5,547 results match your criteria Rib Fractures


Is it Necessary to Stabilize Every Fracture in Patients with Serial Rib Fractures in Blunt Force Trauma?

Front Surg 2022 9;9:845494. Epub 2022 Jun 9.

Department for Cardiothoracic Surgery, Medical Faculty, University Hospital Augsburg, Augsburg, Germany.

Introduction: Management of traumatic rib fractures is subject of controversial discussions. Rib fractures are common, especially after traffic accidents and falls. There is no consensus on whether and how many rib fractures need reconstruction. Read More

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Point of Care Ultrasound Identification of Multiple Rib Fractures in a Pediatric Patient with Osteogenesis Imperfecta Type 3.

Children (Basel) 2022 Jun 10;9(6). Epub 2022 Jun 10.

Department of Emergency Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore.

Patients with osteogenesis imperfecta (OI) are at an increased risk of pathological rib fractures even if there is no history of trauma. Early and accurate identification of such fractures are crucial for appropriate management. We present a case of a child with OI type 3 with multiple rib fractures who presented with transient cyanosis and increased work of breathing without a history of significant trauma. Read More

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The clinical effectiveness of the STUMBL score for the management of ED patients with blunt chest trauma compared to clinical evaluation alone.

Intern Emerg Med 2022 Jun 23. Epub 2022 Jun 23.

Emergency Medicine Research Group, Department of Emergency Medicine, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, UK.

The STUMBL (STUdy of the Management of BLunt chest wall trauma) score is a new prognostic score to assist ED (Emergency Department) decision making in the management of blunt chest trauma. This is a retrospective cohort chart review study conducted in a UK University Hospital ED seeing 120,000 patients a year, comparing its performance characteristics to ED clinician judgement. All blunt chest trauma patients that presented to our ED over a 6-month period were included. Read More

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A 22-year history of treating intentional falls from the Golden Gate Bridge at Marin Health Medical Center.

Surg Open Sci 2022 Jul 21;9:91-93. Epub 2022 May 21.

Marin Health Medical Center (MHMC), Greenbrae, CA.

Background: The historical mortality rate after falling from the Golden Gate Bridge has been approximately 98%. We report on 14 recent survivors treated at Marin Health Medical Center.

Methods: We retrospectively reviewed the 22-year experience of treating patients after Golden Gate Bridge falls. Read More

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[Design and application of a portable cardiopulmonary resuscitation protection device].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2022 May;34(5):542-544

Department of Emergency And Rescue Medicine, Xuzhou Medical University, Xuzhou 221004, Jiangsu, China.

Standardized cardiopulmonary resuscitation (CPR) of patients prior to the arrival of emergency medical services can significantly improve survival rate after out-of-hospital cardiac arrest (OHCA). According to statistics, about 40% to 85% of CPR led to chest fractures, making bystanders alarm, and reducing the willingness of rescuing by CPR. Therefore, there is an urgent need to develop a CPR protection device that is convenient for placing in public places outside the hospital and conforms to the operation habit of freehand CPR. Read More

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It is Time to Replace Large Drains with Small Ones After Fixation of Rib Fractures: A Prospective Observational Study.

Adv Ther 2022 Jun 20. Epub 2022 Jun 20.

Division of Trauma, Department of Emergency, Kaohsiung-Veterans General Hospital, 386, Da-Chung 1st Road, Kaohsiung, 813, Taiwan.

Introduction: Large-bore chest tubes are usually applied after thoracic surgery. Recently, small-bore tubes have been increasingly considered owing to the extensive use of video-assisted thoracoscopic surgery (VATS). This study assessed the differences in outcomes between large-bore and small-caliber drainage tubes in patients undergoing surgical stabilization of rib fractures (SSRF) with VATS. Read More

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Radiation-induced osteoradionecrosis of the ribs in a patient with breast cancer: A case report.

Radiol Case Rep 2022 Aug 13;17(8):2894-2898. Epub 2022 Jun 13.

Department of Radiology, Yeungnam University College of Medicine, Daegu, Republic of Korea.

Osteoradionecrosis of the chest wall after radiation therapy for breast cancer is rare; however, it is one of the most severe complications of radiation treatment. Radiologically, osteoradionecrosis can manifest as a focal lucent area in bone, periostitis, sclerosis, and cortical irregularity of bones on X-ray or computed tomography; therefore, differentiation from bone metastasis can be challenging. Associated insufficiency fractures, ulceration, and skin necrosis may also occur. Read More

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Acupuncture Analgesia in Patients With Traumatic Rib Fractures: A Randomized-Controlled Trial.

Front Med (Lausanne) 2022 27;9:896692. Epub 2022 May 27.

Graduate Institute of Integrated Medicine, School of Chinese Medicine, College of Chinese Medicine, Research Center for Chinese Medicine & Acupuncture, China Medical University, Taichung, Taiwan.

