scholarly journals Comparative characteristics of computed tomography and radiography in the diagnosis of blunt chest trauma

2020 ◽  
Vol 101 (6) ◽  
pp. 926-929
Author(s):  
G Sh Gasimzade
Keyword(s):  
Computed Tomography ◽  
Blunt Trauma ◽  
Bone Fracture ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Road Accidents ◽  
X Ray ◽  
Chest Injuries ◽  
Computed Tomography Scans ◽  
Tomography Scan

Aim. To conduct a comparative analysis of the effectiveness of X-ray diagnostics and computed tomography in detecting injuries in patients with blunt chest trauma. Methods. We examined 68 patients with chest injuries (men and women) and an average age of 34.67 years (between 18 and 65 years). The causes of injury were: road accidents 37 (54.4%), falls from a height 21 (30.8%), blunt blow to the chest 10 (14.8%). The results of X-ray and computed tomography examination of patients were compared. Results. X-ray examination revealed a chest bone fracture in 24 (35.3%) patients, while computed tomography revealed a bone fracture in 32 (47.1%) cases (2=1.943; p=0.163). This allows us to state that the results of computed tomography scans are more accurate in the diagnosis of chest fractures. computed tomography scan revealed chest injuries pneumothorax and hemothorax, in 56 (82.4%) cases, while X-ray examination in 37 (54.4%) cases (2=12.277; p 0.001). Thus, the results of the study showed that computed tomography is a more informative method of diagnosis compared to radiography, since computed tomography revealed 11.8% more cases of chest bones fractures, and 28.0% more cases of chest cavity damage with blunt trauma. Conclusion. Our study allows us to recommend computed tomography of the chest in blunt trauma as the initial preferred diagnostic radiology.

Cuboid stress fracture. A case report

1993 ◽  
Vol 83 (3) ◽  
pp. 153-155 ◽  
Author(s):  
JB Chen
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Stress Fracture ◽  
Healing Process ◽  
X Rays ◽  
Computed Tomography Scan ◽  
X Ray ◽  
Computed Tomography Scans ◽  
Bone Changes ◽  
Tomography Scan

Because a stress fracture is rare and easily missed on an x-ray, it might go undetected. If a patient presents with an activity related injury to the midfoot and x-rays are negative, a computed tomography scan can be helpful in diagnosing a cuboid stress fracture. Also, computed tomography scans graphically show the fracture location and size, in addition to tracking progressive bone changes during the healing process.

Utility of Computed Tomography Scan in Pediatric Blunt Chest Trauma

2009 ◽  
Vol 67 (5) ◽  
pp. 1131-1132 ◽  
Author(s):  
Philippe G. Meyer ◽  
Stéphane Blanot ◽  
Jean Louis Daban ◽  
Gilles A. Orliaguet
Keyword(s):  
Computed Tomography ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Computed Tomography Scan ◽  
Tomography Scan

scholarly journals Commentary Letter: Pneumopericardium Following Blunt Trauma

2019 ◽  
pp. 40-41
Author(s):  
Amr Abd-El Moneim Shalaby
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Rare Complication ◽  
Chest Ct ◽  
Spontaneous Resolution ◽  
Computed Tomography Scan ◽  
Penetrating Chest Trauma ◽  
Tomography Scan

Pneumopericardium is presence of air within the pericardial space. It is rare complication of blunt or penetrating chest trauma and may also occur iatrogenically. A case report of pneumopericarium caused by blunt chest trauma, condition was diagnosed by chest CT (Computed Tomography) scan; patient was vitally stable and managed conservatively with spontaneous resolution of pneumopericardium 10 days after admission.

scholarly journals Management of computed tomography scan detected hemothorax in blunt chest trauma: What computed tomography scan measurements say?

