Abstract
We report two patients with cervical rib fractures, one of them secondary to backpack usage, and review the available literature.
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved....
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PMID: 20494009
PDF is available here.
David T Harrington,
Benjamin Phillips,
Jason Machan,
Nikos Zacharias,
George C Velmahos,
Michael S Rosenblatt,
Eleanor Winston,
Lisa Patterson,
Steven Desjardins,
Robert Winchell,
Sheldon Brotman,
Andrei Churyla,
John T Schulz,
Adrian A Maung,
Kimberly A Davis and
Research Consortium of New England Centers for Trauma (ReCONECT)
Abstract
In a large regional trauma cooperative, increasing age and Injury Severity Score were independent predictors of survival among older patients incurring traumatic RFs. Admission to high-volume trauma centers, preexisting congestive heart failure, and intubation added to mortality. Therapies associate...
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PMID: 20479340
PDF is available here.
Abstract
Of 1,283 blunt trauma patients, 88 C-spine injuries were diagnosed with an overall incidence of 6.9%. One hundred fifty-nine patients (12%) had their C-spine cleared based on the NEXUS criteria and 12 died before C-spine imaging could be performed. A total of 717 patients were primarily evaluated wi...
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PMID: 20016389
PDF is available here.
Abstract
This study indicates that the likely mode of failure of this absorbable plating system occurs on the posterior part of the rib, which correlates with the clinical failures seen....
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PMID: 20453773
PDF is available here.
Abstract
Because of their superior strength and absence of catastrophic failure mode, rib splints can serve as an attractive alternative to Kirschner wires for intramedullary stabilization of rib fractures, especially in the case of posterior rib fractures where access for plating is limited....
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PMID: 20068479
PDF is available here.
Abstract
Ribs fixated with OTPS mesh were significantly stiffer and failed at a significantly higher load than ribs fixated with intramedullary screws (p = 0.0001). Ribs fixated with OTPS mesh were less stiff than intact ribs but failed at a similar force to intact ribs. CONCLUSION: The Inion OTPS mesh syste...
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PMID: 20093978
PDF is available here.
Abstract
In the previous part of this four part series on thoracic trauma the anatomy and physiology of the thorax, assessment and initial nursing interventions, imaging and adjuncts to diagnosis were discussed. Part 2 describes specific chest wall and lung injuries, types of pneumothoraces and their diagnos...
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PMID: 20382371
PDF is available here.
Abstract
We hypothesize that rib fractures and minor LSI (RF+ minor LSI) are associated with DI. Patients with blunt injury undergoing exploratory laparotomy between January 1, 2000, and December 31, 2007, were identified from our registry. The association between injury variables and DI was examined with lo...
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PMID: 20420247
PDF is available here.
Abstract
We present a case of apparently isolated sternal fracture caused by airbag deployment during a motor vehicle crash and we discuss the ultrasonographic diagnosis. We also examine the mechanism of injury caused by the airbag....
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PMID: 20517777
PDF is available here.
Abstract
PURPOSE: To describe perforation of a Dacron aortic graft due to a post-thoracotomy dislocated rib fracture in a young Marfan patient. CASE REPORT: Six months after a successful open repair of a type II dissecting thoracoabdominal aortic aneurysm (TAAA), a 40-year-old woman with Marfan syndrome unde...
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PMID: 20199279
PDF is available here.
Abstract
We report a case of a 58-year-old man who was admitted to our hospital with a 6-month history of frequent diarrhea, intermittent hematochezia and a weight loss of 13 kg. On admission, physical examination revealed alopecia of the scalp, hyperpigmentation of the hands and soles, and dystrophy of the...
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PMID: 20955587
PDF is available here.
Abstract
All patients were followed up from 2 to 26 months with an average of 8 months. All the fractures healed. According to clinical criteria, pain, breathing, ribs alignment etc. to observe the effect, 10 cases got excellent result, 1 case good, 1 case poor. CONCLUSION: It is safe and effective to use ab...
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PMID: 19902768
PDF is available here.
