4,555 results match your criteria Rib Fractures


Rib osteosynthesis is a safe and effective treatment and leads to a significant reduction of trauma associated pain.

Eur J Trauma Emerg Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Thoracic Surgery and Lung Support, Ibbenbueren General Hospital, Grosse Strasse 41, 49477, Ibbenbueren, Germany.

Purpose: The usefulness of chest wall stabilization after blunt chest wall trauma with unstable rib fractures has recently been intensely discussed. Thereby, the surgical approach seems to influence outcome, mortality and the long-term complication rate including chronic chest pain, thoracic deformity and quality of life. Here, we present the outcome after surgical stabilization of unstable rib fractures using intramedullary splints and plate osteosynthesis. Read More

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http://dx.doi.org/10.1007/s00068-018-01062-5DOI Listing

Prediction of outcomes in chest trauma patients using chest trauma scoring system: A prospective observational study.

Indian J Anaesth 2019 Mar;63(3):194-199

Department of Anaesthesiology, Topiwala National Medical College and B.Y.L. Nair Ch. Hospital, Mumbai Central, Mumbai, Maharashtra, India.

Background And Aims: Prognostication of chest trauma patients by scoring systems is of vital importance to predict morbidity and mortality. We aimed to predict outcomes in chest trauma patients using chest trauma scoring system (CTS) in Indian patients.

Methods: This was a prospective observational study done in a trauma care centre at a tertiary care teaching public hospital. Read More

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http://dx.doi.org/10.4103/ija.IJA_750_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423939PMC

High Risk of Bias in a Systematic Review of Rib Fractures and Abuse by Paine et al (2019).

Pediatr Emerg Care 2019 Apr 5. Epub 2019 Apr 5.

Department of Women'sand Children's HealthUppsala UniversityUppsala Forensic MedicineDepartment of Surgical SciencesUppsala UniversityUppsala, Sweden Formerly Department of Women'sand Children's HealthChild and Adolescent Psychiatric UnitKarolinska InstitutetStockholm, Sweden Forensic MedicineDepartment of Surgical SciencesUppsala UniversityUppsala, Sweden.

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http://dx.doi.org/10.1097/PEC.0000000000001832DOI Listing
April 2019
4 Reads

Mechanism of injury, injury patterns and associated injuries in patients operated for chest wall trauma.

Eur J Trauma Emerg Surg 2019 Apr 6. Epub 2019 Apr 6.

Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Sahlgrenska University Hospital, University of Gothenburg, Per Dubbsgatan 15, 413 45, Gothenburg, Sweden.

Purpose: Chest wall injuries are common in blunt trauma and associated with significant morbidity and mortality. The aim of this study was to determine the most common mechanisms of injury (MOI), injury patterns, and associated injuries in patients who undergo surgery for chest wall trauma.

Methods: This was a retrospective study of trauma patients with multiple rib fractures and unstable thoracic cage injuries who were managed surgically at Sahlgrenska University Hospital during the period September 2010-September 2017. Read More

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http://dx.doi.org/10.1007/s00068-019-01119-zDOI Listing
April 2019
7 Reads

Early Use of a Chest Trauma Protocol in Elderly Patients with Rib Fractures Improves Pulmonary Outcomes.

Am Surg 2019 Mar;85(3):288-291

Rib fractures are among the most common injuries identified in blunt trauma patients. Morbidity increases with increasing age and increasing number of rib fractures. The use of noninvasive ventilation has been shown to be helpful as a rescue technique avoiding intubation in patients who have become hypoxemic but little data with regard to its use to prophylactically prevent worsening respiratory status are available. Read More

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March 2019
1 Read

Thoracic trauma: a descriptive review of 4168 consecutive cases in East China.

Medicine (Baltimore) 2019 Apr;98(14):e14993

Department of Thoracic Surgery.

Thoracic trauma in China was scarcely reported. This study aimed to summarize the clinical profiles and to analyze the management approaches of patients with traumatic thoracic injury.Data for consecutive patients with thoracic trauma from January 2003 to January 2018 were retrospectively collected and analyzed. Read More

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http://dx.doi.org/10.1097/MD.0000000000014993DOI Listing
April 2019
3 Reads
5.723 Impact Factor

Systematic review of systematic reviews for effectiveness of internal fixation for flail chest and rib fractures in adults.

