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Journal articles on the topic 'Rib fracture'

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1

Ye, Jingzhi, Hongyi Li, Meng Zhang, et al. "Oblique Axis Rib Stretch and Curved Planar Reformats in Patients for Rib Fracture Detection and Characterization: Feasibility and Clinical Application." Emergency Medicine International 2023 (August 29, 2023): 1–8. http://dx.doi.org/10.1155/2023/4904844.

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Objective. To assess the use of CT with oblique axis rib stretch (OARS) and curved planar reformats (CPRs) for rib fracture detection and characterization. Methods. A total of 108 forensically diagnosed patients with rib fractures were evaluated retrospectively. OARS and CPRs were independently used during the diagnosis in two groups. In each group, the final diagnosis was made after a junior radiologist’s initial diagnosis was reviewed by a senior radiologist. The images were evaluated for the presence and characterization of rib fractures. Results. A total of 2,592 ribs were analyzed, and 32
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2

Curate, Francisco, and Eugénia Cunha. "Rib fractures in the Coimbra Identified Skeletal Collection." Antropologia Portuguesa, no. 39 (December 12, 2022): 7–26. http://dx.doi.org/10.14195/2182-7982_39_1.

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There is a high prevalence of rib fractures in human remains from archeological contexts, but these are seldom the focus in paleopathological studies pertaining skeletal trauma. This study aims to document rib fracture patterns in the Coimbra Identified Skeletal Collection, Department of Life Sciences, University of Coimbra. Specific aims of this study included the estimation of rib fracture prevalence in 252 individuals, from both sexes (females: 128; males: 124), with age-at-death varying from 20 to 96 years; and the analysis of the relationship between rib fractures and age-at-death, biolog
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3

Li, Shuhuan, Duo Sun, Chu Wang, Pan Hu, Feifei Jin, and Wei Huang. "Fracture Mapping in High-Energy Chest Trauma." Journal of Clinical Medicine 13, no. 20 (2024): 6127. http://dx.doi.org/10.3390/jcm13206127.

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Background: High-energy chest trauma often results in rib fractures and associated chest injuries. This study explored fracture distribution patterns in high-energy chest trauma, using three-dimensional (3D) fracture mapping technology. Methods: This retrospective study analyzed cases of high-energy chest trauma with rib fractures treated at a Level 1 Trauma Center, from February 2012 to January 2023. Specifically, 3D computed tomography (CT) was used to reconstruct rib fractures and create fracture-frequency heat maps, analyzing the influence of other thoracic fractures on rib fracture distri
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4

Perugini, Anthony, James Iandoli, Nicholas Pelz, et al. "Is fixation of a single end of flail segment rib fractures enough?" Trauma Surgery & Acute Care Open 10, no. 2 (2025): e001707. https://doi.org/10.1136/tsaco-2024-001707.

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BackgroundSegmental rib fractures in blunt thoracic trauma present with increased morbidity and mortality with an association of increased pulmonary insult and concomitant injuries. There is a paucity within the literature regarding the necessity of fixation of one or both segments of rib fractures in a flail chest. This study aimed to analyze surgical rib fixation and assess outcomes for non-fixed fractured rib ends in segmental rib fractures.MethodsThis is a retrospective review of 125 patients who underwent open reduction internal fixation of flail segmental rib fractures at our urban Level
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5

Dumanli, Ahmet, Suphi Aydin, and Gülcan Gencer. "Evaluation of Traumatic Vertebra and Rib Fractures." Journal of Medical Research and Surgery 3, no. 5 (2022): 86–95. http://dx.doi.org/10.52916/jmrs224086.

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Background: In our study, we aimed to examine the relationship between trauma-related thoracic vertebral fractures and/or rib fractures location, age and gender. Methods: Between January 1, 2020 and December 31, 2020, 100 patients with trauma-related thoracic vertebral fracture and/or rib fracture were included in the study. Rib fractures and thoracic vertebral fractures were analyzed according to age, gender, level and fracture type. The correlation between rib and vertebral fractures was investigated. Results: 72% of the patients were male and 28% were female, mean age was 48.49 ± 18.83. Tho
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6

Al-Hassani, Ammar, Husham Abdulrahman, Ibrahim Afifi, et al. "Rib Fracture Patterns Predict Thoracic Chest Wall and Abdominal Solid Organ Injury." American Surgeon 76, no. 8 (2010): 888–91. http://dx.doi.org/10.1177/000313481007600837.

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Blunt trauma patients with rib fractures were studied to determine whether the number of rib fractures or their patterns were more predictive of abdominal solid organ injury and/or other thoracic trauma. Rib fractures were characterized as upper zone (ribs 1 to 4), midzone (ribs 5 to 8), and lower zone (ribs 9 to 12). Findings of sternal and scapular fractures, pulmonary contusions, and solid organ injures (liver, spleen, kidney) were characterized by the total number and predominant zone of ribs fractured. There were 296 men and 14 women. There were 38 patients with scapular fracture and 19 p
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7

Zhou, Zhengyin, Zhihui Fu, Juncheng Jia, and Jun Lv. "Rib Fracture Detection with Dual-Attention Enhanced U-Net." Computational and Mathematical Methods in Medicine 2022 (August 18, 2022): 1–13. http://dx.doi.org/10.1155/2022/8945423.

