5,219 results match your criteria Rib Fractures

Pediatric rib pathologies: clinicoimaging scenarios and approach to diagnosis.

Pediatr Radiol 2021 Jun 12. Epub 2021 Jun 12.

Radiology Department, Seattle Children's Hospital, University of Washington Medical Center, 4800 Sand Point Way NE, Seattle, WA, 98105, USA.

Pathologies involving the ribs are diverse in nature, including entities specific to the pediatric population as well as shared pathologies with adults. These can be either localized within or adjacent to the rib, but may also cause rib alteration as a component of a systemic process. To better understand these disorders, we discuss several common rib pathologies in the context of their clinical presentation and pertinent imaging findings. Read More

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Which traumatic spinal injury creates which degree of instability? A systematic quantitative review.

Spine J 2021 Jun 8. Epub 2021 Jun 8.

Institute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, Ulm University, Ulm, Germany. Electronic address:

Background Context: Traumatic spinal injuries often require surgical fixation. Specific three-dimensional degrees of instability after spinal injury, which represent criteria for optimum treatment concepts, however, are still not well investigated.

Purpose: The aim of this review therefore was to summarize and quantify multiplanar instability increases due to spinal injury from experimental studies. Read More

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Delayed Union of Stress Fracture of the First Rib in a Yoga Instructor: A Case Report.

JBJS Case Connect 2021 Jun 11;11(2). Epub 2021 Jun 11.

Department of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan.

Case: We describe the case of a 38-year-old woman, a yoga instructor, who had pain in the right shoulder and scapular region of 4 months' duration while performing yoga. Radiography and computed tomography diagnosed delayed union of a first rib stress fracture. The delayed union of stress fracture of the first rib was successfully treated with the limiting of yoga activity and low-intensity pulsed ultrasound (LIPUS). Read More

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Impacts of tailored, rehabilitation nursing care on functional ability and quality of life in hospitalized elderly patients after rib fractures.

Clin Rehabil 2021 Jun 6:2692155211022734. Epub 2021 Jun 6.

Department of Physiotherapy, Faculty of Health Sciences, University of Valencia, Valencia, Spain.

Objectives: We aimed to analyze the effects of a tailored rehabilitation nursing care program on functional ability and quality of life in patients with conservative treatment for rib fractures.

Design: Randomized controlled trial.

Setting: Inpatient rehabilitation hospital. Read More

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Missed injuries in trauma patients: the value of a diagnostic thoracotomy or thoracoscopy during surgical stabilisation of rib fractures.

Ir J Med Sci 2021 Jun 5. Epub 2021 Jun 5.

Department of Surgery, MST - Medisch Spectrum Twente, Koningsplein 1, 7512 KZ, Enschede, Netherlands.

Purpose: Over the last decade Surgical Stabilisation of Rib Fractures (SSFR) gained popularity in our hospital. With increased numbers, we noted that frequently injuries were missed during primary/secondary survey and radiological imaging that were found during the surgical procedure. With this observation, the research question was formulated: What is the value of diagnostics thoracotomy or thoracoscopy during surgical stabilisation of rib fractures?

Methods: In a single-centre, retrospective study between February 2010 and December 2019, trauma patients who underwent Surgical Stabilisation of Rib Fractures (SSFR) and an inspection thoracotomy were included. Read More

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Assessing the speed-accuracy trade-offs of popular convolutional neural networks for single-crop rib fracture classification.

Comput Med Imaging Graph 2021 May 15;91:101937. Epub 2021 May 15.

Department of Electrical and Computer Engineering, University of Saskatchewan, Saskatoon, SK S7N 5C9, Canada. Electronic address:

Rib fractures are injuries commonly assessed in trauma wards. Deep learning has demonstrated state-of-the-art accuracy for a variety of tasks, including image classification. This paper assesses the speed-accuracy trade-offs and general suitability of four popular convolutional neural networks to classify rib fractures from axial computed tomography imagery. Read More

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Transdiaphragmatic Intercostal Hernia-An Unusual Hepatic Injury After a Car Accident: A Case Report and Review of the Literature.

