Horner Syndrome Due to First Rib Fracture

Valenzuela, Florencio Quero; López, Sebastián Sevilla; Guevara, Antonio Cueto Ladrón de

doi:10.1016/s1579-2129(10)70038-0

Cited by 3 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most of these patients are associated with motor vehicle accidents (3). More recently fractures of the first rib are associated with stress injury, bony fatigue, Horner's syndrome and thoracic outlet syndrome in the literature (4)(5)(6). Formerly, arteriography was the standard diagnostic method in all patients with first rib fractures because of the subclavian artery and aortic injuries, but recently, computed tomography is preferred due to lowermorbidity (2).…”

Section: Introductionmentioning

confidence: 99%

Traumatic First Rib Fractures

Yazkan¹

2012

JAEM

View full text Add to dashboard Cite

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)

show abstract

Section: Introductionmentioning

confidence: 99%

Traumatic First Rib Fractures

Yazkan¹

2012

JAEM

View full text Add to dashboard Cite

show abstract

“…The fracture site was beside the thoracic outlet and relatively close to the lung apex, where the bony fragment, swollen soft tissue, or a hematoma might cause an interruption or compression of the second-order neuron, leading to preganglionic Horner's syndrome (Figure 4). All cases of traumatic Horner's syndrome, or iatrogenic Horner's syndrome, mentioned in the literature are summarized in Table 1 (6)(7)(8)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). Karen et al reported osteochondroma of the clavicle, which, although rare, should be considered in the differential diagnosis of causes of Horner's syndrome (10).…”

Section: Discussionmentioning

confidence: 99%

“…Generally, if the nerve is compressed for a longer period, the time to recovery is longer. None of the patients mentioned in the literature who had Horner's syndrome with a first rib fracture received an operation (6,(14)(15)(16)(17)19), and neither did the patient with a clavicle and third rib fracture (18). Most patients took an extended period to recover, some with no improvement, and one even needed ophthalmological surgery (18).…”

Section: Discussionmentioning

confidence: 99%

Isolated Middle-Third Clavicle Fracture Causing Horner's Syndrome: A Case Report and Literature Review

Lin

Chang

et al. 2021

Front. Surg.

View full text Add to dashboard Cite

The pathophysiology of Horner's syndrome arises due to compression or destruction of the oculosympathetic nerve pathway. Traumatic Horner's syndrome may indicate lethal neurovascular injury, such as brain stem lesion, cervical spine injury, or carotid artery dissection. The middle-third is the most common type of clavicle fracture. However, the association of the isolated middle-third clavicle fracture and Horner's syndrome is rare. We report the case of a 47 year-old woman who presented to our emergency department with acute trauma. Severe tenderness and limited mobility were observed in her left shoulder. On radiographic examination, a middle-third clavicle fracture was diagnosed. Ptosis and myosis were also noticed on further examination, and she was subsequently diagnosed with Horner's syndrome. A survey of the brain, cervical spine, carotid artery, and lung revealed no pathological findings. Surgery for the clavicle fracture was performed 2 days after the accident. The patient recovered from Horner's syndrome gradually over the 2 months following the surgery, and the syndrome completely resolved by the third month. To the best of our knowledge, this is the first report of traumatic Horner's syndrome caused by an isolated middle-third clavicle fracture. The improved outcome may be attributed to the surgical intervention for middle-third clavicle fracture, which may help release ganglion or neuronal compression.

show abstract

“…Most such injuries are caused by motor vehicle accidents. Recently, reports of fractures of the first rib associated with stress injury, bony fatigue, Horner's syndrome and thoracic outlet syndrome have been published. To better guide the diagnostic workup, we sought to define the true incidence and clinical characteristics of traumatic first rib fractures in patients who had sustained traumatic vertebral fractures.…”

Section: Introductionmentioning

confidence: 99%