first rib
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Trauma ◽  
2022 ◽  
pp. 146040862110453
Author(s):  
Kudzayi H Kutywayo ◽  
Joyce Thekkudan ◽  
Nathan Tyson ◽  
Mohammed F Chowdhry

Introduction First rib fractures are commonly reported in high velocity trauma. The neuromuscular sequelae that can ensue, not the physical disruption of the rib, necessitate thorough evaluation for such injuries. Methods We describe a case of a patient who sustained bilateral rib fractures following low-energy trauma.


Author(s):  
Mark J. Ajalat ◽  
Joe L. Pantoja ◽  
Jesus G. Ulloa ◽  
Michael J. Cheng ◽  
Rhusheet P. Patel ◽  
...  

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Irfan Ahmad ◽  
Saima Riaz ◽  
Uzma Faiz ◽  
Muhammad Sulaman ◽  
Muhammad Zeeshan ◽  
...  

Mechanical Neck Pain(MNP)  is  a  term  used  to  describe  pain  that results from stress or strain on  the structures of the vertebral  column. Factors such       as alteration in the anatomical structures, sprain or strain of the muscles or ligaments, and adaptation to a faulty posture can result in First rib dysfunction has been identified as a potential cause for faulty dynamic,  static,  traumatic  or  congenital  factors, may contribute to the development of elevated first rib dysfunction. Objective: Was to determine the effects of Mulligan’s mobilization with movement on first rib to reduce pain and improve cervical rotation in mechanical neck dysfunction. Material and methods: This study Quasi-experimental trial was done at PT CARE MM Alam road Lahore. The study was completed within the time duration of six months (July-Dec 2019) after the approval of synopsis. A total of 26 cases (13 in each group) were divided into 2 groups. Group A and Group B were treated with conventional exercise program and with Mulligan’s mobilization with movement on first rib and conventional exercise program only respectively. Bubble inclinometer and NPRS tools were used to measure cervical rotation and Pain respectively. Data analysis was done by SPSS 21. Results: The mean change in NPRS was statistically higher in group-B (5.46 ± 0.78) as compared to group-A (2.62 ± 0.87), p-value < 0.001. The mean change in cervical rotation (ROM) was statistically higher in group-B (17.46 ± 5.19) as compared to group-A (31.23 ± 4), p-value < 0.001. Conclusion: It is concluded that Mulligan’s mobilization with movement on first rib and conventional exercise program had statistically significant change in reduction of pain and had higher improvement in cervical rotation (ROM) right and left. Hence, by combining conventional treatment and Mulligan’s mobilization , maximum clinical benefits to reduce pain and improve cervical rotation can be attained in mechanical neck dysfunction


2021 ◽  
Vol 74 (6) ◽  
pp. 2115
Author(s):  
R. Sorber ◽  
M.L. Weaver ◽  
J.K. Canner ◽  
B. Campbell ◽  
J.H. Black ◽  
...  

2021 ◽  
Vol 268 ◽  
pp. 214-220
Author(s):  
Rebecca Sorber ◽  
M. Libby Weaver ◽  
Joseph K. Canner ◽  
Brady Campbell ◽  
James H. Black III ◽  
...  

2021 ◽  
Author(s):  
Mikel Arlegi ◽  
Andrea García‐Sagastibelza ◽  
Christine Veschambre‐Couture ◽  
Asier Gómez‐Olivencia

2021 ◽  
Vol 8 ◽  
Author(s):  
Yueying Li ◽  
Yanxi Liu ◽  
Zhan Zhang ◽  
Xuehai Gao ◽  
Shusen Cui

Objectives: The treatment for neurogenic thoracic outlet syndrome (NTOS) conventionally involves first-rib resection (FRR) surgery, which is quite challenging to perform, especially for novices, and is often associated with postoperative complications. Herein, we report a new segmental resection approach through piezo surgery that involves using a bone cutter, which can uniquely provide a soft tissue protective effect.Methods: This retrospective study involved the examination of 26 NTOS patients who underwent piezo surgery and another group of 30 patients who underwent FRR using the conventional technique. In the patient group that underwent piezo surgery, the rib was first resected into two pieces using a piezoelectric device and subsequently removed. In the patient group that underwent conventional surgery, the first rib was removed as one piece using a rib cutter and rongeurs.Results: The piezo surgery group had significantly shorter operative time (96.85 ± 14.66 vs. 143.33 ± 25.64 min, P &lt; 0.001) and FRR duration (8.73 ± 2.11 vs. 22.23 ± 6.27 min, P &lt; 0.001) than the conventional group. The posterior stump length of the residual rib was shorter in the piezo surgery group than in the conventional group (0.54 ± 0.19 vs. 0.65 ± 0.15 cm, P &lt; 0.05). There were no significant differences in postoperative complications and scores of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, the Cervical Brachial Symptom Questionnaire (CBSQ), and the visual analog scale (VAS). Even the TOS index (NTOS Index = [DASH + (0.83 × CBSQ) + (10 × VAS)]/3) and patient self-assessments of both the groups showed no significant differences. Univariate analyses indicated that the type of treatment affected operative time.Conclusion: Our results suggest that piezo surgery is safe, effective, and simple for segmental FRR in NTOS patients. Piezo surgery provides a more thorough FRR without damaging adjacent soft tissues in a relatively short duration and achieves similar functional recovery as conventional techniques. Therefore, piezo surgery can be a promising alternative for FRR during the surgical treatment of NTOS.


2021 ◽  
pp. rapm-2021-103254
Author(s):  
Mark Friedrich B Hurdle ◽  
Guilherme Ferreira-Dos-Santos ◽  
Raul Rosario-Concepcion ◽  
Laura V Gil ◽  
Jason S Eldrige ◽  
...  

2021 ◽  
Vol 74 (5) ◽  
pp. e440-e441
Author(s):  
Mohamad A. Hussain ◽  
Mohammed Al-Omran

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