BMJ Open 2019 Apr 1;9(4):e023444. Epub 2019 Apr 1.

York Trials Unit, Health Sciences, University of York, York, UK.

Objectives: Multiple systematic reviews have reported on the impact of rib fracture fixation in the presence of flail chest and multiple rib fractures, however this practice remains controversial. Our aim is to synthesise the effectiveness of surgical rib fracture fixation as evidenced by systematic reviews.

Design: A systematic search identified systematic reviews comparing effectiveness of rib fracture fixation with non-operative management of adults with flail chest or unifocal non-flail rib fractures. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023444DOI Listing
April 2019
1 Read

Multiple rib fractures due to dystonia in a multiple system atrophy-Parkinsonian patient.

Rev Neurol (Paris) 2019 Mar 29. Epub 2019 Mar 29.

Department of neurophysiology, Rouen university hospital-Charles-Nicolle, 76000 Rouen, France.

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http://dx.doi.org/10.1016/j.neurol.2018.08.009DOI Listing
March 2019
2 Reads

Isolated open comminuted fracture of the first rib.

J Postgrad Med 2019 Mar 29. Epub 2019 Mar 29.

Department of Emergency Medicine, JIPMER, India.

In the emergency department, open isolated rib fractures are rarely seen. There is scarce literature related to open isolated first rib comminuted fracture. We report a 33-year-old male who presented with an isolated open first rib comminuted fracture following a road traffic accident. Read More

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http://dx.doi.org/10.4103/jpgm.JPGM_352_18DOI Listing
March 2019
1 Read

Retinal Hemorrhages in Shaken Baby Syndrome.

J Pediatr 2019 Apr;207:256

Department of Ophthalmology, University of Bonn, Bonn, Germany.

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http://dx.doi.org/10.1016/j.jpeds.2018.12.054DOI Listing

Surgical stabilization for multiple rib fractures: whom the benefit? -a prospective observational study.

J Thorac Dis 2019 Feb;11(Suppl 2):S130-S140

Thoracic Surgery Department, 'Nouvel Hôpital Civil', University Hospital Strasbourg, 67000 Strasbourg, France.

Background: Surgical repair has demonstrated a beneficial effect on outcome for patients presenting with flail chest or with multiple rib fractures. We hypothesized that benefit on outcome parameters concerns predominantly patients being extubated within 24 hours post-operatively.

Methods: We prospectively recorded all patients presenting with chest traumatism eligible for surgical repair with anticipated early extubation according to our institutional consensus (flail chest, major deformity, poor pain control, associated lesions requiring thoracotomy). Read More

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http://dx.doi.org/10.21037/jtd.2018.10.122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389565PMC
February 2019
2 Reads

Trauma ICU Prevalence Project: the diversity of surgical critical care.

Trauma Surg Acute Care Open 2019 18;4(1):e000288. Epub 2019 Feb 18.

Surgery, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.

Background: Surgical critical care is crucial to the care of trauma and surgical patients. This study was designed to provide a contemporary assessment of patient types, injuries, and conditions in intensive care units (ICU) caring for trauma patients.

Methods: This was a multicenter prevalence study of the American Association for the Surgery of Trauma; data were collected on all patients present in participating centers' trauma ICU (TICU) on November 2, 2017 and April 10, 2018. Read More

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http://dx.doi.org/10.1136/tsaco-2018-000288DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407564PMC
February 2019
2 Reads

Nationwide cohort study of independent risk factors for acute respiratory distress syndrome after trauma.

Trauma Surg Acute Care Open 2019 15;4(1):e000249. Epub 2019 Feb 15.

Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA.

Background: The primary objective of this study was to evaluate the effect of specific direct and indirect factors that accounted, in trauma patients, for the development of acute respiratory distress syndrome (ARDS) and mortality in patients with ARDS.

Methods: We performed a retrospective cohort study of patients from the National Trauma Data Bank. Multilevel mixed-effects logistic regression was used with the development of ARDS as the primary and mortality in patients with ARDS as the secondary outcome measures. Read More

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http://dx.doi.org/10.1136/tsaco-2018-000249DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407565PMC
February 2019
1 Read

Diagnostic Accuracy of Computed Tomography Scout Film and Chest X-ray for Detection of Rib Fractures in Patients with Chest Trauma: A Cross-sectional Study.