Abstract
No injuries were found in 26/47 patients in the manual group and in 16/38 patients in the LUCAS group (p=0.28). Sternal fracture was present in 10/47 in the manual group and 11/38 in the LUCAS group (p=0.46), and there were multiple rib fractures (> or =3 fractures) in 13/47 in the manual group and...
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PMID: 19595496
PDF is available here.
Abstract
We report a case of a calf-related fatality on a farm. The victim was a 60-year-old man who was possibly attempting to sexually approach the animal from behind when he was struck by it, sustaining fatal blunt injuries, mostly to the thorax. This case is reported because of its rarity and because of...
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PMID: 20025108
PDF is available here.
Abstract
We report a case of a nonunited sixth rib in a patient with multiple rib fractures who underwent internal fixation using a wire and Judet strut 3 times. During the following 3 years, the patient continued to complain of pain and instability. At surgery, a pseudarthrosis between the ends of the sixth...
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PMID: 19704278
PDF is available here.
Abstract
The authors report painful nonunions after multiple rib fractures in a 50-year-old man who sustained a displaced scapula fracture and multiple ipsilateral rib fractures. The rib nonunions were reconstructed after an 11-month trial of nonoperative management, which was unsuccessful. The nonunions hea...
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PMID: 19704277
PDF is available here.
Abstract
Average age, male to female ratio, and injury severe score were comparable for both cohorts (p > 0.6). Average follow-up was 16 months versus 12 months for the operative and nonoperative groups, respectively, (p = 0.11). In the operative group, 8 of 9 (89%) patients were extubated within 24 hours of...
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PMID: 19590301
PDF is available here.
Abstract
I trauma center was retrospectively reviewed to identify all patients with sternal fractures over a 10 year period. Demographic data collected included age, gender, mechanism of injury and injury severity score. Patients were analyzed according to age < or = 55 or > 55 years. During the 10-year stud...
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PMID: 19445291
PDF is available here.
Abstract
A young soldier was crushed between two vehicles sustaining severe injury to right side of chest leading to multiple rib fractures, tension pneumothorax, bronchopleural fistula, and later on gross surgical emphysema. Rigid bronchoscopy confirmed injury to right upper bronchus. Surgical repair and po...
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PMID: 19356342
PDF is available here.
Abstract
Frequent findings are lesions of tracheal structures and bony chest fractures. Rare injuries are lesions of pleura, pericardium, myocardium and other internal organs as well as vessels, intubation-related damages of neural and cartilaginous structures in the larynx and perforations of abdominal orga...
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PMID: 18807013
PDF is available here.
Abstract
It is expected that over the next decade the population of older adults in the United States will increase dramatically. As the older adult population increases, the number of older adults involved in traumatic accidents is also expected to climb. The older population is at an increased risk for com...
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PMID: 19543018
PDF is available here.
Abstract
We have reviewed our experience in managing 11 patients who sustained an indirect sternal fracture in combination with an upper thoracic spinal injury between 2003 and 2006. These fractures have previously been described as 'associated' fractures, but since the upper thorax is an anatomical entity c...
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PMID: 19092011
PDF is available here.
Abstract
Three premobile infants with unexplained bruising are described. Although, they were asymptomatic otherwise, evaluation led to the recognition of inflicted rib fractures in two and hemophilia A in one. Although such bruises are inconsequential themselves, they may provide the opportunity to recogniz...
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PMID: 19148012
PDF is available here.
Abstract
OPTXs were missed in up to 76% of all seriously injured patients when CXRs were interpreted by the trauma team. This is higher than previously reported in retrospective studies and is likely based on the difficult conditions in which the trauma team functions. Subcutaneous emphysema remains a strong...
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PMID: 19131061
PDF is available here.
Abstract
We describe the late presentation of such a case and discuss the possible mechanism of injury....
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PMID: 19101320
PDF is available here.
Abstract
We present a four-year-old boy who presented with respiratory difficulty due to multiple rib fractures and bilateral chylothorax, which developed after a blunt chest trauma. The patient was successfully treated through a conservative approach with total parenteral nutrition, nothing by mouth, and bi...
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PMID: 20112610
PDF is available here.
Abstract
Rib fracture repair has been performed at selected centers around the world for more than 50 years; however, the operative indications have not been established and are considered controversial. The outcome of a strictly nonoperative approach may not be optimal. Potential indications for rib fractur...