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Rib fractures are common injuries caused by chest trauma, which may cause serious consequences. It is essential to diagnose rib fractures accurately. Low-dose thoracic computed tomography (CT) is commonly used for rib fracture diagnosis, and convolutional neural network- (CNN-) based methods have assisted doctors in rib fracture diagnosis in recent years. However, due to the lack of rib fracture data and the irregular, various shape of rib fractures, it is difficult for CNN-based methods to extract rib fracture features. As a result, they cannot achieve satisfying results in terms of accuracy
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8

Quek, Samuel Enci, Vigil James, Leodivica Castillo, Ronald Ming Ren Tan, and Gene Yong-Kwang Ong. "Point of Care Ultrasound Identification of Multiple Rib Fractures in a Pediatric Patient with Osteogenesis Imperfecta Type 3." Children 9, no. 6 (2022): 864. http://dx.doi.org/10.3390/children9060864.

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Patients with osteogenesis imperfecta (OI) are at an increased risk of pathological rib fractures even if there is no history of trauma. Early and accurate identification of such fractures are crucial for appropriate management. We present a case of a child with OI type 3 with multiple rib fractures who presented with transient cyanosis and increased work of breathing without a history of significant trauma. The patient’s chest radiographs were reported to have a single, new right posterior fourth rib fracture and an old, healing anterior fourth rib fracture. A point-of-care ultrasound perform
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9

Zhang, Junzhong, Zhiwei Li, Shixing Yan, Hui Cao, Jing Liu, and Dejian Wei. "An Algorithm for Automatic Rib Fracture Recognition Combined with nnU-Net and DenseNet." Evidence-Based Complementary and Alternative Medicine 2022 (February 25, 2022): 1–9. http://dx.doi.org/10.1155/2022/5841451.

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Rib fracture is the most common thoracic clinical trauma. Most patients have multiple different types of rib fracture regions, so accurate and rapid identification of all trauma regions is crucial for the treatment of rib fracture patients. In this study, a two-stage rib fracture recognition model based on nnU-Net is proposed. First, a deep learning segmentation model is trained to generate candidate rib fracture regions, and then, a deep learning classification model is trained in the second stage to classify the segmented local fracture regions according to the candidate fracture regions gen
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10

Sun, Yongming. "Percutaneous Kyphoplasty to Relieve the Rib Region Pain in Osteoporotic Thoracic Vertebral Fracture Patients Without Local Pain of Fractured Vertebra." Pain Physician Journal 26, no. 1 (2023): 53–59. http://dx.doi.org/10.36076/ppj.2023.26.53.

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BACKGROUND: Osteoporotic vertebral compression fractures (OVCF) are common. A few patients with thoracic vertebral fracture show pain in the bilateral rib region but not at the fracture site. The point of specific tenderness in the rib region cannot be located. It is not clear whether percutaneous kyphoplasty (PKP) can relieve the pain in the bilateral rib region in these patients. OBJECTIVE: To check whether PKP can alleviate the rib region pain in thoracic vertebral fracture patients without local pain at the fractured vertebra. STUDY DESIGN: Retrospective study. SETTING: The study was carri
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11

Bradley, Julie, Xiaoying Liang, Raymond Mailhot Vega, et al. "Abstract P1-10-08: Incidence of rib fracture following treatment with proton therapy for breast cancer." Cancer Research 83, no. 5_Supplement (2023): P1–10–08—P1–10–08. http://dx.doi.org/10.1158/1538-7445.sabcs22-p1-10-08.

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Abstract Purpose: To determine the rate of rib fracture in a cohort of patients with breast cancer treated with proton therapy and enrolled on a prospective registry. In series investigating photon therapy for breast cancer, the rib fracture rate ranges from 0.3-13% Methods: From a prospective database, we identified patients treated with proton therapy for breast cancer at our institution between January 1, 2012 and December 31, 2020. Clinical and dosimetric data was extracted from the electronic medical record. The cumulative incidence method assessed rib fracture rate; the Fine-Gray test st
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12

Zhang, Xiang, Xuejun Lan, Wang Shen, and Qinghua Zhou. "Lateral Cortical Fixation as the Optimal Strategy for Achieving Stability in Rib Fractures: A Patient-Specific Finite Element Analysis." Bioengineering 12, no. 6 (2025): 594. https://doi.org/10.3390/bioengineering12060594.