Cureus 2019 Jan 13;11(1):e3875. Epub 2019 Jan 13.

Internal Medicine, Rutgers New Jersey Medical School, Newark, USA.

Background: Rib fractures are a major source of morbidity in patients with chest trauma. Computed tomography (CT) scout film is a low-dose image that is obtained prior to a complete chest CT study for all patients undergoing a CT scan. In this study, we evaluated the diagnostic performance of CT scout film vis-à-vis that of chest X-ray for detection of rib fractures using chest CT scan as the reference standard. Read More

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http://dx.doi.org/10.7759/cureus.3875DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420333PMC
January 2019

Cough-induced costal cartilage fracture.

Clin Imaging 2019 Mar 13;55:161-164. Epub 2019 Mar 13.

Department of Radiology, New York Presbyterian Hospital-Weill Cornell Medical Center, 525 East 68th Street, Box 141, New York, NY 10065, United States of America.

We present two cases of atraumatic costal cartilage fracture secondary to violent coughing. Although costal cartilage fractures due to trauma and bony rib fractures due to violent coughing have been described, to our knowledge there have been no prior reported cases of cough-induced costal cartilage fracture. It is important for radiologists to consider costal cartilage fractures, which are often more subtle than osseous injuries, in patients with chest pain, and understand that they may not always be preceded by direct trauma. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.03.007DOI Listing
March 2019
2 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
1 Read

The advantages of adding rib fixations during VATS for retained hemothorax in serious blunt chest trauma - A prospective cohort study.

Int J Surg 2019 Mar 14;65:13-18. Epub 2019 Mar 14.

Division of Thoracic Surgery, Department of Surgery, Kaohsiung-Veterans General Hospital, Kaohsiung, Taiwan; Division of Trauma, Department of Emergency, Kaohsiung-Veterans General Hospital, Kaohsiung, Taiwan; Department of Cosmetic Science, College of Human Ecology, Chang Gung University of Science and Technology, Taoyuan, Taiwan. Electronic address:

Background: Serious blunt chest trauma usually induces hemothorax, pneumothorax, and rib fracture. Early video-assisted thoracoscopic surgery (VATS) to evacuate retained hemothorax is one commonly used treatment. In this study, a new strategy was implemented to combine VATS with fractured rib fixation simultaneously. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.02.022DOI Listing
March 2019
1 Read

Three-dimensional printed models of the rib cage in children with non-accidental injury as an effective visual-aid tool.

Pediatr Radiol 2019 Mar 15. Epub 2019 Mar 15.

Department of Radiology, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.

Three-dimensional (3-D) printing is gaining terrain in medical education, presurgical evaluation and recently as forensic evidence in court. Physicians, including radiologists, often provide expert testimony in court cases involving children with rib fractures and other injuries concerning for child physical abuse. Effectively communicating the complexities of fractures and other skeletal findings to nonmedical personnel using standard radiology studies can be challenging, especially during medical courtroom testimony. Read More

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http://dx.doi.org/10.1007/s00247-019-04368-7DOI Listing

[Unusual findings on chest x-ray].

Ned Tijdschr Geneeskd 2019 Mar 11;163. Epub 2019 Mar 11.

Spaarne Gasthuis, afd. Radiologie, Haarlem/Hoofddorp.

We describe a 59-year-old woman, who came to the Emergency Room with fever, dyspnoea and lung abnormalities on chest x-ray. The X-ray abnormalities were not related to the clinical symptoms and could be explained by the patient's medical history, which included rib fractures and spinal compression fractures. The confined spherical structures visible on chest X-ray were indicative of previous rib fractures. Read More

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March 2019
1 Read

Regional anaesthesia for rib fractures: too many choices, too little evidence.

Anaesthesia 2019 05 11;74(5):564-568. Epub 2019 Mar 11.

Department of Anaesthesia, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

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http://dx.doi.org/10.1111/anae.14634DOI Listing

Salvage of rib stabilization hardware with antibiotic beads.

Am J Surg 2019 Feb 28. Epub 2019 Feb 28.

