Prevelance of the costal cartilage fracture on the computerised tomography in chest trauma

Özen, Mert; Çakmak, Vefa

doi:10.1007/s00068-020-01368-3

Cited by 10 publications

(22 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CC fractures are frequently missed on initial CT imaging evaluation with a low detection rate of 39.5% in a retrospective analysis of 1461 trauma patients in a level 1 trauma center [5] . High-energy blunt chest trauma represents the most common mechanism for CC injuries, with an incidence between 20%-42% [ 5 , 6 ]. CC fractures can be categorized as either mid chondral, costochondral, or chondrosternal depending on the site of injury, with most fractures involving the costal cartilages of the seventh (21%), first (17%), and sixth rib (15%) [5] .…”

Section: Discussionmentioning

confidence: 99%

“…Costal cartilage (CC) fractures are commonly missed on imaging evaluation, and accordingly underreported in the literature [5] . The incidence of CC fractures is estimated to be between 20%-42%, primarily secondary to high-energy blunt chest trauma (eg, MVCs, falls, sports injuries), and often co-existent with multiple consecutive rib fractures [ 5 , 6 ]. Recognition of CC fractures is important to ensure stability of the thoracic cage.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Costal cartilage fracture: A commonly missed thoracic injury in trauma patients

Meteb

Shaar

El-Karim

et al. 2022

Radiology Case Reports

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Costal cartilage fracture: A commonly missed thoracic injury in trauma patients

Meteb

Shaar

El-Karim

et al. 2022

Radiology Case Reports

View full text Add to dashboard Cite

“…[13][14][15] With poor healing characteristics and concomitant injuries due to their localisation, costal cartilage fractures or dislocation can be more painful and result in a longer duration of experiencing significant pain than regular costal fractures. 3 At 7 months after trauma, this patient did experience thoracic pain at night but did not experience any chest tightness, dyspnoea or thoracic pain during daily activities or at rest. In addition, the patient did not use any pain medication and described his health as good.…”

Section: Discussionmentioning

confidence: 76%

“…The prevalence of costochondral fractures on CT after blunt chest trauma is 20%–42% and is more often present in patients with bilateral multiple consecutive rib fractures than those without bilateral rib fractures. 3 4 This patient had multiple costochondral dislocations concomitant to bilateral anterior and lateral rib fractures, with an additional sternal fracture, bilateral pneumothorax, right haemothorax and cor contusion. Hepatic and aortic injuries, more common in patients with costal cartilage fractures, were not present.…”

Section: Discussionmentioning

confidence: 92%

Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma

Prins

Wijffels

2021

BMJ Case Rep

View full text Add to dashboard Cite

A 73-year-old male patient underwent operative treatment for dislocation of multiple costochondral junctions alongside multiple bony rib fractures and a flail chest following high-energy trauma. During the operative fixation of the flail chest, the costochondral lesions were surgically stabilised with plates and screws, which were fixated on the osseous anterior rib, sternum or the rib cartilage. The patient experienced no pulmonary complications during the primary admission. At 7 months after the trauma, the chest CT scan showed full consolidation of all fixated rib fractures, including the costochondral lesions, without hardware dislocation or complications. The patient did not require any pain medication and had no pain during daily activities, at rest or at night. Although being a biomechanically demanding region, which is often not defined in current rib fracture classification, operative treatment of costochondral lesions is feasible with outcome similar to the treatment of bony rib fractures.

show abstract

“…While management of benign chest wall pathologies such as pectus excavatum has been around for some time, there has been a progressive increase in the focus on work-up, classification, and nonoperative and operative management of both benign and traumatic chest wall pathologies including slipped rib syndrome, costal margin disruption, flail chest, transdiaphragmatic rupture, intercostal hernia, and injuries to costal cartilages and interchondral joints 1,4–7 . One particular area of focus has been on the recognition of costochondral injury through case reports and series as well as imaging-based studies 8–12 . Classification systems such as the Sheffield Classification have been developed to assist in the description of such costochondral related injuries, and surgical interventions for treatment of interchondral and costal margin pathologies, such as the “Double Layer Mesh Repair” are described 1 .…”

mentioning

confidence: 99%

Anatomy of the anterior ribs and the composition of the costal margin: A cadaver study

Patel,

Privette,

Bauman

et al. 2023

J Trauma Acute Care Surg

View full text Add to dashboard Cite

BACKGROUND Traditional rib anatomy and costal margin teaching contends that the costal margin consists of a combined costal cartilage made up of ribs 7 to 10. Variations in 9th and 10th rib anatomy have been observed. We sought to evaluate the variability of interchondral joints and the make-up of the costal margin. METHODS Cadaveric dissections were performed to evaluate the anatomy of the anterior ribs and the composition of the costal margin. Experienced chest wall surgeons evaluated this anatomy through a standardized dissection and assessment. Dissection videos were performed to allow for further review/assessment. RESULTS Bilateral chest wall anatomy of 30 cadavers was evaluated (15 male, 15 female). The average age was 78 ± 12 years, and all patients were Caucasian. In all patients, the first rib attached to the manubrium, the second rib attached to the manubriosternal junction, and ribs 3 to 6 attached directly to the sternum. Interchondral joints were present between ribs 4/5—3%, 5/6—68%, 6/7—83%, 7/8—72%. Ribs combining to form a common costal cartilage via cartilaginous unions were observed between 6/7—3%, 7/8—45%, 8/9—30%, and 9/10—20%. The 8th rib attached directly to the sternum without joining the 7th rib in 10% of cadavers. The 8th and 9th ribs had free tips in 45% and 60% of evaluations, respectively. The 10th rib was found to have a hooked tip in 25% of cases and was a floating rib without attachment to the 9th rib 52% of the time. Rib tip mobility was noted in ribs 8, 9, and 10 in 52%, 70%, and 90%, respectively. CONCLUSION Interchondral joints are common between ribs 5 and 8. Significant variability exists in the chest wall and costal margin compared with traditional teaching. It is important for chest wall surgeons treating diseases of the costal margin to appreciate this anatomic variability.

show abstract

Prevelance of the costal cartilage fracture on the computerised tomography in chest trauma

Cited by 10 publications

References 22 publications

Costal cartilage fracture: A commonly missed thoracic injury in trauma patients

Costal cartilage fracture: A commonly missed thoracic injury in trauma patients

Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma

Anatomy of the anterior ribs and the composition of the costal margin: A cadaver study

Contact Info

Product

Resources

About