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The surgical stabilization of rib fractures helps maintain chest wall stability and reduces respiratory complications. This study aimed to identify the key biomechanical parameters for evaluating the stability of rib fracture fixation using finite element analysis (FEA) and compare four rib fixation configurations—intramedullary rib splint (IRS), locking plate (LP), claw-shape plate, and intrathoracic plate (IP)—using biomechanical analysis. Forty patient-specific FEA models of fourth-rib fractures were constructed using the computed tomography scans of 10 patients. Maximum implant displacemen
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13

Flaaten, N., and G. Dyke. "FIRST RIB FRACTURE: STILL A MARKER OF TRAUMA SEVERITY?" Orthopaedic Proceedings 105-B, SUPP_3 (2023): 35. http://dx.doi.org/10.1302/1358-992x.2023.3.035.

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First rib fractures (FRFs) have historically been a marker for severe trauma and poor outcomes. The aim of this study was to assess whether an association still exists between a fractured first rib and global trauma scores suffered by the patient, examine mortality rate and identify other commonly associated injuries.This study examined patients who presented to the Rockhampton Hospital with a traumatic FRF between the dates of July 2015 to June 2020. Patient demographics, mortality rate and additional injuries sustained by the patients were collected. The Injury Severity Score (ISS) was utili
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14

Bankhead-Kendall, Brittany, Sepeadeh Radpour, Kevin Luftman, et al. "Rib Fractures and Mortality: Breaking the Causal Relationship." American Surgeon 85, no. 11 (2019): 1224–27. http://dx.doi.org/10.1177/000313481908501127.

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Rib fractures have long been considered as a major contributor to mortality in the blunt trauma patient. We hypothesized that rib fractures can be an excellent predictor of mortality, but rarely contribute to cause death. We performed a retrospective study (2008–2015) of blunt trauma patients admitted to our urban, Level I trauma center with one or more rib fractures. Medical records were reviewed in detail. Rib fracture deaths were those from any respiratory sequelae or hemorrhage from rib fractures. There were 4413 blunt trauma patients who sustained one or more rib fractures and 295 (6.8%)
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15

Wuermser, Lisa-Ann, Sara J. Achenbach, Shreyasee Amin, Sundeep Khosla, and L. Joseph Melton. "What Accounts for Rib Fractures in Older Adults?" Journal of Osteoporosis 2011 (2011): 1–6. http://dx.doi.org/10.4061/2011/457591.

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To address the epidemiology of rib fractures, an age- and sex-stratified random sample of 699 Rochester, Minnesota, adults age 21–93 years was followed in a long-term prospective study. Bone mineral density (BMD) was assessed at baseline, and fractures were ascertained by periodic interview and medical record review. During 8560 person-years of followup (median, 13.9 years), 56 subjects experienced 67 rib fracture episodes. Risk factors for falling predicted rib fractures as well as BMD, but both were strongly age-related. After age-adjustment, BMD was associated with rib fractures in women bu
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16

Comadoll, Shea, and Mai P. Nguyen. "Best Available Outcomes Evidence Informing Standard of Care." Journal of Orthopaedic Trauma 38, no. 12S (2024): S11—S14. http://dx.doi.org/10.1097/bot.0000000000002917.

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Summary: Although nonoperative management is the mainstay for rib fracture treatment, surgical stabilization of rib fractures is becoming more common. Recently, the number of high-quality studies on management of rib fractures has also increased. The primary purpose of this review is to analyze the currently available prospective randomized studies on the management of rib fractures. In addition, we will summarize both short-term and long-term outcomes of patients with rib fractures.
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17

Nishida, Norihiro, Junji Ohgi, Fei Jiang, et al. "Finite Element Method Analysis of Compression Fractures on Whole-Spine Models Including the Rib Cage." Computational and Mathematical Methods in Medicine 2019 (May 5, 2019): 1–10. http://dx.doi.org/10.1155/2019/8348631.

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Spinal compression fractures commonly occur at the thoracolumbar junction. We have previously constructed a 3-dimensional whole-spine model from medical images by using the finite element method (FEM) and then used this model to develop a compression fracture model. However, these models lacked the rib cage. No previous study has used whole-spine models including the rib cage constructed from medical images to analyze compression fractures. Therefore, in this study, we added the rib cage to whole-spine models. We constructed the models, including a normal spine model without the rib cage, a wh
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18

Haines, Krista L., Tiffany Zens, Charles Warner-Hillard, Edwarda DeSouza, Hee Soo Jung, and Suresh Agarwal. "Rib Fracture Location Should be Evaluated When Predicting Morbidity and Mortality in Trauma Patients." American Surgeon 84, no. 9 (2018): 1462–65. http://dx.doi.org/10.1177/000313481808400950.