Discoveries (Craiova) 2021 Mar 4;9(1):e123. Epub 2021 Mar 4.

4th Academic Department of Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece.

Transdiaphragmatic intercostal hernia, in which the abdominal contents of the hernia protrude through the diaphragm and the thoracic wall defect. is a very rare type of hernia with only a few cases having been reported in the literature. That type of hernia is usually manifested in male patients after trauma, penetrating or blunt. Read More

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Efficacy of intercostal cryoneurolysis as an analgesic adjunct for chest wall pain after surgery or trauma: systematic review.

Trauma Surg Acute Care Open 2021 18;6(1):e000690. Epub 2021 May 18.

Department of Surgery, Stanford University, Stanford, CA, USA.

Background: There is a critical need for non-narcotic analgesic adjuncts in the treatment of thoracic pain. We evaluated the efficacy of intercostal cryoneurolysis as an analgesic adjunct for chest wall pain, specifically addressing the applicability of intercostal cryoneurolysis for pain control after chest wall trauma.

Methods: A systematic review was performed through searches of PubMed, EMBASE, and the Cochrane Library. Read More

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Epidemiology of combined clavicle and rib fractures: a systematic review.

Eur J Trauma Emerg Surg 2021 Jun 1. Epub 2021 Jun 1.

Department of Surgery, University Medical Center Utrecht, 85500, 3508 GA, Utrecht, The Netherlands.

Purpose: The aim of this systematic review was to provide an overview of the incidence of combined clavicle and rib fractures and the association between these two injuries.

Methods: A systematic literature search was performed in the MEDLINE, EMBASE, and CENTRAL databases on the 14 of August 2020. Outcome measures were incidence, hospital length of stay (HLOS), intensive care unit admission and length of stay (ILOS), duration of mechanical ventilation (DMV), mortality, chest tube duration, Constant-Murley score, union and complications. Read More

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Tractotomy using the Penrose drain guide for deep lung injury caused by chest drainage: a case report.

Surg Case Rep 2021 Jun 1;7(1):134. Epub 2021 Jun 1.

Department of Thoracic Surgery, Toyohashi Municipal Hospital, 50 Aza Hachiken Nishi, Aotake-Cho, Toyohashi, Aichi, 441-8570, Japan.

Background: Pulmonary tractotomy effectively treats deep pulmonary penetrating injuries; however, it requires the accurate insertion of forceps or a stapler into the wound tract. This report describes a case of tractotomy using the Penrose drain guide for a deep lung injury caused by chest drainage.

Case Presentation: A 75-year-old man suffered multiple rib fractures and hemothorax. Read More

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The financial burden of rib fractures: National estimates 2007 to 2016.

Injury 2021 May 19. Epub 2021 May 19.

Division of Thoracic and Esophageal Surgery, University Hospitals Cleveland Medical Center and Case Western Reserve University School of Medicine, Cleveland, OH, United States.

Background: The aim of this study is to define the cost of rib fracture hospitalization by single, multiple, and flail type using a nationally representative sample.

Methods: The national inpatient sample (NIS) was used to identify patients with a primary diagnosis of rib fracture hospitalization 2007-2016. International Classification of Diseases, Ninth Revision (ICD-9) and Tenth Revision (ICD-10) codes were used to characterize patients as having single, multiple, or flail chest rib fractures. Read More

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Preliminary study of the characteristics of rib fractures and their impact on pulmonary ventilatory function.

J Cardiothorac Surg 2021 May 31;16(1):155. Epub 2021 May 31.

Department of Thoracic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, No. 600 Yishan Road, Shanghai, 200233, China.

Background: This study aimed to investigate the pulmonary ventilation function (PVF) according to different types of rib fractures and pain levels.

