Spontaneous rib fractures

Katrancioglu, Ozgur; Akkaş, Yücel; Arslan, Sülhattin; Şahin, Ekber

doi:10.1177/0218492315586485

Cited by 20 publications

(27 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some conditions have been described as risk factors for cough-induced rib fractures, such as COPD, osteoporosis, rheumatic arthritis, and chronic corticosteroids use [2,[4][5]. In the case series reported by Mary Parks et al, 66.7% of the patients had also a history of COPD and all of them had smoking history [4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, cough has already been described to be associated with conditions such as urinary incontinence, syncope, pneumothorax, hernia, and rib fractures [1]. The most common etiology of costal fracture is blunt thoracic injury, whereas cough is an unusual cause [2][3].…”

Section: Introductionmentioning

confidence: 99%

“…In cases of daily activities limiting symptoms (e.g. pain, dyspnea) or complications, such as pulmonary herniation, pneumothorax or diaphragmatic laceration, the surgical approach should be considered, as thromboembolic events are the post-operatory main complication [1][2]5].…”

mentioning

confidence: 99%

See 2 more Smart Citations

Clinical and Radiological Aspects of Cough-induced Rib Fractures: A Case Report

Bezerra

Silva

Santos-Veloso

et al. 2020

Cureus

View full text Add to dashboard Cite

Cough-induced rib fracture is a very rare condition, with a few cases described in the medical literature. This case report describes the case of a 77-year-old male patient with a history of chronic obstructive pulmonary disease (COPD) who presented with left eighth and ninth rib fractures after severe cough secondary to upper respiratory tract infection. The patient had a good clinical outcome, followed by conservative management. Conservative treatment is the first-choice approach in cases of daily activities limiting symptoms or complications. Coughinduced rib fracture should be remembered as a possible diagnosis, as diagnostic delays increase the risk of complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical and Radiological Aspects of Cough-induced Rib Fractures: A Case Report

Bezerra

Silva

Santos-Veloso

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…This is supported by data on spontaneous rib fractures after minimal trauma (coughing, ground-level fall) in osteopenic patients, steeply increasing in incidence after the age of 80 years. 2,3 Half of the patients have multiple rib fractures, and yet the sensitivity of the chest x-ray for their detection decreases to less than 60%. 4 Our patient demonstrates a previously unreported additional reason to be very gentle when nursing elderly debilitated patients.…”

Section: Massive Spontaneous Subcutaneous Emphysemamentioning

confidence: 99%

Massive Spontaneous Subcutaneous Emphysema

Dubin

Gelber

Schattner

2016

The American Journal of Medicine

View full text Add to dashboard Cite

“…Use of medications such as steroids puts patients at increased risk. [2][3][4] A high index of suspicion for malignant lesions in older patients and nonaccidental injury in younger patients should be held in cases of spontaneous rib fracture. Whereas most cases of nontraumatic rib fracture are managed conservatively, rupture of the costal margin is more likely to need surgical intervention for symptomatic relief and to avoid the risks of lung herniation and nonunion.…”

Section: Introductionmentioning

confidence: 99%

Nontraumatic rupture of the costal margin: a single-center experience

Parks

Jadoon

Duffy

2019

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

Background Rupture of the costal margin is uncommon. Whilst most often seen after major trauma, we describe its occurrence in patients with no direct chest trauma. Methods A search was performed in our thoracic surgery database for all patients with rupture of the costal margin. Patients were excluded if the injury was a result of trauma. Data were collected on sex, age, body mass index, profession, past medical history, smoking status, presenting complaint, mechanism of injury, and management. Results There were 9 patients with rupture of the costal margin that was caused in all cases by a severe coughing fit. All patients were male and the mean age was 62.5 years (range 47–76 years). Chronic obstructive pulmonary disease was present in 6 cases. Presentations included a palpable defect (5 cases), cough (9 cases), and chest pain (6 cases). On radiological examination, all patients had widening of the rib space, 4 had associated rib fractures, and 5 had lung herniation. Time from injury to presentation was 12 months (range 1–24 months). All patients underwent surgery and were followed-up for 59 months (range 8–129 months). Two patients suffered major complications in the immediate postoperative period. Conclusions Rupture of the costal margin, in the absence of direct trauma, is characterized by pain, a palpable defect, and lung herniation. It is associated with widening of the rib space and rib fractures, and can be treated surgically with success but not without significant risks.

show abstract

Spontaneous rib fractures

Abstract: Spontaneous rib fracture due to severe cough may occur in patients with osteoporosis, chronic obstructive pulmonary disease, or bronchial asthma, receiving long-term steroid therapy. If these patients have severe chest pain, chest radiography should be performed to check for bone lesions.

Cited by 20 publications

References 13 publications

Clinical and Radiological Aspects of Cough-induced Rib Fractures: A Case Report

Clinical and Radiological Aspects of Cough-induced Rib Fractures: A Case Report

Massive Spontaneous Subcutaneous Emphysema

Nontraumatic rupture of the costal margin: a single-center experience

Contact Info

Product

Resources

About