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Acute Diaphragmatic Injuries Associated with Traumatic Rib Fractures: Experiences of a Major Trauma Centre and the Importance of Intra-Pleural Assessment

Hussain A, Hunt I

Background: Diaphragmatic injuries following blunt or penetrating thoraco-abdominal trauma are rare, but can be life-threatening. Rib fractures are the most common associated injury in patients with a traumatic diaphragmatic injury...
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Assessment of a Deep Learning Algorithm for the Detection of Rib Fractures on Whole-Body Trauma Computed Tomography

Weikert T, Noordtzij LA, Bremerich J, Stieltjes B, Parmar V, Cyriac J, Sommer G, Sauter AW

Objective: To assess the diagnostic performance of a deep learning-based algorithm for automated detection of acute and chronic rib fractures on whole-body trauma CT. Materials and Methods: We retrospectively identified all...
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Automatic Detection and Classification of Rib Fractures on Thoracic CT Using Convolutional Neural Network: Accuracy and Feasibility

Zhou QQ, Wang J, Tang W, Hu ZC, Xia ZY, Li XS, Zhang R, Yin X, Zhang B, Zhang H

Objective: To evaluate the performance of a convolutional neural network (CNN) model that can automatically detect and classify rib fractures, and output structured reports from computed tomography (CT) images. Materials and...
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Anterior cutaneous nerve block for analgesia in anterior chest trauma:is the parasternal approach necessary?

Pietro SD, Mascia B, Bianco GL, Perlini S, Iotti GA

In recent years, several techniques of regional anesthesia have been proposed to provide analgesia to the anterior thoracic cage; notably, most of these techniques require a parasternal approach. However, in...
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Ultrasound-guided percutaneous intercostal nerve cryoneurolysis for analgesia following traumatic rib fracture -a case series-

Finneran IV JJ, Gabriel RA, Swisher MW, Berndtson AE, Godat LN, Costantini TW, Ilfeld BM

Background: Rib fractures are a common injury in trauma patients and account for significant morbidity and mortality within this population. Local anesthetic-based nerve blocks have been demonstrated to provide significant...
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Pericardial Tearing by Fall into Water Surface: An Autopsy Case

Kim YS

Injuries caused by free-fall from heights represent a specific form of blunt trauma that can be difficult to interpret, especially when the impact medium is water. On autopsy practice, the...
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Takotsubo Syndrome Resulting from Traumatic Multiple Rib Fractures

Jung YJ, Kim SW, Choi JH

Takotsubo syndrome, also known as stress-induced cardiomyopathy, is a transient cardiac syndrome that mimics acute coronary syndrome. This condition should be suspected if the patient presents with chest pain after...
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Delayed massive hemothorax requiring surgery after blunt thoracic trauma over a 5-year period: complicating rib fracture with sharp edge associated with diaphragm injury

Chang SW, Ryu KM, Ryu JW

Delayed massive hemothorax requiring surgery is relatively uncommon and can potentially be life-threatening. Here, we aimed to describe the nature and cause of delayed massive hemothorax requiring immediate surgery. Over...
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Iatrogenic Delayed Aortic Injury Following a Surgical Stabilization of Flail Chest

Seok J, Cho HM, Kim SH, Kim HH

Most of aortic injuries after blunt chest trauma usually occur at the aortic isthmus and are identified in the emergency department soon after arrival. Delayed aortic injures by fractured posterior...
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Rib Fractures: To Fix or Not to Fix? An Evidence-Based Algorithm

Bemelman M, de Kruijf , van Baal M, Leenen L

Rib fractures are a common injury resulting from blunt chest trauma. The most important complications associated with rib fractures include death, pneumonia, and the need for mechanical ventilation. The development...
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Fatal Delayed Hemothorax after Simple Rib Fracture

Lee M, Lim SB, Kim HJ, Park S, Ha H

We report the case of a 66-year-old man who died of fatal delayed hemothorax after blunt trauma to the chest. When the deceased was transferred to the hospital, his vital...
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Prognosis of Pulmonary Function in Patients with Multiple Rib Fractures

Park HB, Hyun SY, Kim JJ, Jang YS

PURPOSE: Rib fracture is the most common complication of blunt thoracic trauma. We investigated the effect of rib fracture on pulmonary function in the conservatively treated patients. METHODS: From January 2000...
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Rib Fracture in a Pilot after Centrifuge Training: Evaluated by Ultrasonography

Ro KH, Choi DJ

  • KMID: 2505521
  • Korean J Aerosp Environ Med.
  • 2016 Apr;26(1):21-24.
Rib fracture is the most common injury resulting from blunt chest trauma. We report a case of rib fracture in operational pilot after the human centrifuge training up to 8...
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Sudden death caused by diaphragmatic rupture following rib fracture in a female sika deer (Cervus nippon) at a zoo

Kim KT, Lee SH, Kwak D

A one-year-old female sika deer died suddenly with no preliminary signs during exhibition at a zoo. At necropsy, the carcass was emaciated and had dried fur. Examination of the thoracic...
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Delayed Diaphragmatic Injury with Massive Hemothorax Due to Lower Rib Fracture

Kim WS, Kim JS

Simple rib fracture is one of most common injury after blunt thoracic trauma found in approximately 7% to 40% of cases. Delayed traumatic diaphragmatic injury with massive hemothorax after rib...
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Delayed Aortic Injury Caused by a Posterior Rib Fracture: A Case Report

Kim CW, Choi SU, Kim SH, Kim JH, Hwang JJ, Cho HM, Song SH, Cho JS

Traumatic aortic injury is well recognized as a primary cause of instantaneous death in victims of thoracic blunt trauma presenting with an aortic rupture or dissection, particularly after a deceleration...
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Practical Use of Bone Scan in Patients with an Osteoporotic Vertebral Compression Fracture

Jun DS, An BK, Yu CH, Hwang KH, Paik JW

Rib fractures are one of main causes of chest or flank pain when related to an osteoporotic vertebral compression fracture (OVCF). The authors investigated the incidence and risk factors of...
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Validity of iPad for Remote Diagnosis of Rib Fracture

Kim S, Cho Y, Lee Y, Jang H, Park J

PURPOSE: In elderly and patients with underlying diseases, mortality rate is increased when compared to rib fractures which occurred in other patients. Because there is a shortage of emergency physicians...
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Factors Associated with Skeletal Chest Injuries Secondary to Cardiopulmonary Resuscitation of In-Hospital Cardiac Arrest Patients

Cho JC, Seo YW, Kim G, Lee KW, Choi DH, Jang TC

PURPOSE: Rib and sternal fractures are common complications of chest compressions during cardiopulmonary resuscitation (CPR). The aim of this study is to investigate skeletal chest injuries following chest compressions and...
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A Treatment Case of Delayed Aortic Injury: The Patient with Posterior Rib Fracture

Park HS, Ryu SM, Cho SJ, Park SM, Lim SH

  • KMID: 2382178
  • Korean J Thorac Cardiovasc Surg.
  • 2014 Aug;47(4):406-408.
A 66-year-old male patient arrived at the emergency room with a crush injury to his chest. Multiple rib fractures, hemothorax on both sides, left scapular fracture, liver laceration, and retroperitoneal...
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