Division of Trauma, Critical Care, and General Surgery, Mayo Clinic Rochester, Rochester, MN, United States. Electronic address:

Background: Surgical stabilization of rib fractures (SSRF) can be used to improve pulmonary mechanics; however, hardware infection is a morbid complication. Antibiotic impregnated beads have been used to suppress infection in orthopedic practices. We aimed to determine the efficacy of antibiotic beads for infected and at-risk SSRF hardware. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.02.032DOI Listing
February 2019
2 Reads

Cadaveric findings of the effect of rib fractures on spread of serratus plane injections.

Can J Anaesth 2019 Mar 7. Epub 2019 Mar 7.

Centre for Biomedical Sciences Education, Queen's University Belfast, Belfast, UK.

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http://dx.doi.org/10.1007/s12630-019-01340-9DOI Listing

Low-dose ketamine for pain control in patients with multiple rib fractures.

J Trauma Acute Care Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.

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http://dx.doi.org/10.1097/TA.0000000000002243DOI Listing

Cardiopulmonary resuscitation (CPR) complications encountered in forensic autopsy cases.

BMC Emerg Med 2019 02 28;19(1):23. Epub 2019 Feb 28.

Department of Forensic Medicine & Toxicology, School of Medicine, Aristotle University of Thessaloniki, (Campus), School of Medicine, 54124, Thessaloniki, Greece.

Background: Cardiopulmonary resuscitation (CPR) provides a significant increase in survival rate, even if performed by bystanders. However, bystanders may refrain from performing CPR for fear of eventual malpractice litigation. Currently lack Guidelines specifying whether a particular CPR-related complication is in all likelihood unavoidable or not. Read More

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http://dx.doi.org/10.1186/s12873-019-0234-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396442PMC
February 2019
2 Reads

Facial Fractures as a Result of Falls in the Elderly: Concomitant Injuries and Management Strategies.

Craniomaxillofac Trauma Reconstr 2019 Mar 17;12(1):45-53. Epub 2018 May 17.

Department of Plastic Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey.

Mechanical falls are a common cause of facial trauma in the elderly population. It has been shown that the likelihood of sustaining a facial fracture due to a fall or activities of daily life significantly increases with age. Craniomaxillofacial fractures are most common during the first three decades of life; however, elderly patients more frequently require lengthy hospital stays and surgical intervention, and have shown increased complication rates compared with younger patients. Read More

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http://dx.doi.org/10.1055/s-0038-1642034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391279PMC
March 2019
5 Reads

Surgical management versus non-surgical management of rib fractures in chest trauma:a systematic review and meta-analysis.

Authors:
Xin Liu Kai Xiong

J Cardiothorac Surg 2019 Feb 27;14(1):45. Epub 2019 Feb 27.

Tianjin Medical University General Hospital, An Shan Road No.154, Heping District, Tianjin, 300192, China.

Objective: Rib fractures are common injuries sustained by patients who experience high-impact chest trauma, and they result in severe respiratory compromise because of the altered mechanics of respiration. Several studies have shown that the ventilation requirements and incidence of pulmonary complications may be decreased with operative intervention. The purpose of this study was to evaluate the effect of surgical fixation treatments for rib fractures through systematic review and meta-analysis. Read More

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http://dx.doi.org/10.1186/s13019-019-0865-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391832PMC
February 2019
1 Read

Acute rib fracture caused by preoperative positioning for direct lateral interbody fusion: A case report.

Medicine (Baltimore) 2019 Feb;98(8):e14700

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Dongam-gu, Cheonan.

Rationale: Degenerative spondylolisthesis is defined as forward slippage of a vertebra with respect to the underlying vertebra and is associated with the induction of lumbar canal stenosis. The use of anterior column support for degenerative lumbar conditions has been well documented. Direct lateral interbody fusion (DLIF) gains access via a lateral approach through the retroperitoneal fat and psoas muscle. Read More

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http://dx.doi.org/10.1097/MD.0000000000014700DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407977PMC
February 2019
3 Reads

Rib fractures prediction method for kinetic energy projectile impact: from blunt ballistic experiments on SEBS gel to impact modeling on a human torso FE model.

Forensic Sci Int 2019 Apr 14;297:177-183. Epub 2019 Feb 14.

French Ministry of the Interior, CREL/SAELSI, Place Beauveau, Paris, France.