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Rib fractures represent up to 55 per cent of thoracic blunt traumatic injuries and lead to significant mortality and morbidity. The aim of this study is to determine whether not only number but also the location of rib fractures can be used to risk stratify patients. This is a retrospective study of all blunt trauma patients who presented with rib fractures from January 1, 2013 to April 1, 2015 and underwent chest CT. Rib fractures were categorized by location. Primary outcome was mortality, secondary outcomes were total hospital length of stay (LOS), intensive care unit LOS, and disposition.
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19

Topcuoğlu, Elif Dilara, Sinan Cem Uzunget, Tevfik Kaplan, Zamir Kemal Ertürk, and Gökçe Kaan Ataç. "WE HAVE MORE EVIDENCE THAN BEFORE; ULTRASONOGRAPHY IS A RELIABLE TOOL TO SHOW RIB FRACTURES." Kocatepe Tıp Dergisi 25, no. 4 (2024): 438–42. http://dx.doi.org/10.18229/kocatepetip.1394202.

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OBJECTIVE: The aim of this study is to assess the value of ultrasonography (US) by determining the inter-observer reliability on US evaluation of suspected rib fractures in blunt chest trauma. MATERIAL AND METHODS: A total of 52 patients (32 males, 20 females) with a mean age of 48 years (18-95 years) who presented to the emergency department with blunt chest trauma and suspected rib fracture were included in the study. All patients were assessed with US by two radiologists (a senior radiologist with 20 years of US experience and a resident with one year of US experience) independently and che
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20

Simpson, Rosalind B., Jessica R. Dorman, William J. Hunt, and John G. Edwards. "Multiple rib fractures: A novel and prognostic CT-based classification system." Trauma 22, no. 4 (2020): 265–72. http://dx.doi.org/10.1177/1460408619895683.

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Background The accepted classification for multiple rib fractures is binary: flail chest or not. There is a wide spectrum of morphology with subsequent variation in the impact on chest wall mechanics and clinical outcomes. As the practice of surgical stabilisation of rib fractures evolves, there is a need for a better taxonomy. The aim of this study was to create a data-driven radiological classification system for multiple rib fractures, prognostic of both complications and surgical stabilisation of rib fracture. Methods The radiological pattern of injury was assessed for cases undergoing sur
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21

Pavlovic, Milorad, Tatjana Ristic, Dusanka Markovic, et al. "Significance of fibrinogen, interleukin-6, and C-reactive protein as predictors of pleural complications after rib fractures in blunt chest trauma." Srpski arhiv za celokupno lekarstvo, no. 00 (2023): 73. http://dx.doi.org/10.2298/sarh221221073p.

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Introduction/Objective Rib fractures are common in blunt chest trauma (BTC) and when they are associated with pleural complications (PC) - pneumothorax, hemothorax and hemopneumothorax the treatment of these patients is prolonged and difficult. Without the ability to predict PC after rib fractures in BTC, most doctors are forced to initially treat these patients through observation and conservative treatment. The goal of this research is to determine which of the investigated biomarkers of inflammation - fibrinogen, IL-6 and CRP are significantly associated with the occurrence of PC after rib
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22

Itoh, Yuya, Tadanao Funakoshi, Kozo Furushima, Hiroshi Kusano, and Yoshiyasu Itoh. "First Rib Stress Fracture in Overhead Throwing Athletes." Orthopaedic Journal of Sports Medicine 7, no. 7_suppl5 (2019): 2325967119S0043. http://dx.doi.org/10.1177/2325967119s00434.

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Objectives: First-rib stress fractures as a potential cause for non-specific atraumatic chronic shoulder pain in adolescent athletes. However, etiology on throwing athletes with first rib fracture have not been still unknown. The purpose of this retrospective study was to investigate characteristic clinical features and radiographic findings of patients with the first rib fracture in overhead throwing athletes. Methods: Twenty-four cases of first rib stress fracture in 23 players were studied retrospectively. We reviewed clinical features, including age, initial symptom, sports, activity relat
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Al-Mourgi, Majed. "First rib fractures as indicators of serious intra and extra-thoracic injury in polytrauma and their impact on the morbidity and mortality." International Surgery Journal 6, no. 4 (2019): 1056. http://dx.doi.org/10.18203/2349-2902.isj20191251.

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Background: First-rib fractures are relatively rare compared with fractures of other ribs because of the broad structure deeply placed and protected location of the first rib. A high amount of energy is needed to cause a first-rib fracture; violent trauma, such as that involving motor vehicle accident, is a frequent cause of these fractures, as well as other serious intra-thoracic, head, cervical spine, and intra-abdominal injuries. First-rib fractures have traditionally been considered indicators of increased injury severity and mortality in major trauma patients. The aim was to study the sig
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24

Drăgan, Irina, Ioan Adrian Petrache, Valerian Cristian Păvăloiu, et al. "Rib fractures, a public health issue-a multi regional retrospective study." Jurnalul de Chirurgie 17, no. 1 (2021): 14–19. http://dx.doi.org/10.7438/jsurg.2021.01.03.