Methods: This was a retrospective study of patients with thoracic trauma admitted to our ward from May 1, 2015, to February 1, 2017. Vital capacity (VC), forced expiratory volume in 1 s (FEV1), and peak expiratory flow (PEF) were measured on admission. Read More

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Should Rib Fracture Patients be Treated at High Acuity Trauma Hospitals?

J Surg Res 2021 May 28;266:328-335. Epub 2021 May 28.

Division of Trauma, Critical Care, Burns, and Acute Care Surgery, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio; Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, Ohio. Electronic address:

Background: It is well known that severely injured trauma patients have better outcomes when treated at centers that routinely treat high acuity trauma. The benefits of specialty treatment for chest trauma have not been shown. We hypothesized that patients with high risk rib fractures treated in centers that care for high acuity trauma would have better outcomes than patients treated in other centers. Read More

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Acupuncture combined with multidisciplinary care for recovery after traumatic multiple rib fractures: a prospective feasibility cohort study.

Acupunct Med 2021 May 28:9645284211009539. Epub 2021 May 28.

Department of Nursing, Pusan National University Hospital, Busan, South Korea.

Introduction: Acute pain significantly delays early physiological recovery and results in chronic functional disability in patients with traumatic multiple rib fractures (MRFs). This prospective cohort study aimed to investigate the feasibility of acupuncture combined with multidisciplinary care during recovery in patients with traumatic MRFs.

Methods: Twenty patients with traumatic MRFs who were admitted to a regional trauma centre in South Korea were enrolled. Read More

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Using a Simulated Model and Mastery Learning Approach to Teach the Ultrasound-guided Serratus Anterior Plane Block to Emergency Medicine Residents: A Pilot Study.

AEM Educ Train 2021 Jul 27;5(3):e10525. Epub 2020 Sep 27.

Department of Emergency Medicine Stanford University Stanford CA USA.

Background: The serratus anterior plane block (SAPB) is a safe, single-injection alternative for pain control in patients with rib fractures. This pilot study aims to teach the ultrasound-guided SAPB to emergency medicine (EM) residents using a mastery learning approach.

Methods: A 19-item checklist was created and mastery was determined to be 17 of 19 items correct. Read More

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Empyema associated with a cough-induced rib fracture.

BMJ Case Rep 2021 May 25;14(5). Epub 2021 May 25.

Department of Internal Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.

A 44-year-old man presented to the emergency department with fever and right anterior chest pain. He reported a persistent cough and the development of sudden-onset right anterior chest pain after coughing. The inspiratory pain in the right lung was severe, and therefore deep breathing was impossible. Read More

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Case report-Vascular injury in association with posteriorly displaced medial clavicle fracture.

Trauma Case Rep 2021 Jun 21;33:100483. Epub 2021 Apr 21.

Starship Hospital Orthopaedic Department, 2 Park Road, Grafton, Auckland 1023, New Zealand.

The primary stabiliser of the diarthrodial sterno-clavicular (SC) joint is the costo-clavicular ligament, this holds the clavicle to the first costal cartilage and the end of the first rib. The costo-clavicular and surrounding ligaments help maintain the stability and strength of the SC joint. As a result, SC joint dislocations are far less common than fractures to the clavicle due to the relatively larger forces required to disrupt these ligaments. Read More

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Rib fracture fixation in a patient on veno-venous ECMO for severe blunt thoracic trauma.

Ann R Coll Surg Engl 2021 May 21. Epub 2021 May 21.

Aberdeen Royal Infirmary, UK.

Thoracic chest wall trauma is a common injury in patients admitted to hospital following injury and is associated with high mortality. British Orthopaedic Association Standards for Trauma and Orthopaedics guidelines recommend consideration of rib fracture fixation in patients with flail chest wall injuries with respiratory compromise or uncontrollable pain. Veno-venous extracorporeal membrane oxygenation (ECMO) can be utilised in patients with severe respiratory dysfunction and we present the case of a patient who underwent rib fracture fixation while receiving ECMO. Read More

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Diagnostic value of multi-slice spiral CT scan in lung compression ratio of patients with pulmonary contusion complicated by pneumothorax or hydropneumothorax.