2018 ◽  
Vol 10 (12) ◽  
pp. 184-189
Author(s):  
Mahdi Malekpour ◽  
Kenneth Widom ◽  
James Dove ◽  
Joseph Blansfield ◽  
Mohsen Shabahang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Computed Tomography Scan ◽  
Tomography Scan

Left Cardiac Luxation Caused by a Blunt Chest Trauma: A Difficult Diagnosis Confirmed on Chest Computed Tomography Scan—Two Case Reports

2010 ◽  
Vol 68 (3) ◽  
pp. E74-E76
Author(s):  
Hervé Quintard ◽  
Emmanuelle Badia ◽  
Raphaëlle Duponq ◽  
Corine Samat-Long ◽  
Nicolas Venissac ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Case Reports ◽  
Computed Tomography Scan ◽  
Chest Computed Tomography ◽  
Difficult Diagnosis ◽  
Tomography Scan

scholarly journals Blunt chest trauma: An audit of injuries diagnosed by the MDCT examination

2014 ◽  
Vol 71 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Ivan Turkalj ◽  
Kosta Petrovic ◽  
Sanja Stojanovic ◽  
Djordje Petrovic ◽  
Alma Brakus ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Imaging Modality ◽  
Head Injuries ◽  
Chest Injuries ◽  
Vehicle Accident ◽  
Organ Systems

Background/Aim. Multidetector computed tomography (MDCT) characterized by speed and precision is increasingly accessible in emergency wards. The aim of our study was to determine the most common injuries to the chest region, as well as type associated extrathoracic injuries, and the treatment outcome. Methods. This prospective study included 61 patients with blunt trauma who were submitted to computed tomography (CT) of the thorax. The number of injuries was evaluated by organs and organ systems of the chest. The cause of the injury, the length and the outcome of the treatment, and the presence of injuries in other regions were assessed. Results. Chest injuries were associated with injuries to other regions in 80.3% cases, predominantly injuries to extremities or pelvic bones in 54.1% cases, followed by head injuries in 39.3% patients. Associated thoracic injuries were present in 90.9% of patients with lethal outcome. Lung parenchymal lesions, pleural effusions and rib fractures were the most common injuries affecting 77.1%, 65.6% and 63.9% of the cases, respectively. Conclusion. Blunt chest trauma is a significant problem affecting predominantly males in their forties and it is usually caused by a motor vehicle accident. In case of pneumomediastinum or mediastinal haematoma, the use of 3D reconstructions is advised for diagnosing possible tracheobronchial ruptures and thoracic aorta injuries. Increased resolution of CT scanners yielded a large number of findings that are occult on radiography, especially in the event of lung parenchymal and pleural injuries. However, none imaging modality can replace surgical judgement.

scholarly journals Long-term Outcome in Chest Trauma

2008 ◽  
Vol 109 (5) ◽  
pp. 864-871 ◽  
Author(s):  
Marc Leone ◽  
Fabienne Brégeon ◽  
François Antonini ◽  
Kathia Chaumoître ◽  
Aude Charvet ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Chest Trauma ◽  
Computed Tomography Scan ◽  
Walk Distance ◽  
Chest Computed Tomography ◽  
Tomography Scan

Background Currently, there are limited data available describing the long-term outcomes of chest trauma survivors. Here, the authors sought to describe chest trauma survivor outcomes 6 months and 1 yr after discharge from the intensive care unit, paying special attention to pulmonary outcomes. Methods A cohort of 105 multiple trauma patients with blunt chest trauma admitted to the intensive care unit was longitudinally evaluated. After 6 months, a chest computed tomography scan, pulmonary function testing (PFT), and quality of life were collected in 55 of these patients. A subgroup of 38 patients was followed up for 1 yr. Results At least one abnormal PFT result was found in 39 patients (71%). Compared with normalized data of the age- and sex-matched population, physical function was decreased in 38 patients (70%). The 6-min walk distance was reduced for 29 patients (72%). Although pathologic images were observed on the chest computed tomography scan from 33 patients (60%), no relation was found between PFT and computed tomography. A ratio of arterial oxygen pressure to inspired oxygen fraction less than 200 at admission to the intensive care unit predicted an abnormal PFT result at 6 months. One year after discharge from the intensive care unit, paired comparisons showed a significant increase in forced vital capacity (P = 0.02) and Karnofsky Performance Status (P < 0.001). Conclusions Survivors of multiple traumas including chest trauma demonstrate a persistent decrease in the 6-min walk distance, impairment on PFT, and reduced pulmonary-specific quality of life.

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