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We performed a retrospective study focusing on examining all rib fracture cases discharged from 4 thoracic surgery clinics in Romania. Over a period of 3 years, we analyzed data regarding the patients, diagnosis and number of days spent in the hospital. 2.417 patients were included in this study and all patient evolutions were taken into account. The most patients suffered from multiple rib fractures, involving four or more ribs. In total average hospital stay was 5.46 days. The pneumothorax was the most common encountered complication followed by hemo-pneumothorax, hemothorax and lung contusi
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25

White, Thomas W., and Sarah Majercik. "Rib fracture repair." Shanghai Chest 1 (2017): 11. http://dx.doi.org/10.21037/shc.2017.05.07.

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26

May, L., C. Hillermann, and S. Patil. "Rib fracture management." BJA Education 16, no. 1 (2016): 26–32. http://dx.doi.org/10.1093/bjaceaccp/mkv011.

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27

Senekjian, Lara, and Raminder Nirula. "Rib Fracture Fixation." Critical Care Clinics 33, no. 1 (2017): 153–65. http://dx.doi.org/10.1016/j.ccc.2016.08.009.

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28

Nirula, Raminder, and John C. Mayberry. "Article Commentary: Rib Fracture Fixation: Controversies and Technical Challenges." American Surgeon 76, no. 8 (2010): 793–802. http://dx.doi.org/10.1177/000313481007600820.

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Rib fractures are a common injury affecting more than 350,000 people each year in the United States and are associated with respiratory complications, prolonged hospitalization, prolonged pain, long-term disability, and mortality. The social and economic costs that rib fractures contribute to the health care burden of the United States are therefore significant. But despite this measurable impact on patients’ quality of life, current treatment of the majority of patients in the United States with rib fracture syndromes is supportive only. Even the most severe of chest wall injuries have histor
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Mohamed, Hafeel Ansar1 Osama Sami Maki Al Ani2 Hany Fawzi W.Greiss3. "Impact of Erector Spinae Plane Block on Respiratory Function and Pain Management in Patients with Multiple Rib Fractures: A Systematic Review." International Journal of Medical Science in Clinical Research and Review 8, no. 01 (2025): 24–31. https://doi.org/10.5281/zenodo.14791492.

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<strong><u>ABSTRACT</u></strong>: <strong>Background</strong>: Rib fractures are a common injury that often result in significant pain and respiratory complications. Effective pain management is crucial to improve patient outcomes. Erector spinae plane blocks have emerged as a novel regional anesthesia technique, providing promising results in the management of rib fracture pain. <strong>Objectives</strong>:&nbsp;This study evaluates the efficacy and safety of erector spinae plane blocks in rib fracture pain management, focusing on their analgesic benefits, opioid-sparing effects, and impact o
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30

Dar, Rayees Ahmad, Sabiya Hamid Wani, and Majid Mushtaque. "Isolated Cervical Rib Fracture: A Rare Etiology of Thoracic Outlet Syndrome." Case Reports in Surgery 2011 (2011): 1–2. http://dx.doi.org/10.1155/2011/163792.

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Isolated fracture of a cervical rib is a very rare entity and usually presents as a painless swelling or as thoracic outlet syndrome. We describe a case of a 45-year-old woman with history of fall two months back. She presented with symptoms of neurogenic thoracic outlet syndrome for one month. Isolated left cervical rib fracture was documented on X-ray cervical spine. Her fractured cervical rib was resected through a supraclavicular approach, and symptoms resolved completely in the postoperative period.
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Cheema, Fareed A., Edward Chao, Joseph Buchsbaum, et al. "State of Rib Fracture Care: A NTDB Review of Analgesic Management and Surgical Stabilization." American Surgeon 85, no. 5 (2019): 474–78. http://dx.doi.org/10.1177/000313481908500523.

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Thoracic analgesia plays a key role in management and outcomes of rib fractures and can generally be broken down into oral or parenteral medication administration and regional analgesia. Surgical stabilization of rib fractures (SSRF) may be an underused resource in the management of rib fractures. This study describes recent trends in rib fracture management and outcomes. National Trauma Data Bank datasets from 2008 to 2014 were reviewed. Patients with three or more rib fractures were identified, and the frequencies of epidural analgesia (EA), other regional analgesia, and SSRF were analyzed.
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Dhaniwala, Nareshkumar Satyanarayan, Mukund Naresh Dhaniwala, Parth Shah, Khizar Khusrau Khan, Vivek Jadawala, and Shivshankar Jadhav. "Traumatic First Rib Fracture: An Indication of Life-threatening Injuries." Journal of Orthopaedic Case Reports 12, no. 4 (2022): 54–57. http://dx.doi.org/10.13107/jocr.2022.v12.i04.2764.