The present paper aims to assess the risk of rib fractures caused by any rigid less-lethal kinetic energy projectiles. To that end, a coupled experimental and numerical approach is proposed to relate ballistic experiments with the risk of blunt trauma. A polymer gel block is employed as ballistic testing medium to interpret ballistic impacts through the measurement of the dynamic gel wall displacement. Read More

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http://dx.doi.org/10.1016/j.forsciint.2019.02.007DOI Listing

Impact of blunt pulmonary contusion in polytrauma patients with rib fractures.

Am J Surg 2019 Jan 30. Epub 2019 Jan 30.

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

Background: We investigated the impact of blunt pulmonary contusion (BPC) in patients with rib fractures.

Methods: Adult patients with rib fractures caused by blunt mechanisms were enrolled over 3 years at a Level 1 trauma center. BPC was defined according to percentage of lung affected as: moderate (1-19% contusion) or severe (≥20% contusion). Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.01.027DOI Listing
January 2019
1 Read

Characterization of all-terrain vehicle-related chest injury patterns in children.

Emerg Radiol 2019 Feb 21. Epub 2019 Feb 21.

McGovern Medical School, Department of Diagnostic and Interventional Imaging, University of Texas Health Science Center at Houston, 6431 Fannin Street, 2.130B, Houston, TX, 77030, USA.

Purpose: To evaluate chest injury patterns in pediatric patients involved in all-terrain vehicle (ATV) accidents.

Methods: Retrospective review of patients 0-18 years old admitted to a level I trauma institute following an ATV-related incident from 2004 to 2013 was performed. Chest injury type, accident mechanism, driver/passenger status, and demographic and clinical data were compared between patients with and without chest injury. Read More

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http://dx.doi.org/10.1007/s10140-019-01679-yDOI Listing
February 2019
1 Read

Traumatic hemothorax due to chance fracture requiring emergency surgical management: A report of two cases.

SAGE Open Med Case Rep 2018 20;6:2050313X18819617. Epub 2018 Dec 20.

Department of General Thoracic Surgery, Shiga University of Medical Science, Otsu, Japan.

Traumatic hemothorax is usually caused by thoracic organ damage. Cases of atypical bleeding sources may be difficult to diagnose. Here we present two surgical cases of vertebral fracture that caused hemothorax. Read More

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http://dx.doi.org/10.1177/2050313X18819617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372993PMC
December 2018

Combination of thoracoabdominal nerve block through a perichondral approach and serratus plane block for rib fractures.

Authors:
Hironobu Ueshima

J Clin Anesth 2019 Feb 15;56:128. Epub 2019 Feb 15.

Department of Anesthesiology, Showa University Hospital, Hatanodai Shinagawa-ku, Tokyo, Japan. Electronic address:

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http://dx.doi.org/10.1016/j.jclinane.2019.02.011DOI Listing
February 2019

[Thoracic Endovascular Aortic Repair for Traumatic Aortic Injury with Internal Iliac Approach;Report of a Case].

Kyobu Geka 2019 Feb;72(2):124-127

Department of Cardiothoracic Surgery, Takaoka Hospital, Takaoka, Japan.

A 40-year-old female was injured in a car accident while driving. Computed tomography confirmed a dissection localized to the distal aortic arch and hematoma around the area. Severe liver damage with surrounding extravasation was also confirmed. Read More

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February 2019

Corrigendum to "Methocarbamol use is associated with decreased hospital length of stay in trauma patients with closed rib fractures" [Am J Surg 214/4 (2018) 738-742].

Am J Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Pharmacy Practice & Science, College of Pharmacy, The University of Arizona, Tucson, AZ, USA.

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http://dx.doi.org/10.1016/j.amjsurg.2019.02.001DOI Listing
February 2019
1 Read

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
March 2019
1 Read
2.765 Impact Factor

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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https://www.cambridge.org/core/product/identifier/S148180351
Publisher Site
http://dx.doi.org/10.1017/cem.2018.492DOI Listing
February 2019
2 Reads

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

Anaesthesia 2019 May 10;74(5):585-593. 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

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
3 Reads

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
7 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
7 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
21 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 May 27;74(5):594-601. 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

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
19 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
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Int J Clin Pharmacol Ther 2019 Mar;57(3):163-166

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
March 2019
5 Reads

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

Asian Cardiovasc Thorac Ann 2019 Feb 15;27(2):105-109. 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
February 2019
1 Read