A CASE OF BLUNT CHEST TRAUMA PRESENTING WITH MULTIPLE RIB FRACTURES AND RIGHT HYDROPNEUMOTHORAX

Abstract Purpose The aim of this systematic review was to provide an overview of the incidence of combined clavicle and rib fractures and the association between these two injuries. Methods A systematic literature search was performed in the MEDLINE, EMBASE, and CENTRAL databases on the 14th of August 2020. Outcome measures were incidence, hospital length of stay (HLOS), intensive care unit admission and length of stay (ILOS), duration of mechanical ventilation (DMV), mortality, chest tube duration, Constant–Murley score, union and complications. Results Seven studies with a total of 71,572 patients were included, comprising five studies on epidemiology and two studies on treatment. Among blunt chest trauma patients, 18.6% had concomitant clavicle and rib fractures. The incidence of rib fractures in polytrauma patients with clavicle fractures was 56–60.6% versus 29% in patients without clavicle fractures. Vice versa, 14–18.8% of patients with multiple rib fractures had concomitant clavicle fractures compared to 7.1% in patients without multiple rib fractures. One study reported no complications after fixation of both injuries. Another study on treatment, reported shorter ILOS and less complications among operatively versus conservatively treated patients (5.4 ± 1.5 versus 21 ± 13.6 days). Conclusion Clavicle fractures and rib fractures are closely related in polytrauma patients and almost a fifth of all blunt chest trauma patients sustain both injuries. Definitive conclusions could not be drawn on treatment of the combined injury. Future research should further investigate indications and benefits of operative treatment of this injury.

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Correlation between Rib Fractures and Intra-abdominal Organ Injuries after Blunt Chest Trauma.

Albanian Journal of Trauma and Emergency Surgery ◽

10.32391/ajtes.v4i2.145 ◽

2020 ◽

Vol 4 (2) ◽

pp. 671-677

Author(s):

Agron DOGJANI ◽

Kastriot HAXHIREXHA ◽

Henri KOLANI ◽

Edvin SELMANI ◽

Arben GJATA ◽

...

Keyword(s):

Blunt Chest Trauma ◽

Chest Trauma ◽

Treatment Options ◽

Population Sample ◽

Rib Fractures ◽

University Hospital ◽

Abdominal Organ ◽

Abdominal Injuries ◽

Multiple Rib Fractures ◽

Intraabdominal Injuries

Introduction; The most common thoracic injuries were rib fractures (40%) and simple lung contusions (35%) and the abdominal organs most commonly injured were the spleen (35%), liver (25%), and kidney (20%). Mortality varies from 3-22%. the thoracic-abdominal injuries, Purpose; Evidence of the role of thoracic trauma in intraabdominal injuries. Evaluation of correlation between rib fractures and intra-abdominal organ injuries after Blunt Chest Trauma; Materials and methods; The study has a retrospective character, conducted within the period of December 2017 - June 2019. In our study, 890 patients were included in the Emergency Department at University Hospital of Trauma, Tirana, Albania. The population sample was selected randomly without any study restrictions. Results; Our study includes 890 patients; distribution of gender-based was: 196 (22%) females and 694 (78%) males. The distribution based on age: 116 (13 %); for <14 years old group; 347 (39%); for 14-40 years old; 427 (48%).for >40 years old. Conclusions; In Blunt Chest trauma, the incidence of intraabdominal organ injuries is high as evidenced by our study. All patients with such injuries should be evaluated and evaluated until the possibility of such intra-abdominal damage is ruled out. Also, intra-abdominal injuries in multiple rib fractures patients with more than 6 fractures show high gravity, full inspection and observation must be achieved to prepare for possible emergency surgery or other treatment options.

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The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure

Surgical Endoscopy ◽

10.1007/s00464-015-4207-9 ◽

2015 ◽

Vol 30 (1) ◽

pp. 388-395 ◽

Cited By ~ 17

Author(s):

Yih-Wen Tarng ◽

Yuan-Yuarn Liu ◽

Fong-Dee Huang ◽

Hsing-Lin Lin ◽

Tzu-Chin Wu ◽

...