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Introduction: First rib fracture is a very uncommon injury due to protection provided to it by clavicle. In isolation, it may be associated with neurovascular injury rarely but as part of poly trauma the first rib fracture may be associated with vascular injury in significant number of cases. There is definite role of computed tomography scan thorax in diagnosis of this fracture which can be missed on X-ray chest. Management includes early diagnosis of associated life-threatening complications and its prompt treatment. Case Report: A case of poly trauma associated with right first rib fracture
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Belokonev, V. I., S. Yu Pushkin, A. P. Ardashkin, N. G. Ushakov, and I. R. Kameev. "DYNAMICS OF MORPHOLOGICAL CHANGES IN FRACTURE SITES IN VICTIMS WITH THORACIC TRAUMA AND FLAIL CHEST." Science and Innovations in Medicine 3, no. 4 (2018): 6–12. http://dx.doi.org/10.35693/2500-1388-2018-0-4-6-12.

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Objectives - to improve the treatment results in patients with a closed chest injury complicated by the flail chest through the evaluation of the pathomorphological changes in the fracture sites on the background of their stabilization. Material and methods. The study is based on the autopsy protocols of 402 victims, whose primary cause of death was a closed chest injury with multiple rib fractures. In total 289 histological specimens were studied, including 82 samples taken from the rib fractures zones of the persons with a flail chest died in different periods after the injury. Depending on
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Bacek, Lenore, Kyoung Kim, George Miller, Philippe Gaillard, Kendon Kuo, and Daniel McCarthy. "Use of the Animal Trauma Triage Score, RibScore, Modified RibScore and Other Clinical Factors for Prognostication in Canine Rib Fractures." Veterinary and Comparative Orthopaedics and Traumatology 31, no. 04 (2018): 239–45. http://dx.doi.org/10.1055/s-0038-1639608.

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Objectives To characterize the clinical features among dogs sustaining rib fractures and to determine if age, type and severity of injury, entry blood lactate, trauma score and rib fracture score were associated with outcome. Methods A retrospective study was performed to include dogs that were presented with rib fractures. Risk factors evaluation included breed, age, body weight, diagnosis, presence of a flail chest, bandage use, puncture wound presence, rib fracture number, location of the fracture along the thoracic wall, hospital stay length, body weight, other fractures, pleural effusion,
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35

Whitson, Bryan A., Michael D. McGonigal, Christopher P. Anderson, and David J. Dries. "Increasing Numbers of Rib Fractures Do Not Worsen Outcome: An Analysis of the National Trauma Data Bank." American Surgeon 79, no. 2 (2013): 140–50. http://dx.doi.org/10.1177/000313481307900224.

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Increasing age and number of rib fractures are thought to portend a worse outcome with blunt chest trauma, although this is not clearly substantiated in the literature. We hypothesized that these parameters have a significant and synergistic effect, worsening patient outcome. Using the National Trauma Data Bank, we evaluated patients from 2002 to 2006. Patients with a rib fracture International Classification of Diseases, 9th Revision code were included; those with sternal fractures were excluded. Data on demographics, injury, comorbidity, complications, intensive care unit duration, ventilato
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Granados Santiago, María, Laura López López, Florencio Quero Valenzuela, et al. "Predictive Factors for Onset of Moderate-to-Severe Disability Following Hospital Discharge Due to Rib Fractures." Healthcare 12, no. 19 (2024): 1984. http://dx.doi.org/10.3390/healthcare12191984.

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Background: According to previous studies, a prolonged hospital stay, along with the patient’s clinical features, can lead to the onset of disability. Objectives: This study aimed to identify predictive factors of moderate-to-severe disability following hospital discharge in rib fracture patients. Methods: We conducted a retrospective study with hospitalized adult patients with rib fractures who received conservative treatment. Patients’ clinical profiles and characteristics were collected from their clinical histories and healthcare professional records. Results: Overall, patients exhibited a
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37

Karlson, Kristine A. "Rib Stress Fractures in Elite Rowers." American Journal of Sports Medicine 26, no. 4 (1998): 516–19. http://dx.doi.org/10.1177/03635465980260040701.

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The potential cause of stress fracture of the rib in elite rowers was examined by a retrospective review of 14 fractures in 10 patients. Fractures occurred on the antero- to posterolateral aspects of ribs 5 through 9 and were most often associated with long-distance training and heavy load per stroke. A review of the literature yields striking similarities between these stress fractures and fractures caused by cough. It is suggested that actions of the serratus anterior and external oblique muscles on the rib cause stress fracture because of the repetitive bending forces in both rowing and cou
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38

Nankar, Yashwanth, Aparna Bagle, Spoorti Pujari, and Archana Nankar. "Erector Spinae Block for Pain Relief in a Case of Rib Fracture." Medical Journal of Dr. D.Y. Patil Vidyapeeth 17, no. 1 (2024): 249–50. http://dx.doi.org/10.4103/mjdrdypu.mjdrdypu_711_21.

