a 35 km/h (nominal) frontal sled impact. Read More

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http://dx.doi.org/10.1080/15389588.2018.1542139DOI Listing
December 2018
1 Read

Thoracoscope combined with internal support system of chest wall in open reduction and internal fixation for multiple rib fractures.

Exp Ther Med 2018 Dec 1;16(6):4650-4654. Epub 2018 Oct 1.

Department of Cardiothoracic Surgery, Tianjin Hospital, Tianjin 300211, P.R. China.

This study aimed to investigate the feasibility of applying thoracoscope combined with internal support system of chest wall (ISSW) in minimally invasive internal fixation for rib fracture on patients with multiple rib fractures. A total of 84 patients undergoing open reduction and internal fixation for rib fracture from January 2017 to December 2017 in the Department of Cardiothoracic Surgery, Tianjin Hospital were selected into the study, and retrospective analyses were carried out. The clinical data, pain score, operating time, intraoperative blood loss, indwelling time of thoracic tube, total drainage volume of thoracic tube for 3 days after operation, indwelling time of wound drainage tube, total drainage volume of wound drainage tube, length of stay, hospitalization costs, postoperative complications, C-reactive protein (CRP) and pulmonary function of patients in the groups were compared. Read More

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http://dx.doi.org/10.3892/etm.2018.6817DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257545PMC
December 2018
1 Read

The relation between scapula fracture and the severity of trauma in blunt thoracic trauma

Turk J Med Sci 2018 Dec 12;48(6):1228-1233. Epub 2018 Dec 12.

Department of Emergency Medicine, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey

Background/aim: The aim of this study was to determine the level of presence of scapula fractures (SFs) in cases of blunt thoracic trauma and to identify other injuries accompanying SF.

Materials And Methods: Blunt thoracic trauma cases with SF determined on direct radiography or computerized tomography (CT) were categorized as Group 1. Group 2 was constituted by selecting cases with high injury severity score (ISS) with no SF. Read More

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http://dx.doi.org/10.3906/sag-1802-149DOI Listing
December 2018

[Odd Aspects of Hemochromatosis, a Widespread Disease].

Praxis (Bern 1994) 2018 ;107(25):1413-1418

1 Medbase St. Gallen Am Vadianplatz, St. Gallen.

Odd Aspects of Hemochromatosis, a Widespread Disease Abstract. This case series is written to investigate the odd aspects of hemochromatosis, a frequently encountered disease in our latitudes (and even a widespread disease in Ireland). One patient presented with bilateral digital artery occlusion and another one with bilateral rib fractures. Read More

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http://dx.doi.org/10.1024/1661-8157/a003027DOI Listing
January 2018
3 Reads

ECMO Flow as a Sign of Intraabdominal Hemorrhage After Prolonged CPR.

ASAIO J 2018 Nov 28. Epub 2018 Nov 28.

From the Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.

Although life-saving, cardiopulmonary resuscitation (CPR) has been associated with traumatic injuries in adult patients surviving cardiac arrest. In addition to rib and sternal fractures, intraabdominal injuries have also been shown to occur, particularly after prolonged external cardiac massage. Early detection of these injuries remains difficult and is often masked by concomitant hemodynamic instability and the higher likelihood of other injuries such as retroperitoneal hemorrhage. Read More

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http://Insights.ovid.com/crossref?an=00002480-900000000-9876
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http://dx.doi.org/10.1097/MAT.0000000000000927DOI Listing
November 2018
12 Reads

A pathology not be overlooked in blunt chest trauma: Analysis of 181 patients with bilateral pneumothorax.

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):521-527

Department of Thoracic Surgery, Ege University Faculty of Medicine, İzmir-Turkey.

Background: Bilateral pneumothorax (BPTx) can become tension PTx and a cause of mortality, especially in severe multi-trauma patients. The purpose of this study was to analyze the incidence, morbidity, mortality, and associated factors of BPTx in multi-trauma patients in order to highlight the importance of the management of these cases, as well as complications, morbidity, and mortality.