Keyword(s):

Respiratory Failure ◽

Acute Respiratory Failure ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Rib Fractures ◽

Titanium Elastic Nail ◽

Multiple Rib Fractures ◽

Elastic Nail

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Erector spinae plane catheter for pain management of multiple rib fractures: Anecdotal records of cases with blunt chest trauma

Ağrı - The Journal of The Turkish Society of Algology ◽

10.14744/agri.2020.39327 ◽

2020 ◽

Author(s):

Hande Gurbuz Aytuluk

Keyword(s):

Pain Management ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Rib Fractures ◽

Erector Spinae ◽

Multiple Rib Fractures

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Delayed cardiac rupture after blunt chest trauma associated with multiple rib fractures

Nihon Kyukyu Igakukai Zasshi ◽

10.3893/jjaam.25.827 ◽

2014 ◽

Vol 25 (11) ◽

pp. 827-832 ◽

Cited By ~ 1

Author(s):

Yuriko Tomioka ◽

Hisashi Yoshimura ◽

Masato Fukuoka ◽

Yoshiaki Tatsumi

Keyword(s):

Blunt Chest Trauma ◽

Chest Trauma ◽

Rib Fractures ◽

Cardiac Rupture ◽

Multiple Rib Fractures

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Comparison of Chest Computed Tomography and Chest X-Ray in the Diagnosis of Rib Fractures in Patients with Blunt Chest Trauma

Journal of Academic Emergency Medicine ◽

10.5152/jaem.2012.025 ◽

2012 ◽

Cited By ~ 1

Author(s):

Rasih Yazkan ◽

Gokhan Ergene ◽

Cumhur Murat Tulay ◽

Sedat Gunes ◽

Serdar Han

Keyword(s):

Computed Tomography ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Rib Fractures ◽

Chest Computed Tomography ◽

X Ray ◽

Chest X Ray

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Perils of Rib Fractures

The American Surgeon ◽

10.1177/000313480807400406 ◽

2008 ◽

Vol 74 (4) ◽

pp. 310-314 ◽

Cited By ~ 30

Author(s):

Om P. Sharma ◽

Michael F. Oswanski ◽

Shashank Jolly ◽

Sherry K. Lauer ◽

Rhonda Dressel ◽

...

Keyword(s):

Elderly Patients ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Injury Severity ◽

Motor Vehicle ◽

Rib Fractures ◽

Trauma Patients ◽

Close Observation ◽

Motorcycle Crashes ◽

Level 1 Trauma Center

Rib fractures (RF) are noted in 4 to 12 per cent of trauma admissions. To define RF risks at a Level 1 trauma center, investigators conducted a 10-year (1995–2004) retrospective analysis of all trauma patients. Blunt chest trauma was seen in 13 per cent (1,475/11,533) of patients and RF in 808 patients (55% blunt chest trauma, 7% blunt trauma). RF were observed in 26 per cent of children (<18 years), 56 per cent of adults (18–64 years), and 65 per cent of elderly patients (≥65 years). RF were caused by motorcycle crashes (16%, 57/347), motor vehicle crashes (12%, 411/3493), pedestrian-auto collisions (8%, 31/404), and falls (5%, 227/5018). Mortality was 12 per cent (97/808; children 17%, 8/46; adults 9%, 46/522; elderly 18%, 43/240) and was linearly associated with a higher number of RF (5% 1–2 RF, 15% 3–5 RF, 34% ≥6 RF). Elderly patients had the highest mortality in each RF category. Patients with an injury severity score ≥15 had 20 per cent mortality versus 2.7 per cent with ISS <15 ( P < 0.0001). Increasing age and number of RF were inversely related to the percentage of patients discharged home. ISS, age, number of RF, and injury mechanism determine patients’ course and outcome. Patients with associated injuries, extremes of age, and ≥3 RF should be admitted for close observation.

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