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ABSTRACT Uncontrolled pain in patients with rib fracture leads to atelectasis and impaired cough which can progress to pneumonia and respiratory failure necessitating mechanical ventilation. Of the various pain modalities, regional anesthesia (epidural and paravertebral) is better than systemic and oral analgesics. The erector spinae plane block (ESPB) is a new modality in the armamentarium for the management of pain in multiple rib fractures, which is safer to perform and better viewed under ultrasound guided. We report a case where ESPB helped provide pain relief to a rib fracture patient.
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39

Alzahrani, Nasser M., Annmarie Jeanes, Michael Paddock, Farag Shuweihdi, and Amaka C. Offiah. "The diagnostic performance of chest computed tomography in the detection of rib fractures in children investigated for suspected physical abuse: a systematic review and meta-analysis." European Radiology 31, no. 9 (2021): 7088–97. http://dx.doi.org/10.1007/s00330-021-07775-3.

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Abstract Objectives To assess the diagnostic performance of chest CT in the detection of rib fractures in children investigated for suspected physical abuse (SPA). Methods Medline, Web of Science and Cochrane databases were searched from January 1980 to April 2020. The QUADAS-2 tool was used to assess the quality of the eligible English-only studies following which a formal narrative synthesis was constructed. Studies reporting true-positive, false-positive, true-negative, and false-negative results were included in the meta-analysis. Overall sensitivity and specificity of chest CT for rib fra
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40

Gupta, A., M. Jamshidi, and J. R. Rubin. "Traumatic First Rib Fracture: Is Angiography Necessary? A Review of 730 Cases." Cardiovascular Surgery 5, no. 1 (1997): 48–53. http://dx.doi.org/10.1177/096721099700500110.

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The two most common sites of first rib fracture were at the subclavian sulcus and in the neck of the first rib, posteriorly. Five distinct mechanisms for rib fracture were identified and included: (i) posteriorly directed trauma to the upper thorax or shoulder girdle; (ii) a direct blow to the sternum and anterior chest wall; (iii) a blow fracturing the clavicle; (iv) a strong sudden contraction of the scalenus anticus muscle: and (v) radiographic findings of a first rib fracture without history of trauma. Isolated first rib fracture regardless of mechanism of injury, results in a low incidenc
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41

Zdziebło, Katarzyna, Urszula Łapińska, Ewelina Machała-Ćwikła, et al. "Fatigue fracture of the second rib in a professional athlete." Quality in Sport 17 (July 17, 2024): 52924. http://dx.doi.org/10.12775/qs.2024.17.52924.

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A fatigue fracture, also known as stress fracture or overuse fracture, is caused by the summation of micro-injuries resulting from a chronic state of bone overload. It affects 1.4 %- 4.4 % of professional athletes. The most common site of fatigue fractures are the lower limbs. This is related to the heavy load caused by body weight and performing dynamic activities like jumping, running. Typical fractures are fractures of the fifth metatarsal bone, fibula and tibia, and less common fractures of the femur. Fractures involving the bones of the upper limbs and thorax are less commonly reported in
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42

Lalande, E., C. Guimont, M. Émond, et al. "P073: Feasibility of emergency department targeted ultrasound for rib fracture diagnosis in minor thoracic injury." CJEM 18, S1 (2016): S102—S103. http://dx.doi.org/10.1017/cem.2016.249.

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Introduction: Rib fractures represent a frequent condition associated with Minor Thoracic Injury (MTI). Since the last decade, ultrasound have become an important part of emergency physician’s (EP) daily practice, and its applications have become numerous. The main objective of this study was to evaluate the feasibility of Emergency Department Targeted Ultrasound (EDTU) for rib fracture diagnosis in patients with MTI. Secondary objectives were to 1) evaluate patients’ pain during the EDTU procedure, 2) assess clinicians’ degree of certitude over rib fracture diagnosis made by EDTU, 3) identify
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43

Dai, Nguyen, Phung Son, Vu Tu, et al. "Comparison of In-Hospital Outcomes of Surgical Stabilization of Rib Fractures with Nonsurgical Management: A Multicenter, Prospective, Cohort Study." Acta Informatica Medica 31, no. 4 (2023): 275. http://dx.doi.org/10.5455/aim.2023.31.275-279.

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Background: Evidence for the efficacy of surgical stabilization of rib fractures in patients with rib fractures is controversial. Objective: We aim to compare the clinical outcomes of surgical rib fixation for rib fracture with non-operative treatment. Methods: Our institutional database from three general hospitals (Viet Duc Hospital, Viet Tiep Friendship Hospital &amp; Cho Ray Hospital) was queried to identify patients with flail chest treated with locked plate fixation between December 2021 and February 2023. A medical record review for demographic, injury, hospital, and surgical data was a
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Leichtle, Stefan W., Audrey Pendleton, Sarah Wang, Beth Torres, Rachel Collins, and Michel B. Aboutanos. "Triage of Patients With Rib Fractures." American Surgeon 86, no. 9 (2020): 1194–99. http://dx.doi.org/10.1177/0003134820939907.