Methods: The data of 181 patients with BPTx, from a total of 3782 trauma patients, were reviewed retrospectively. Read More

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http://dx.doi.org/10.5505/tjtes.2018.76435DOI Listing
November 2018
1 Read

Pulsed Ultrasounds Reduce Pain and Disability, Increasing Rib Fracture Healing, in a Randomized Controlled Trial.

Pain Med 2018 Nov 29. Epub 2018 Nov 29.

Section of Thoracic Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia.

Introduction: Rib fractures are an important health issue worldwide, with significant, pain, morbidity, and disability for which only symptomatic treatment exists.

Objectives: Based on our previous experimental model, the objective of the current study was to assess for the first time whether pulsed ultrasound (PUS) application could have beneficial effects on humans.

Methods: Prospective, double-blinded, randomized, controlled trial of 51 patients. Read More

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http://dx.doi.org/10.1093/pm/pny224DOI Listing
November 2018
3 Reads
2.300 Impact Factor

The expedited discharge of patients with multiple traumatic rib fractures is cost-effective.

Injury 2019 Jan 13;50(1):109-112. Epub 2018 Oct 13.

Division of Trauma, Department of Surgery, Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103, United States. Electronic address:

Introduction: Rib fractures are a cause of significant morbidity and mortality in trauma patients. It is well documented that optimizing pain control, mobilization, and respiratory care decreases complications. However, the impact of these interventions on hospital costs and length of stay is not well defined. Read More

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http://dx.doi.org/10.1016/j.injury.2018.10.014DOI Listing
January 2019
1 Read

Using electromagnetic navigation for intraoperative rib fracture localization during rib plating: A case report.

Int J Surg Case Rep 2018 22;53:386-389. Epub 2018 Nov 22.

Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, Houston, TX, United States; Department of Surgery, Weill Cornell Medical College, Houston Methodist Hospital, Houston, TX, United States. Electronic address:

Introduction: The precise localization of fractured ribs represents one of the primary challenges of surgical rib fixation. Computed tomography (CT) provides the facture's general location, but it is difficult to use the imaging alone to properly place a surgical incision. We used electromagnetic navigation to identify the exact location of the fracture on the patient's skin. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.11.029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260384PMC
November 2018
2 Reads

Comparison of the use of lung ultrasound and chest radiography in the diagnosis of rib fractures: a systematic review.

Emerg Med J 2018 Nov 23. Epub 2018 Nov 23.

Welsh Centre in Emergency Medicine Research, Morriston Hospital, Swansea, UK.

Introduction: It is well-recognised that the detection of rib fractures is unreliable using chest radiograph. The aim of this systematic review was to investigate whether the use of lung ultrasound is superior in accuracy to chest radiography, in the diagnosis of rib fractures following blunt chest wall trauma.

Methods: The search filter was used for international online electronic databases including MEDLINE, EMBASE, Cochrane and ScienceDirect, with no imposed time or language limitations. Read More

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http://dx.doi.org/10.1136/emermed-2017-207416DOI Listing
November 2018
1 Read

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
16 Reads

Re: Rib fractures fixation: Always worthwhile?

J Trauma Acute Care Surg 2018 Dec;85(6):1134-1135

Trauma, EGS, and Surgical Critical Care, The Ernest E. Moore Shock Trauma Center, Denver Health Medical Center Associate, Professor of Surgery University of Colorado, School of Medicine 777 Bannock Street, MC0206 Denver, CO 80204.

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http://dx.doi.org/10.1097/TA.0000000000002114DOI Listing
December 2018
6 Reads

The use of a portable ultrasound system in the surgical assessment of rib fractures in an elderly patient.

Ann Med Surg (Lond) 2018 Dec 16;36:96-98. Epub 2018 Oct 16.

Department of Cardiovascular Surgery, Clifford Hospital, 3 Hongfu Road, Panyu, Guangzhou, Guangdong Province, PR China.

Introduction: Portable ultrasound is a modality of medical ultrasonography that utilizes small and light devices, and is an established diagnostic method used in clinical settings such as Cardiology, Vascular Surgery, Radiology, Endocrinology, Pediatric and Obstetric & Gynecology.

Presentation Of Cases: We present a case report of 86-years old patient who underwent surgical rib fixation for multiple rib fractures followed by falling from standing height and our management experience.