Am J Transl Res 2021 15;13(4):3004-3009. Epub 2021 Apr 15.

Department of Imaging, 521 Hospital of Norinco Group Xi'an, Shaanxi Province, China.

Objective: This study was designed to explore the diagnostic value of multi-slice spiral CT (MSCT) scanning in lung compression ratio of patients with pulmonary contusion complicated by pneumothorax or hydropneumothorax.

Methods: Seventy-eight patients with pulmonary contusions complicated by pneumothorax or hydropneumothorax treated in the Department of Emergency Surgery of our hospital were examined by CT and X-ray, and the diagnostic value of these two methods was observed. The correlation of lung compression ratio measured by multiplanar reconstruction (MPR) and volume rendering (VR) with W/D ratio was studied, and the formula between VR-measured lung compression ratio and W/D ratio was constructed using a one-variable linear regression equation. Read More

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Reversed contour rib plate for surgical stabilization of juxtaspinal rib fractures: Description of a novel surgical technique.

J Trauma Acute Care Surg 2021 Jun;90(6):e163-e168

From the Division of General and Acute Care Surgery, Department of Surgery, Medical University of South Carolina, Charleston, South Carolina.

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Surgical stabilization of rib fractures in octogenarians and beyond-what are the outcomes?

J Trauma Acute Care Surg 2021 Jun;90(6):1014-1021

From the Department of Surgery (F.M.P., K.L.), Denver Health Medical Center, Denver, Colorado; Department of Surgery (M.C.H., B.K.), Mayo Clinic, Rochester, Minnesota; Department of Surgery (E.C., Z.B.), University of Nebraska Medical Center, Omaha, Nebraska; Department of Surgery (S.G., S.M., T.W.), Intermountain Medical Center, Murray, Utah; Department of Surgery (S.D., E.E.), Medical University of South Carolina, Charleston, South Carolina; Department of Surgery (M.B., D.B.C.), The Medical Center, Navicent Health, Macon, Georgia; Department of Surgery (E.T.L., S.S.), University of California, Irvine, California; Department of Surgery (A.S.), University of Colorado School of Medicine, Aurora, Colorado; and Department of Surgery (A.R.D.), St. Francis Medical Center, Hartford, Connecticut.

Background: Prospective studies of surgical stabilization of rib fractures (SSRF) have excluded elderly patients, and no study has exclusively addressed the ≥80-year-old subgroup. We hypothesized that SSRF is associated with decreased mortality in trauma patients 80 years or older.

Methods: Multicenter retrospective cohort study involving eight centers. Read More

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Rib fracture detection in computed tomography images using deep convolutional neural networks.

Medicine (Baltimore) 2021 May;100(20):e26024

Department of Radiology, Graduate School of Medicine, University of Tokyo, Bunkyo-ku.

Abstract: To evaluate the rib fracture detection performance in computed tomography (CT) images using a software based on a deep convolutional neural network (DCNN) and compare it with the rib fracture diagnostic performance of doctors.We included CT images from 39 patients with thoracic injuries who underwent CT scans. In these images, 256 rib fractures were detected by two radiologists. Read More

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The processes of hospital discharge and recovery after blunt thoracic injuries: The patient's perspective.

Nurs Open 2021 May 18. Epub 2021 May 18.

Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.

Aims: The aim of this study was to explore hospital discharge processes and the self-management of recovery in the early post-discharge period after blunt thoracic injury from a patient perspective.

Design: Qualitative interview study.

Methods: Interviews were conducted with participants recruited from 8 sites across England and Wales between November 2019-May 2020. Read More

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Analysis of Road Traffic Accident Fatalities in Karachi, Pakistan: An Autopsy-Based Study.

Cureus 2021 Apr 13;13(4):e14459. Epub 2021 Apr 13.

Internal Medicine, Dow University of Health Sciences, Karachi, PAK.

