![]() A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Sirmali M, Türüt H, Topçu S, Gülhan E, Yazici U, Kaya S, Taştepe I. (2017) Chinese journal of traumatology = Zhonghua chuang shang za zhi. Comparison of ultrasonography and radiography in diagnosis of rib fractures. Pishbin E, Ahmadi K, Foogardi M, Salehi M, Seilanian Toosi F, Rahimi-Movaghar V. Comparison of Ultrasonography and Radiography in Detection of Thoracic Bone Fractures a Systematic Review and Meta-Analysis. Yousefifard M, Baikpour M, Ghelichkhani P, Asady H, Darafarin A, Amini Esfahani MR, Hosseini M, Yaseri M, Safari S. Radiation-induced rib fractures after hypofractionated stereotactic body radiation therapy of non-small cell lung cancer: a dose- and volume-response analysis. Radiation-induced rib fractures after hypofractionated stereotactic body radiation therapy: risk factors and dose-volume relationship. Orthopedic bone scanning." Journal of nuclear medicine: official publication, Society of Nuclear Medicine 34.12 (1993): 2241-2246. Is ultrasound really helpful in the detection of rib fractures?. A rare complication of cardiopulmonary resuscitation. ![]() doi:10.1007/s1324-9 - Free text at pubmed - Pubmed citation Multidetector CT of blunt thoracic trauma. Radiographic evaluation of rib fractures. When and how to image a suspected broken rib. Tc-99m bone scan is sensitive but not specific for rib fractures and demonstrates focal areas of high-uptake, which need to be correlated with SPECT or radiographic imaging 1,7.displacement on CT may be defined as greater than half a rib shaft width 19.more sensitive than plain radiography for the detection of rib fractures 1,3.associated periosteal elevation appears as a delicate, raised hyperechoic linear stripe.represents a fracture hematoma, fluid nature may be ascertained through careful adjustment of gain settings and dynamic variation of the observed shape with pressure.suggestive findings include a circumscribed, hypoechoic fluid collection adjacent to the putative fracture site.appropriate analgesia may be necessary before attempting this maneuver.if initially occult, obvious interruption of the bony cortex may be elicited with sonopalpation (applying local transducer pressure).often associated with comet tail artifacts extending from the fracture site into the far-field.separation by less than 1 mm defines mild displacement.if accompanied by cortical displacement, may be further characterized by the axial distance between the cortical margins 14.the cardinal sonographic feature is a discontinuity of the otherwise smooth, linear echogenicity corresponding to the anterior bony cortex.Moreover, the use of sonography allows the detection of radiographically occult costal cartilage fractures, as well as assessment of the underlying lung for associated traumatic pathology, including Ultrasonography is more sensitive and specific than conventional radiography for rib fracture detection in blunt trauma when performed by a trained clinician 12,14. may miss up to 50% of rib fractures even with dedicated oblique rib projections 1Ī common application of point of care ultrasonography, used in a complementary manner to conventional radiography in the workup of blunt chest wall trauma and localized chest pain.fetal rib fractures: caused by skeletal dysplasias.cardiopulmonary resuscitation (CPR): rib fracture occurs in 1 in 3 5.rowing, swimming) can result in middle and lower rib stress fractures weight lifting, basketball) can result in 1st rib stress fractures occur more commonly in high-level athletes.most common injury in blunt thoracic trauma, occurring in 50% of cases 3.When the rib is fractured twice, the term floating rib is used to describe the free fracture fragment, and when three or more contiguous floating ribs are present this is called a flail chest.īuckle rib fractures can also occur, one of the rare instances of buckle fractures in a mature skeleton. Fractures of the 1st-3rd ribs are associated with high-energy trauma 3. The 4th-10th ribs are the most commonly fractured 1. liver, kidney and spleen traumatic injuries (10th-12th rib fractures). ![]() brachial plexus or subclavian vessel injuries (1st-3rd rib fractures.Rib fractures are often associated with other injuries and the greater the number of rib fractures the more likely are associated injuries 1,3:
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