Fractures of first and second ribs: predictive value for arterial and bronchial injury

Woodring, John H.; Fried, A M; Hatfield, D R; Stevens, R K; Todd, Edward P.

doi:10.2214/ajr.138.2.211

Cited by 63 publications

(14 citation statements)

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“…The first category is posteriorly directed trauma to the upper thorax or shoulder girdle (3,10). It is less well protected posteriorly, that is why it is more susceptible to a direct blow (3).…”

Section: Discussionmentioning

confidence: 99%

“…It is less well protected posteriorly, that is why it is more susceptible to a direct blow (3). The second mechanism is indirect due to a blow applied to the sternum and anterior chest wall transmitted through the shoulder girdle to the first rib (3,10). The third category involves the clavicle (3), injuries to the lateral clavicle causing acromioclavicular separation may deviate the costal cartilage and the anterior first rib via the subclavian muscle, thereby fracturing it from its posterior position (3,8).…”

Section: Discussionmentioning

confidence: 99%

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Traumatic First Rib Fractures

Yazkan¹

2012

JAEM

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Objective: Traumatic first rib fracture is associated with multisystem injuries, morbidity and mortality. We wish to report thoracic and extrathoracic injuries related with traumatic first rib fracture in this study. Material and Methods: Due to rib fractures, 162 cases were hospitalized between June 2008-April 2011, 11 (6.8%) of these cases were accompanied by first rib fracture. The first rib fracture patients were evaluated according to gender, age, etiologies of trauma, thoracic and extrathoracic injuries, diagnostic and treatment modalities, morbidity and mortality. All patients were evaluated by a multidisciplinary trauma team in the emergency department. Results: Eight cases (72.7%) were male and 3 (27.3%) were female, ages ranged from 27 to 67 age, the average was 36.7. All of the cases were blunt trauma. 10 (90.9%) cases included thoracic injuries, 3 (27.3%) cases had no extrathoracic injuries. There was no any vascular, neurological injuries and mortality. Conclusion:The first rib fracture is associated with serious thoracic and extrathoracic injuries, but not always with vascular, neurological injuries and mortality. The trauma team must know the potential severity of the first rib fracture. A multidisciplinary approach, early diagnosis, appropriate treatment and observation in the intensive care unit may be prevent morbidity and/or mortality. (JAEM 2012; 11: 27-30)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Traumatic First Rib Fractures

Yazkan¹

2012

JAEM

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“…Mediastinal widening, trachea deviation, and loss of aortic contour are underlined as strong determinants for using advanced imaging techniques to look for aortic injury. [16] In this study, according to the radiologist reports, left first and/or second rib fractures were seen in 7 cases (23.3%) on CXR and 10 cases (33.3%) on CCT. The soft tissue barrier around these ribs may be the reason bedside CXR images are blurry and harder to interpret.…”

Section: Discussionmentioning

confidence: 50%

Evaluation of patients diagnosed with acute blunt aortic injury and their bedside plain chest radiography in the emergency department: A retrospective study

Akarca¹

2016

Ulus Travma Acil Cerrahi Derg

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“…According to Gupta et al in a review of 730 cases of first rib fractures, specific indications for subclavian artery and aortic arch arteriography in trauma patients include widened mediastinum on chest radiography, upper-extremity pulse deficit, posteriorly displaced first rib fracture, anterior subclavian groove fracture, brachial plexus injury and expanding hematoma. 6,7 Open surgery represents the classical management of subclavian rupture. In recent years endovascular stent grafting has become an optional therapeutic approach to such kind of injuries.…”

Section: Discussionmentioning

confidence: 99%