Background Road traffic accident (RTA) fatalities account for a significant number of unnatural deaths in Pakistan. Hence, it is necessary to investigate RTA fatalities in order to implement measures to reduce them. In the present study, we aimed to assess the detailed epidemiological characteristics of RTA fatalities by analyzing the data obtained from medico-legal autopsies performed at the Jinnah Postgraduate Medical Centre (JPMC) in 2019 and 2020. Read More

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Multiple rib fractures: does flail chest matter?

Emerg Med J 2021 May 13. Epub 2021 May 13.

Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel.

Background: Recent studies have reported significant morbidity and mortality in patients with multiple rib fractures, even without flail chest. The aim of this study was to compare the clinical outcome and incidence of associated chest injuries between patients with and without flail chest, with three or more rib fractures.

Methods: This study included patients with blunt trauma with at least three rib fractures, hospitalised during 2010-2019 in the Hillel Yaffe Medical Center in central Israel (level II trauma centre). Read More

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Minimally invasive surgery rib fracture fixation based on location and anatomical landmarks.

Eur J Trauma Emerg Surg 2021 May 13. Epub 2021 May 13.

Department of Cardiothoracic Surgery, Shijiazhuang Third Hospital, No. 15 Tiyu South Street, Shijiazhuang, 050011, Hebei, China.

Background: Rib fracture is closely related to thoracic injury with high morbidity and mortality. This study aimed to investigate the clinical effect of Zhang ZhiFei (ZZF) zoning method on the selection of incision and approach in minimally invasive surgery for rib fracture.

Methods: A total of 110 patients with rib fractures from July 2017 to July 2019 were enrolled in the study. Read More

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Use of continuous intercostal nerve blockade is associated with improved outcomes in patients with multiple rib fractures.

Trauma Surg Acute Care Open 2021 26;6(1):e000600. Epub 2021 Apr 26.

Surgery, The University of Alabama at Birmingham, Birmingham, Alabama, USA.

Background: Rib fractures are common among trauma patients and may result in significant morbidity and mortality. There are numerous treatment options, but ideal management is unclear. Delivery of local anesthetic via an analgesia catheter for continuous intercostal nerve blockade offers an attractive potential option for management of patients with rib fractures. Read More

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Role of autopsy imaging-computed tomography in the post-mortem study of farm animals.

Vet Rec Open 2021 Dec 7;8(1):e1. Epub 2021 Apr 7.

Faculty of Agriculture University of Miyazaki Miyazaki Japan.

Background: Autopsy imaging (Ai) is used to determine the cause of death, providing pre-dissection information. Ai is often used in the field of human forensic medicine but has never been applied on farm animals.

Methods: Ai-computed tomography (CT) was performed before necropsy for farm animals (one goat, one ox, one cow and three calves) that died or were euthanised. Read More

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December 2021

[Surgical Resection of the Rib Fragment to Prevent Lung Injury in a Patient with Chest Trauma:Report of a Case].

Kyobu Geka 2021 May;74(5):397-400

Department of Thoracic and Cardiovascular Surgery, Hirosaki University, Hirosaki, Japan.

An 82-year old man was admitted for a left fifth rib fracture with traumatic pneumothorax. Computed tomography showed a sharp rib fragment protruding into the thoracic cavity. Thoracic drainage was not performed before surgery to avoid lung injury by the rib fragment. Read More

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Sudden death due to cardiac contusion: Forensic implications in a rare pediatric case.

J Forensic Sci 2021 May 7. Epub 2021 May 7.

Dipartimento di Scienze Biomediche per la Salute, Sezione di Medicina Legale e delle Assicurazioni, Università degli Studi di Milano, Milano, Italy.

Blunt chest trauma (BCT) often results in blunt cardiac injuries of little clinical concern, but cases of severe heart damage with high mortality rates have also been described. In particular, BCT should never be underestimated, especially when it is located in the anterior thoracic region. Among traffic accidents, motorcyclists are the most vulnerable and at the greatest risk. Read More

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