scholarly journals Rib fracture in an infant seen on MRI

2021 ◽  
Author(s):  
Joseph Scheller
Keyword(s):  
Rib Fracture

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tube Thoracostomy ◽  
Rib Fracture ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

A case of rib fracture detected by breast ultrasound examination

Choonpa Igaku ◽  
2020 ◽  
Author(s):  
Ayami SHIMIZU ◽  
Yuko HASHIMOTO ◽  
Tsuyoshi TABATA ◽  
Kazuhiro SHIMIZU ◽  
Nobuo TAKADA
Keyword(s):  
Ultrasound Examination ◽  
Breast Ultrasound ◽  
Rib Fracture

342 Rib Fracture Scoring at The Royal Sussex County Hospital, A Major Trauma Centre

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
H Harris ◽  
Z Mitha ◽  
D White ◽  
W Davies
Keyword(s):  
Scoring System ◽  
Multidisciplinary Care ◽  
Rib Fractures ◽  
Rib Fracture ◽  
County Hospital ◽  
Sample Population ◽  
Post Intervention ◽  
Sussex County ◽  
Chest Infection ◽  
Major Trauma Centre

Abstract Introduction In April 2017, The Royal Sussex County Hospital introduced rib fracture scoring to help guide the management of rib fractures. Rib fracture score = (number of fractures x number of sides) + age score1 In this study, we audit our adherence to the scoring system and compare our management of chest trauma before and after its implementation. Method All admissions with rib fractures between 1/10/2016- 28/02/2017 (N = 35) and 1/10/2019- 31/01/2020 (N = 41) were recorded. Electronic and written notes were used to retrospectively record multidisciplinary care involvement, analgesics, chest infection and death. Results The pre-intervention cohort had an average age of 55.1 years and rib score of 8.8. The post intervention cohort had an average age of 67.2 years and score of 11.3. Following implementation, 45% of patients had a rib score recorded. Post-intervention, anaesthetic involvement increased by 34.5% and 15.4% more patients received a regional block. Inpatient nights fell from 11.2 to 10.1, mortality rate from 7% to 4% but the incidence of chest infection remained similar. Conclusions The implementation of a rib fracture scoring system has led to greater multidisciplinary care and higher levels of pain management. A larger study is required to assess patient outcome given the change in sample population over time.

Compressive rib fracture: Peri-mortem and post-mortem trauma patterns in a pig model

2013 ◽  
Vol 15 (4) ◽  
pp. 193-201 ◽  
Author(s):  
Jules A. Kieser ◽  
Sarah Weller ◽  
Michael V. Swain ◽  
J. Neil Waddell ◽  
Raj Das
Keyword(s):  
Rib Fracture ◽  
Pig Model ◽  
Post Mortem

scholarly journals RIB FRACTURE FROM COUGH

1936 ◽  
Vol 5 (5) ◽  
pp. 530-534 ◽  
Author(s):  
Waldo R. Oechsli
Keyword(s):  
Rib Fracture

scholarly journals The clinical implications of severe low rib fracture in the management of diaphragm injury: A Case Control Study

2017 ◽  
Vol 42 ◽  
pp. 178-182 ◽  
Author(s):  
Seongyup Kim ◽  
Woo Jin Choi ◽  
Kawng Ho Lee ◽  
Chun Sung Byun ◽  
Keum Seok Bae ◽  
...  
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Rib Fracture ◽  
Clinical Implications ◽  
Diaphragm Injury ◽  
Control Study

A modest proposal: Thoracic CT for rib fracture diagnosis in child abuse

2012 ◽  
Vol 36 (2) ◽  
pp. 200-201 ◽  
Author(s):  
Walter E. Berdon ◽  
Kenneth Wayne Feldman
Keyword(s):  
Child Abuse ◽  
Rib Fracture ◽  
Modest Proposal ◽  
Thoracic Ct ◽  
Fracture Diagnosis

Chronic pain and its impact on quality of life following a traumatic rib fracture

2012 ◽  
Vol 38 (4) ◽  
pp. 451-455 ◽  
Author(s):  
V. G. Shelat ◽  
S. Eileen ◽  
L. John ◽  
L. T. Teo ◽  
A. Vijayan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Rib Fracture

First Rib Fracture of Unknown Etiology: A Case Report

2006 ◽  
Vol 29 (7) ◽  
pp. 590-594 ◽  
Author(s):  
Hang T. Nguyen ◽  
Joel P. Carmichael ◽  
J. Scott Bainbridge ◽  
Craig Kozak
Keyword(s):  
Case Report ◽  
Rib Fracture ◽  
Unknown Etiology ◽  
First Rib
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