Discussion: The use of portable ultrasound device in operation theatre demonstrates several advantages. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20490801183022
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http://dx.doi.org/10.1016/j.amsu.2018.10.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6226824PMC
December 2018
21 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 Mar 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
10 Reads

Impact of rib fixation on quality of life after major trauma with multiple rib fractures.

Injury 2019 Jan 3;50(1):119-124. Epub 2018 Nov 3.

Department of Epidemiology & Preventive Medicine, Monash University, Australia.

Introduction: Multiple rib fractures have been shown to reduce quality of life both in the short and long term. Treatment of rib fractures with operative fixation reduces ventilator requirements, intensive care unit stay, and pulmonary complications in flail chest patients but has not been shown to improve quality of life in comparative studies to date. We therefore wanted to analyse a large cohort of multiple fractured rib trauma patients to see if rib fixation improved their quality of life. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183065
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http://dx.doi.org/10.1016/j.injury.2018.11.005DOI Listing
January 2019
17 Reads

Fatal Acute Myocardial Infarction after Multiple Blunt Injuries Involving the Chest.

J Emerg Trauma Shock 2018 Jul-Sep;11(3):230-232

Acute Critical Care and Emergency Medicine, Shizuoka Hospital, Juntendo University Address 1129 Nagaoka, Izunokuni-city, Shizuoka 410-2295, Japan.

The patient was a 60-year-old male fell whose head and left chest hit the ground after falling from a height of 2 m. He complained of the left shoulder and chest pain after regaining consciousness. On arrival, he showed left bloody otorrhea, left chest tenderness, and a limited range of motion due to the left shoulder pain. Read More

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http://dx.doi.org/10.4103/JETS.JETS_39_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6182957PMC
November 2018
10 Reads

Internal Mammary Artery Injury without Chest Wall Fractures after Cardiopulmonary Resuscitation: A Case Report.

Case Rep Emerg Med 2018 23;2018:1948151. Epub 2018 Oct 23.

Department of Cardiology, Tokyo Metropolitan Hiroo Hospital, 10-34-2, Ebisu, Shibuya-ku, Tokyo 153-0013, Japan.

High-quality cardiopulmonary resuscitation (CPR) is crucial for survival from cardiac arrest. However, various chest compression-associated injuries have been reported. Internal mammary artery (IMA) injury is one of the rare complications after CPR, and most of cases include rib and sternum fractures. Read More

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https://www.hindawi.com/journals/criem/2018/1948151/
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http://dx.doi.org/10.1155/2018/1948151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218792PMC
October 2018
17 Reads

Delayed massive hemothorax due to a diaphragmatic laceration caused by lower rib fractures.

Gen Thorac Cardiovasc Surg 2018 Nov 10. Epub 2018 Nov 10.

Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, 389-1 Asakura-cho, Maebashi, Gunma, 371-0811, Japan.

A delayed hemothorax requiring surgical treatment is considered a rare minor thoracic injury. We experienced four cases of delayed massive hemothorax due to a diaphragmatic laceration caused by lower rib fractures. A computed tomography scan on admission revealed multiple rib fractures in all patients, and at least one fractured lower rib was severely displaced, which injured the diaphragm. Read More

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http://link.springer.com/10.1007/s11748-018-1033-8
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http://dx.doi.org/10.1007/s11748-018-1033-8DOI Listing
November 2018
6 Reads

A 49-Year-Old Man with Debilitating Aches and Pains and a Mysterious Culprit.

Arthritis Care Res (Hoboken) 2018 Nov 10. Epub 2018 Nov 10.

Department of Medicine, Division of Rheumatology, Saint George Hospital University Medical Center, University of Balamand, Beirut, Lebanon.

The patient reported pain that started insidiously in his feet and gradually progressed proximally from the lower extremities to the pelvis, spine and chest. He described it as dull and aching, constant and exacerbated by minimal movement and even inspiration. He complained of frequent severe muscle spasms, cramps, progressive weakness and difficulty with ambulation leading to the use of a wheelchair. Read More

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http://doi.wiley.com/10.1002/acr.23807
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http://dx.doi.org/10.1002/acr.23807DOI Listing
November 2018
7 Reads