Pain management for traumatic rib fracture is important to prevent complications and reduce associated comorbidities. This trial investigated the analgesic efficacy of acupuncture on traumatic rib fracture. Patients with traumatic rib fracture were randomly assigned to traditional acupuncture (TA), laser acupuncture (LA) or sham laser acupuncture (SLA) groups in a 1:1:1 ratio. Read More

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Kinesiotaping in the emergency department: The effect of kinesiotaping on acute pain due to uncomplicated traumatic injury of the shoulder or chest wall. A pilot study.

Am J Emerg Med 2022 Jun 3;58:197-202. Epub 2022 Jun 3.

Professor of Trauma Surgery, Department of Surgery, OLVG, Amsterdam, the Netherlands.

Introduction: Traumatic injuries of the shoulder or chest wall are commonly treated in the Emergency Department (ED). A complementary treatment is kinesiotaping, an elastic tape often used to treat musculoskeletal dysfunction and pain. However, the added pain-reducing effect of kinesiotape in comparison to standard conservative treatment is unknown. Read More

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Unusual subcutaneous emphysema extending to the limbs following blunt chest injury.

J Forensic Sci 2022 Jun 14. Epub 2022 Jun 14.

Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, India.

Subcutaneous emphysema can be traumatic, infectious, iatrogenic, or spontaneous. Traumatic subcutaneous emphysema of the upper limb is not infrequent following trauma to that limb. However, the subcutaneous emphysema of the limbs following trauma to a site other than the limb is seldom reported. Read More

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Ultrasound Instead of X-Ray to Diagnose Neonatal Fractures: A Feasibility Study Based on a Case Series.

Front Pediatr 2022 26;10:847776. Epub 2022 May 26.

Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China.

Background: Fracture is a common birth injury in neonates, and its diagnosis mainly depends on chest X-ray examination, while ultrasound is typically not included in the diagnostic work-up of neonatal fractures. The aim of this study was to investigate the feasibility of using ultrasound to replace X-rays for the diagnosis of fractures in newborns and to determine the ultrasound characteristics of such fractures.

Methods: Bedside ultrasound with an appropriate probe and scanning angle was performed on 52 newborn infants with suspected fractures based on physical examination findings, and the ultrasound results were compared with the X-ray examination results. Read More

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Retrospective study of consecutive rib fracture patients treated by open reduction internal fixation in a single major trauma centre, UK.

Injury 2022 Jun 6. Epub 2022 Jun 6.

Aintree University Hospital, UK.

Introduction: Rib fractures are a common presentation in both patients presenting with high impact poly-trauma and as a result of low energy falls in the elderly. This injury can lead to various complications including prolonged hospital admission, pneumonia, need for ventilation and in admission to intensive care unit. There is much controversy around the management of this injury in the literature, with favourable outcomes for patients treated non-operatively as well as surgically. Read More

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High flow nasal cannula outside the ICU provides optimal care and maximizes hospital resources for patients with multiple rib fractures.

Injury 2022 May 20. Epub 2022 May 20.

Pulmonary and Critical Care Medicine, The Iowa Clinic, 1200 Pleasant St, Des Moines, IA, United States of America.

Background: High flow nasal cannula (HFNC) use reduces work of breathing and improves oxygenation for patients with hypoxemic respiratory failure. Limited prior work has explored protocolized use of HFNC for trauma patients outside the Intensive Care Unit (ICU). The purpose of this study is to describe and evaluate use of HFNC for patients with rib fractures when therapy was standard of care on all floors of the hospital. Read More

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A case of hemorrhagic shock due to intercostal artery injury that occurred during initial trauma care with multiple displaced rib fractures and traumatic head injury.

Trauma Case Rep 2022 Aug 25;40:100658. Epub 2022 May 25.

Steel Memorial Hirohata Hospital, Himeji Emergency, Trauma and Critical Care Center, 3-1, Yumesakicho Hirohata-ku, Himeji-shi, Hyogo 671-1122, Japan.

Rib fractures can cause injury to some organs. We herein report a case of hemorrhagic shock due to intercostal artery injury that occurred during initial trauma care (ITC) treated by resuscitative thoracotomy (RT) and transcatheter arterial embolization (TAE) with multiple displaced rib fractures (RFs) and traumatic head injury (THI). A man in his 50s who was injured in a traffic accident was transferred to our institution by helicopter for emergency medical treatment. Read More

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VATS-assisted surgical stabilization of rib fractures in flail chest: 1-year follow-up of 105 cases.

Gen Thorac Cardiovasc Surg 2022 Jun 3. Epub 2022 Jun 3.

Department of Surgery, Zuyderland Medical Center, Heerlen, the Netherlands.