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Background Most triage guidelines for blunt chest wall trauma focus on advanced age and multiple fractured ribs to indicate a high-risk patient population that should be admitted to an intensive care unit (ICU). Overly sensitive ICU admission criteria, however, may result in overutilization of resources. We revised our rib fracture triage guideline to de-emphasize age and number of rib fractures, hypothesizing that we could lower ICU admission rates without compromising outcomes. Methods Patients admitted to our level 1 trauma center over 9 months after the institution of the revised guideline
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Nirula, Ram, Brian Allen, Ralph Layman, Mark E. Falimirski, and Lewis B. Somberg. "Rib Fracture Stabilization in Patients Sustaining Blunt Chest Injury." American Surgeon 72, no. 4 (2006): 307–9. http://dx.doi.org/10.1177/000313480607200405.

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Conservative management for the majority of patients with severe chest injuries has produced a reduction in mortality, complications, and hospital length of stay. More recently, operative stabilization of rib fractures has been used with the implication of improved outcome. We assessed the impact of operative rib fracture stabilization on outcome among trauma patients. A matched case-control study of patients undergoing operative rib fracture stabilization was performed. Thirty patients undergoing rib stabilization were matched with 30 controls. Length of intensive care unit (controls, 14.1 ±
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46

GOYAL, MANISH, ARTHUR J. KENNEY, and LAURENCE G. HANELIN. "Golfer's Rib Stress Fracture (Duffer's Fracture)." CLINICAL NUCLEAR MEDICINE 22, no. 7 (1997): 503–4. http://dx.doi.org/10.1097/00003072-199707000-00020.

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47

Jeffery, Zachary, Matthew Everson, and Suzanne Carty. "Management of rib fractures." British Journal of Hospital Medicine 80, no. 10 (2019): C146—C149. http://dx.doi.org/10.12968/hmed.2019.80.10.c146.

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Rib fractures are a common reason for hospital admission and are associated with significant morbidity and mortality. This article discusses the management of simple rib fractures and provides practical guidance for junior doctors involved in the care of these patients. Careful assessment to identify patients at high risk of complications is essential and calculation of a rib fracture score can aid management decisions. Pain from rib fractures can be severe and requires multimodal analgesia started promptly and proactively on hospital admission. This may include the use of regional anaesthetic
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Ingoe, Helen MA, Elizabeth Coleman, William Eardley, Amar Rangan, Catherine Hewitt, and Catriona McDaid. "Systematic review of systematic reviews for effectiveness of internal fixation for flail chest and rib fractures in adults." BMJ Open 9, no. 4 (2019): e023444. http://dx.doi.org/10.1136/bmjopen-2018-023444.

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ObjectivesMultiple systematic reviews have reported on the impact of rib fracture fixation in the presence of flail chest and multiple rib fractures, however this practice remains controversial. Our aim is to synthesise the effectiveness of surgical rib fracture fixation as evidenced by systematic reviews.DesignA systematic search identified systematic reviews comparing effectiveness of rib fracture fixation with non-operative management of adults with flail chest or unifocal non-flail rib fractures. MEDLINE, EMBASE, Cochrane Database of Systematic Reviews and Science Citation Index were last
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Dorman, Jessica R., Peter T. M. Clarke, Rosalind B. Simpson, and John G. Edwards. "Testing the clinical validity of the Bemelman Rib Fracture Management Guideline." Interactive CardioVascular and Thoracic Surgery 30, no. 4 (2020): 597–99. http://dx.doi.org/10.1093/icvts/ivz317.

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Abstract Whilst surgical stabilization of rib fractures (SSRF) results in better outcomes, selection algorithms are lacking. We aimed to validate the Rib Fracture Management Guideline proposed by Bemelman. From a cohort of 792 patients with multiple rib fractures, 2 sequential cohorts were selected: 48 patients who underwent SSRF and 48 patients who managed conservatively. Admission computed tomography scans and records were reviewed by an investigator blinded to the SSRF outcome. Adherence to the Bemelman guideline, revised to take account of consensus rib fracture definitions, was tested. Fi
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Wang, Xiaoming, and Yongxiong Wang. "Composite Attention Residual U-Net for Rib Fracture Detection." Entropy 25, no. 3 (2023): 466. http://dx.doi.org/10.3390/e25030466.

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Computed tomography (CT) images play a vital role in diagnosing rib fractures and determining the severity of chest trauma. However, quickly and accurately identifying rib fractures in a large number of CT images is an arduous task for radiologists. We propose a U-net-based detection method designed to extract rib fracture features at the pixel level to find rib fractures rapidly and precisely. Two modules are applied to the segmentation network—a combined attention module (CAM) and a hybrid dense dilated convolution module (HDDC). The features of the same layer of the encoder and the decoder
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