Test Characteristics of Chest Ultrasonography for Rib Fractures Following Blunt Chest Trauma: A Systematic Review and Meta-analysis

Gilbertson, James; Pageau, Paul; Ritcey, Brandon; Cheng, Wei; Burwash-Brennan, Talia; Perry, Jeffrey J.; Woo, Michael Y.

doi:10.1016/j.annemergmed.2022.02.006

Cited by 10 publications

(4 citation statements)

References 25 publications

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“…Therefore, the use of ultrasound scanners becomes important due to the high level of sensitivity (89.3%) and high specificity (98.4%) for the diagnosis of any rib fracture. 9 The main advantages of the system are the practicality at the time of performing the surgery and the surgeon’s comfort during their work.…”

Section: Discussionmentioning

confidence: 99%

Is “Clack” Enough? Rib Remodeling Guided by Ultrasound

Manzaneda Cipriani

2024

Plastic and Reconstructive Surgery - Global Open

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Summary: Rib remodeling is a surgical technique that allows waist contouring in women and men. This study proposes that the “clack” sound heard in ultrasound-guided scarless rib remodeling (RibXcar technique) is not evidence of the completion of the surgery, but rather, the use of ultrasound is necessary to identify angulations, loss of bone strength, and ultrasound visualization of the loss of bone continuity, and thus consider cosmetic rib surgery to be complete. This study was performed on 100 Peruvian women aged 18–40 years who voluntarily agreed to a rib remodeling procedure. The RibXcar technique was used, and intraoperative ultrasound was performed to obtain objective information during each patient’s procedure. Of the total number of patients who underwent surgery with the RibXcar technique, the “clack” sound was detected in 90% of patients, and no “clack” sound was detected in the remaining 10% of patients. However, the use of ultrasound revealed monocortical fractures in 100% of patients. It is observed that of the total number of patients, only in 90% was the “clack” heard; however, in 100% there was a monocortical fracture evaluated in the immediate postoperative period. We suggest not considering the “clack” as the end point of the surgery; instead, define the end point after the use of the ultrasound examination, which provides information on angulations, the loss of bone resistance, and ultrasound visualization of the loss of bone continuity.

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Section: Discussionmentioning

confidence: 99%

Is “Clack” Enough? Rib Remodeling Guided by Ultrasound

Manzaneda Cipriani

2024

Plastic and Reconstructive Surgery - Global Open

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“…The high response rate and complete data sets were instrumental in providing solid evidence of the familial ties associated with gallstone formation. Nonetheless, future research should aim to include a more diverse demographic to confirm these findings across different populations and possibly explore genetic markers more extensively (19)(20). In order to address some of the study's limitations and enhance the understanding of gallstone disease, it would be prudent to conduct longitudinal studies that could track the development of cholelithiasis over time and under various environmental and genetic conditions.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic Evaluation of Cholelithiasis with Family History among Adults in Swabi

Tariq,

Khan,

Rabia Yasmeen

et al. 2024

JHRR

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Background: Gallstones, formed within the gallbladder, can lead to serious health complications in adults. Factors such as obesity and age are well-recognized contributors to gallstone formation. However, the influence of family history on the development of cholelithiasis remains unclear. Objective: This study aims to investigate whether a family history of gallstones increases the likelihood of developing this condition in adults living in Swabi, using ultrasonographic techniques. Methods: A cross-sectional study was conducted over four months, involving 125 adults diagnosed at Bacha Khan Medical Complex, Swabi, KP, Pakistan. Participants were selected based on a history of cholelithiasis and underwent ultrasonographic examinations using a Toshiba prime machine with convex (3.0—5.0 MHz) and linear (7.0—14.0 MHz) transducers. Family medical history was collected via structured questionnaires. Data were analyzed using SPSS version 25.0, focusing on the prevalence and potential familial ties of gallstone disease. Results: Of the participants surveyed, 97.7% (n=125) were diagnosed with cholelithiasis, indicating a high prevalence of the condition. Among those with gallstones, 36.2% reported a positive family history, suggesting a significant association between familial history and the occurrence of cholelithiasis. Conclusion: The study underscores a substantial prevalence of cholelithiasis among adults in Swabi, with a notable association to family history, highlighting the need for further investigation into genetic predispositions and preventive strategies for those at risk.

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“…Comparing radiography and US in the evaluation of rib fractures, previous research suggests different results. Many studies have found remarkable differences in the detection of rib fractures by US and radiography, and steel has suggested the US as the more sensitive approach [7][8][9]. Studies that used both PA and oblique view to detect rib fractures reported an overall close positive diagnostic rate to the US [10,11].…”

Section: Discussionmentioning

confidence: 99%

Minör göğüs travmasında radyografinin kaburga kırıklarını tanımada yeterliliği: Sonografi ve radyografinin etkinlik kıyaslaması

YURDAKUL¹,

Kahveci

2022

Family Practice and Palliative Care

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Introduction: The most common injury resulting from blunt chest trauma is a rib fracture (25%) which is usually visible on radiographs. However, radiographs sometimes cannot show fractures, especially those in cartilage, unless they're densely calcified. The present study aimed to investigate the role of ultrasonography (US) in detecting rib fractures with minor blunt chest trauma and comparing its success with posteroanterior (PA) chest radiography.Methods: Patients with minor blunt chest trauma who had previously undergone US and radiography to assess suspected rib fractures, between June 2017– March 2019, were included. Radiography was obtained in the PA projection. US was performed by a radiologist who identified fractures by the disruption of the anterior margin of the rib on the US. The incidence and location of the fractures detected by US and radiography were then compared.Results: Totally 126 patients were included in the study. Ninety-eight patients (78%) were admitted to the hospital for the first time, and 28 patients (22%) for the second time (they previously admitted to the other hospitals and were evaluated as ‘normal’ by radiography). A total of 108 fractures ( in 79 patients (63%) ) were detected based on radiography and US examination, while 47 patients (37%) had no diagnostic evidence of fracture. All fractures were correctly detected by ultrasonography (100%), whereas radiography revealed 16 fractures (14.81%). A statistically significant difference in diagnostic capability was found between patients diagnosed by radiography and US (p=0.001).Conclusion: Ultrasonographic imaging is significantly superior to radiography in terms of accuracy in diagnosing rib fractures. Ultrasound was found to be significantly superior to radiography regardless of trauma site, localization, and location. Even though some rib areas are inaccessible on ultrasonographic evaluation, rapid evaluation of the most affected areas is most effective with ultrasonography when it comes to minor energy chest trauma. For this reason, the US increases the accuracy of diagnosis in minor chest traumas and rib fractures and decreases the repetitive referral of patients to health institutions by reducing the missed diagnosis.Keywords: Rib fractures, thoracic injuries, trauma, ultrasonography, radiography

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Test Characteristics of Chest Ultrasonography for Rib Fractures Following Blunt Chest Trauma: A Systematic Review and Meta-analysis

Cited by 10 publications

References 25 publications

Is “Clack” Enough? Rib Remodeling Guided by Ultrasound

Is “Clack” Enough? Rib Remodeling Guided by Ultrasound

Ultrasonographic Evaluation of Cholelithiasis with Family History among Adults in Swabi

Minör göğüs travmasında radyografinin kaburga kırıklarını tanımada yeterliliği: Sonografi ve radyografinin etkinlik kıyaslaması

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