Objectives: Early surgical stabilization of flail chest has been shown to improve chest wall stability and diminish respiratory complications. The addition of video‑assisted thoracoscopic surgery (VATS) can diagnose and manage intrathoracic injuries and evacuate hemothorax. This study analyzed the outcome of our 7-year experience with VATS-assisted surgical stabilization of rib fractures (SSRF) for flail chest. Read More

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A Cohort Study on the Comparison of Complications, Short-Term Efficacy, and Quality of Life between Thoracoscopic Surgery and Traditional Surgery in the Treatment of Rib Fractures.

Contrast Media Mol Imaging 2022 18;2022:2079098. Epub 2022 May 18.

Department of Thoracic Surgery, Shanghai Pudong Hospital Fudan University Pudong Medical Center, Shanghai 201399, China.

Objective: A case-control study was conducted, to assess the complications, short-term effectiveness, and quality of life of video-assisted thoracoscopic surgery with conventional surgery in the treatment of rib fractures.

Methods: From February 2018 to April 2021, 100 patients with rib fractures who required surgical treatment at the hospital were selected. Patients were randomly divided into control and study groups. Read More

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Radiomic Modeling of Bone Density and Rib Fracture Risk After Stereotactic Body Radiation Therapy for Early-Stage Non-Small Cell Lung Cancer.

Adv Radiat Oncol 2022 May-Jun;7(3):100884. Epub 2021 Dec 29.

Department of Human Oncology, University of Wisconsin Hospital and Clinics, Madison, Wisconsin.

Purpose: Our purpose was to determine whether bone density and bone-derived radiomic metrics in combination with dosimetric variables could improve risk stratification of rib fractures after stereotactic body radiation therapy (SBRT) for early-stage non-small cell lung cancer (NSCLC).

Methods And Materials: A retrospective analysis was conducted of patients with early-stage NSCLC treated with SBRT. Dosimetric data and rib radiomic data extracted using PyRadiomics were used for the analysis. Read More

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December 2021

Impact of Time of Surgery on the Outcome after Surgical Stabilization of Rib Fractures in Severely Injured Patients with Severe Chest Trauma-A Matched-Pairs Analysis of the German Trauma Registry.

Front Surg 2022 11;9:852097. Epub 2022 May 11.

Department of Trauma Surgery and Orthopaedics, Reconstructive and Hand Surgery, Burn Medicine, German Armed Forces Central Hospital Koblenz, Koblenz, Germany.

Purpose: In severely injured patients with multiple rib fractures, the beneficial effect of surgical stabilization is still unknown. The existing literature shows divergent results, and the indication and especially the right timing of an operation are the subject of a broad discussion. The aim of this study was to determine the influence of the time point of surgical stabilization of rib fractures (SSRF) on the outcome in a multicenter database with special regard to the duration of ventilation, intensive care, and overall hospital stay. Read More

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Surgical fixation of rib fractures improves 30-day survival after significant chest injury : an analysis of ten years of prospective registry data from England and Wales.

Bone Joint J 2022 Jun;104-B(6):729-735

University of Nottingham, Nottingham, UK.

Aims: The last decade has seen a marked increase in surgical rib fracture fixation (SRF). The evidence to support this comes largely from retrospective cohorts, and adjusting for the effect of other injuries sustained at the same time is challenging. This study aims to assess the impact of SRF after blunt chest trauma using national prospective registry data, while controlling for other comorbidities and injuries. Read More

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Ultrasound Identifies First Rib Stress Fractures: A Case Series in Division I Athletes.

J Athl Train 2022 May 27. Epub 2022 May 27.

University of California - Davis Health, Sacramento, California, United States.

Isolated first rib stress fractures in athletes are thought to be rare. In this case series, three Division I athletes developed isolated first rib stress fractures over the span of one year, revealing that these may occur more often than previously understood. These fractures can be easily missed because of low incidence, lack of clinical suspicion, and vague presentation. Read More

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Surgical stabilization of iatrogenic rib fractures following cardiopulmonary resuscitation.

Am J Emerg Med 2022 May 18. Epub 2022 May 18.

Department of Surgery, Division of Trauma and Surgical Critical Care, Orlando Regional Medical Center, Orlando, FL, USA; Department of Surgical Education, Orlando Regional Medical Center, Orlando, FL, USA. Electronic address:

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Falls from Ladders: Injury Patterns and Outcomes.

J Trauma Acute Care Surg 2022 May 25. Epub 2022 May 25.

Division of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County and University of Southern California Medical Center, University of Southern California, Los Angeles, CA, USA.

Background: Our contemporary understanding of the impact of falls from ladders remains limited. The purpose of this study was to examine the injury patterns and outcomes of falls from ladders. Our hypothesis was that age affects both injury type and outcomes. Read More

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Imaging and Non-imaging Findings of Intimate Partner Violence on the Trauma Service: A Retrospective Analysis of Two Level 1 Trauma Centers.