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PMID: 18949513
PDF is available here.
Abstract
The Nuss procedure created significant stress and strain over the deformed cartilages. Approximately 29% of the patients showed localized, self-limited costochondral changes via chest ultrasonography....
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PMID: 19040923
PDF is available here.
Abstract
When a car collides against a pole-like obstacle, the deformation pattern of the vehicle body-side tends to extend to its upper region. A possible consequence is an increase of loading to the occupant thorax. Many studies have been conducted to understand human thoracic responses to...
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PMID: 19085170
PDF is available here.
Abstract
Patterns of rib fractures are of significant clinical and forensic interest. Linking patterns of rib fracture with specific physical events provides a foundation for understanding the nature of traumatic events that are associated with rib fracture in forensic contexts. In this study, isolated human...
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PMID: 18798775
PDF is available here.
Abstract
A 17-month-old male infant died at home. The infant's right arm was immobilized because of a humeral fracture 1 month earlier. The circumstances of death appeared unclear to the police investigators and a medicolegal autopsy was carried out. External examination revealed diffuse ecchymoses of varyin...
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PMID: 18752552
PDF is available here.
Abstract
Bone mineral density may be negatively influenced by hyperprolactinemia, which can be caused by atypic neuroleptics and antidepressants. CASE DESCRIPTION: The present paper reports about a spontaneous rib fracture in a female patient (age 52) taking neuroleptics (mainly risperidone), antidepressants...
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PMID: 18574709
PDF is available here.
Abstract
Fatalities related to sporting events are predominantly caused by blunt force injuries especially due to the emotional involvement of crowd, but occasionally other types of trauma are reported as well. A case of very rare trauma caused by shooting with a hand-held parachute signal rocket during a fo...
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PMID: 18624890
PDF is available here.
Abstract
CECT of the chest was performed on 154 of 976 consecutive patients with blunt torso trauma. Thirty-four patients have PL without a great vessel injury. Tube thoracostomy was performed at 38 sites in 29 patients. After the initial bloody drainage, the mean drainage during the first hour was 81.2 mL/h...
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PMID: 18784572
PDF is available here.
Abstract
After adjustment for injury severity, upper extremity, thoracic, and pelvic ring injuries were associated with greater frequency in patients with scapular fracture. The majority of other injuries found to occur frequently in the unadjusted patient population were likely because the injury severity i...
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PMID: 18695481
PDF is available here.
Abstract
Ninety-one (87.5%) of the 104 patients were adults, and 13 patients (12.5%) were children. The mean (SD) age in the pediatric group (5F/8M) was 5.48 (+/-5.96) and in the adult group (18F/73M) was 44.88 (+/-18.31). Forty-four (42.3%) of the 104 patients died of traumatic cause and 60 (57.7%) of non-t...
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PMID: 18781418
PDF is available here.
Abstract
We present an unusual case of a 67-year-old woman who developed delayed severe subcutaneous emphysema and tension pneumothorax from a rib fracture subsequent to a fall. We review the pathophysiology, manifestations and management options of this disorder. In patients whose clinical condition allows...
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PMID: 18652732
PDF is available here.
Abstract
BACKGROUND: Blunt thoracic trauma may lead to cardiac lesions including cardiac valve dysfunctions. In these cases, mitral valve is quite often involved. Preexisting mitral valve disease, especially the prolapse syndrome, has to be differentiated from trauma-induced dysfunction. This differentiation...
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PMID: 18548213
PDF is available here.
Abstract
While this study group is small, these findings suggest that CT is better than CXR in visualizing rib fractures in abused infants....
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PMID: 18562001
PDF is available here.
Abstract
Patients sustaining blunt chest trauma and minor rib fractures should be admitted for close observation when presenting with SubcEmph because of possible delayed presentation of PTX....
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PMID: 18534283
PDF is available here.
Abstract
Battered child syndrome can refer to children exposed to harmful, non-accidental and preventable physical treatment by those are responsible for their care which prevents the child's physical, cognitive and spiritual development. A 28 months old boy was submitted to hospital due to abdominal blunt t...
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PMID: 18423361
PDF is available here.