Preface

Drake, Richard L.; Vogl, A. Wayne; Mitchell, Adam

doi:10.1016/b978-0-443-06952-9.00003-5

Cited by 320 publications

(207 citation statements)

References 0 publications

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“…The mechanism of an injury involves a force, which is applied posteriorly, which along with the insertion of the scalene medius (acting as a fulcrum) subsequently displaces the rib in an upward direction against clavicle 2–4. However, this is quite different from the direct antero-lateral force applied in our case scenario leading to the increased mobility of the anterior end of the first rib.…”

Section: Discussionmentioning

confidence: 76%

“…Firstly, the first rib is short, thick, flat in a horizontal plane and slopes inferiorly 2 4. It forms articulation with the thoracic T1 vertebra and manubrium of the sternum via fibrocartilaginous joint 4. In normal circumstances no movement occurs at these sites.…”

Section: Discussionmentioning

confidence: 99%

“…More importantly, the first rib, costal cartilage and sternum are all covered by continuous periosteum and perichondrium,1 4 adding to the stability of the rib cage. Being well protected by the shoulder bony framework and muscles, a considerable force is required in order to cause first rib injury 4. In effect, the ‘hook manoeuvre’ cannot be used in such a clinical scenario.…”

Section: Discussionmentioning

confidence: 99%

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Superior subluxation of an anterior end of the first rib in a trauma patient

Kaczynski¹,

Dillon

Hilton

2012

Case Reports

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We present a case of a young man with a superior subluxation of an anterior end of the first rib following a road traffic accident. To the best of our knowledge, no similar case has so far been described in the literature. The patient presented with headache, backache and pain in the right anterior chest wall. After initial assessment, a chest radiograph was performed and it showed no abnormalities. A CT of the chest revealed an isolated hypermobile first rib at the anterior end owing to superior subluxation. The patient was treated conservatively.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Superior subluxation of an anterior end of the first rib in a trauma patient

Kaczynski¹,

Dillon

Hilton

2012

Case Reports

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“…Since the dislocation in our patient was on the posterior side, it was considered that such complications are not to be expected. We do not recommend any interventions for reduction in sacral dislocations without neurological deficits; since they do not innervate any tissue on their own, damage to the S3 and S4 roots which may not be recognised clinically 13. In addition, a risk of iatrogenic injury to the sacral plexus is always present during open and closed reduction manoeuvre.…”

Section: Discussionmentioning

confidence: 97%

Isolated sacral dislocation in a 4-year-old child

et al. 2013

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SUMMARYSacral dislocation is an uncommon form of injury in childhood. A 4-year-old girl who was injured in a motor vehicle accident was seen in the emergency room. On physical examination, ecchymosis and tenderness in the abdomen and sacral region was identified. Radiographs revealed no pelvic pathology. CT was performed owing to the patient's sacral and abdominal tenderness. Dislocations were identified at the sacral third and fourth vertebrae without any fractures. The patient was discharged 10 days later with a recommendation for 6 weeks bed rest and an appointment for an outpatient follow-up examination. At the post-traumatic secondmonth examination, the patient was walking normally. In the radiograph and MRI that were taken a year later, the dislocation was observed to have fused completely, and no pressure was seen on any anatomical structure. No functional pathology was identified during the interview with the family BACKGROUND

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“…The compression can be caused by the cervical ribs, fibromuscular tissue bands, bulky scalene muscles or previous neck trauma 2. The most important anatomical space in the thoracic outlet is the interscalene triangle, which is bounded by the scalene muscles (anterior and middle), which comprise the sides of the scalene triangle and the first rib forming the base of the triangle 3. Through this relatively small space, the SCA, SCV and nerves of brachial plexus pass.…”

Section: Descriptionmentioning

confidence: 99%