Acad Radiol 2022 May 18. Epub 2022 May 18.

Department of Radiology, Division of Emergency Radiology, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02215; Department of Radiology, Trauma Imaging Research and Innovation Center, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02215. Electronic address:

Rationale And Objectives: Intimate partner violence (IPV) is a serious public health issue. This study aims to characterize IPV-related injuries in trauma patients presenting to emergency departments (ED) who required hospitalization.

Materials And Methods: Trauma registries of two Level 1 trauma centers were searched for assault-related ED visits by adults reporting "abuse" over 3 and 5 years to identify IPV victims. Read More

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Outcomes After Operative Reconstruction of Symptomatic Rib Nonunions.

J Orthop Trauma 2022 05;36(5):e161-e166

Department of Orthopaedic Surgery, University of Minnesota, Regions Hospital, St. Paul, MN.

Objective: To assess the outcomes of patients after rib nonunion reconstruction.

Design: Retrospective case series.

Setting: Level 1 trauma center. Read More

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Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival.

Resusc Plus 2022 Jun 11;10:100242. Epub 2022 May 11.

Department of Clinical Sciences, Medical Faculty, Lund University, Helsingborg, Sweden.

Aim: To determine compression force variation (CFV) during mechanical cardiopulmonary resuscitation (CPR) and its relationship with CPR-related injuries and survival.

Methods: Adult non-traumatic OHCA patients who had been treated with mechanical CPR were evaluated for CPR-related injuries using chest X-rays, thoracic computed tomography or autopsy. The CFV exerted by the LUCAS 2 device was calculated as the difference between the maximum and the minimum force values and was categorised into three different groups (high positive CFV ≥ 95 newton (N), high negative CFV ≤ -95 N, and low variation for intermediate CFV). Read More

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Development of an artificial intelligence-assisted computed tomography diagnosis technology for rib fracture and evaluation of its clinical usefulness.

Sci Rep 2022 May 19;12(1):8363. Epub 2022 May 19.

Department of Radiology, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan.

Artificial intelligence algorithms utilizing deep learning are helpful tools for diagnostic imaging. A deep learning-based automatic detection algorithm was developed for rib fractures on computed tomography (CT) images of high-energy trauma patients. In this study, the clinical effectiveness of this algorithm was evaluated. Read More

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Biomechanical study of embracing and non-embracing rib plates.

J Appl Biomater Funct Mater 2022 Jan-Dec;20:22808000221099132

Thoracic Surgery Department, The 3rd Hospital of Hebei Medical University, Shijiazhuang, China.

The study was carried out to explore the biomechanical properties of embracing and non-embracing rib plates. Forty-eight adult cadaver rib specimens were divided randomly into six groups: three fixation model groups were made using embracing plates (two pairs of equals on both sides of the broken end), and the other three groups were fixed with a pre-shaped anatomical plate (three locking screws on each side of the end were equally spaced). The biomechanical properties of these models were analyzed using non-destructive three-point bending tests, non-destructive torsion experiments, and destructive axial compression tests. Read More

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Effect of Seasonality on Variation Among Patients Presenting With Rib Fractures in the United States.

Am Surg 2022 May 15:31348221102609. Epub 2022 May 15.

Division of General Surgery, Department of Surgery, 6429Stanford University, Stanford, CA, USA.

Background: A prior single-site study from the Midwest exploring seasonality of traumatic rib fractures found injuries are more common during summer months and lower in winter months. There have been no modern studies evaluating seasonality of these common injuries nationally. Our aim was to describe temporal and spatial distribution of rib fractures in the United States. Read More

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Assessment of Rib Fracture in Acute Trauma Using Automatic Rib Segmentation and a Curved, Unfolded View of the Ribs: Is There a Saving of Time?

J Clin Med 2022 Apr 29;11(9). Epub 2022 Apr 29.

Department of Radiology, Klinikum Wels-Grieskirchen, 4600 Wels, Austria.

Introduction: The fast and accurate diagnosis of rib fractures in polytrauma patients is important to reduce the mortality rate and relieve long-term pain and complications.

Aim: To evaluate the diagnostic accuracy and potential time savings using automatic rib segmentation and a curved, unfolded view for the detection of rib fractures in trauma patients.

Methods: The multidetector computed tomography raw data of 101 consecutive polytrauma patients (72 men; mean age 45 years, age range 17 to 84 years) admitted to a university hospital were retrospectively post-processed to generate a curved, unfolded view of the rib cage. Read More

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How to sure that rib fractures and classical metaphyseal lesions are caused by traumatic shaking?

Authors:
Ulf Högberg

Acta Paediatr 2022 May 11. Epub 2022 May 11.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

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