rib fractures

Summary

Top Publications

  1. ncbi Chest injury due to blunt trauma
    Serife Tuba Liman
    General Thoracic Surgery Department, Atatürk Center for Chest Diseases and Thoracic Surgery, Ankara, Turkey
    Eur J Cardiothorac Surg 23:374-8. 2003
  2. ncbi A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management
    Mehmet Sirmali
    Department of Thoracic Surgery, Ataturk Training and Research Hospital for Chest Disease and Chest Surgery, Ankara, Turkey
    Eur J Cardiothorac Surg 24:133-8. 2003
  3. ncbi Radiation-induced rib fractures after hypofractionated stereotactic body radiation therapy of non-small cell lung cancer: a dose- and volume-response analysis
    Niclas Pettersson
    Department of Radiophysics, Sahlgrenska University Hospital, Sweden
    Radiother Oncol 91:360-8. 2009
  4. ncbi Chest wall volume receiving >30 Gy predicts risk of severe pain and/or rib fracture after lung stereotactic body radiotherapy
    Neal E Dunlap
    University of Virginia, Charlottesville, VA 22908, USA
    Int J Radiat Oncol Biol Phys 76:796-801. 2010
  5. ncbi Half-a-dozen ribs: the breakpoint for mortality
    Benjamin T Flagel
    Division of Trauma, Critical Care, and Burns, Department of Surgery, Burn Shock Trauma Institute, Stritch School of Medicine, Loyola University Medical Center, Maywood, Illinois, USA
    Surgery 138:717-23; discussion 723-5. 2005
  6. ncbi Radiation-induced rib fractures after hypofractionated stereotactic body radiation therapy: risk factors and dose-volume relationship
    Kaori Asai
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    Int J Radiat Oncol Biol Phys 84:768-73. 2012
  7. ncbi Hedgehog signaling molecules in bone marrow cells at the initial stage of fracture repair
    H Ito
    Department of Nuclear Medicine and Diagnostic Imaging, Graduate School of Medicine, Sakyo, Kyoto, Japan
    Biochem Biophys Res Commun 262:443-51. 1999
  8. ncbi Spontaneous radiation-induced rib fractures in breast cancer patients treated with postmastectomy irradiation. A clinical radiobiological analysis of the influence of fraction size and dose-response relationships on late bone damage
    M Overgaard
    Department of Oncology and Radiotherapy, Radiumstationen, Aarhus, Denmark
    Acta Oncol 27:117-22. 1988
  9. ncbi Chest wall pain and rib fracture after stereotactic radiotherapy for peripheral non-small cell lung cancer
    Jon Paul J Voroney
    Department of Radiation Oncology, Tom Baker Cancer Centre Alberta, Canada
    J Thorac Oncol 4:1035-7. 2009
  10. ncbi Case report: ultrasound-guided continuous thoracic paravertebral block for outpatient acute pain management of multilevel unilateral rib fractures
    Hiroaki Murata
    Department of Anesthesiology, Columbia University, St Luke s Roosevelt Hospital, New York, NY 10025, USA
    Anesth Analg 116:255-7. 2013

Research Grants

  1. Glucocorticoids, Bone Strength and Angiogenesis
    ROBERT STEWART WEINSTEIN; Fiscal Year: 2013
  2. Automated retraction for thoracotomy: Improved recovery of respiratory function a
    HUGH CRENSHAW; Fiscal Year: 2009
  3. BIOENGINEERING ANALYSIS OF SIDE IMPACT INJURIES TO OLDER DRIVERS
    Frank Pintar; Fiscal Year: 2007
  4. Clinical Decision Rule to Identify Children with Intra-Abdominal Injuries
    James Holmes; Fiscal Year: 2008
  5. CVD Predictors of Cognitive Function Trajectory over 20 Years
    Elizabeth L Barrett Connor; Fiscal Year: 2010
  6. GENDER DIFFERENCES IN OSTEOPOROSIS
    Elizabeth Barrett Connor; Fiscal Year: 2002
  7. TRAUMA-RELATED ERYTHROPOIETIC SUPPRESSION
    David Livingston; Fiscal Year: 2003
  8. Outcomes of Sleep Disorders in Older Men
    Elizabeth Barrett Connor; Fiscal Year: 2007
  9. Endogenous/Exogenous Sex Hormones & CHD Risk Factors
    Elizabeth Barrett Connor; Fiscal Year: 2003
  10. Medication Adherence in Adolescents with Hypertension
    Renee Robinson; Fiscal Year: 2005

Detail Information

Publications207 found, 100 shown here

  1. ncbi Chest injury due to blunt trauma
    Serife Tuba Liman
    General Thoracic Surgery Department, Atatürk Center for Chest Diseases and Thoracic Surgery, Ankara, Turkey
    Eur J Cardiothorac Surg 23:374-8. 2003
    ..Given its importance in trauma practice, we aimed to determine the pathologies associated with blunt chest injuries and to analyze the accurate identification of patients at high risk for major chest trauma...
  2. ncbi A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management
    Mehmet Sirmali
    Department of Thoracic Surgery, Ataturk Training and Research Hospital for Chest Disease and Chest Surgery, Ankara, Turkey
    Eur J Cardiothorac Surg 24:133-8. 2003
    A rib fracture secondary to blunt thoracic trauma is an important indicator of the severity of the trauma. In the present study we explored the morbidity and mortality rates and the management following rib fractures.
  3. ncbi Radiation-induced rib fractures after hypofractionated stereotactic body radiation therapy of non-small cell lung cancer: a dose- and volume-response analysis
    Niclas Pettersson
    Department of Radiophysics, Sahlgrenska University Hospital, Sweden
    Radiother Oncol 91:360-8. 2009
    The aim of this study is to analyse the dose-response and the volume-response of radiation-induced rib fractures after hypofractionated stereotactic body radiation therapy (SBRT).
  4. ncbi Chest wall volume receiving >30 Gy predicts risk of severe pain and/or rib fracture after lung stereotactic body radiotherapy
    Neal E Dunlap
    University of Virginia, Charlottesville, VA 22908, USA
    Int J Radiat Oncol Biol Phys 76:796-801. 2010
    ..To identify the dose-volume parameters that predict the risk of chest wall (CW) pain and/or rib fracture after lung stereotactic body radiotherapy...
  5. ncbi Half-a-dozen ribs: the breakpoint for mortality
    Benjamin T Flagel
    Division of Trauma, Critical Care, and Burns, Department of Surgery, Burn Shock Trauma Institute, Stritch School of Medicine, Loyola University Medical Center, Maywood, Illinois, USA
    Surgery 138:717-23; discussion 723-5. 2005
    We hypothesized that the number of rib fractures independently impacted patient pulmonary morbidity and mortality.
  6. ncbi Radiation-induced rib fractures after hypofractionated stereotactic body radiation therapy: risk factors and dose-volume relationship
    Kaori Asai
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    Int J Radiat Oncol Biol Phys 84:768-73. 2012
    ..The purpose of this study was to clarify the incidence, the clinical risk factors, and the dose-volume relationship of radiation-induced rib fracture (RIRF) after hypofractionated stereotactic body radiation therapy (SBRT)...
  7. ncbi Hedgehog signaling molecules in bone marrow cells at the initial stage of fracture repair
    H Ito
    Department of Nuclear Medicine and Diagnostic Imaging, Graduate School of Medicine, Sakyo, Kyoto, Japan
    Biochem Biophys Res Commun 262:443-51. 1999
    ..In the present study, we showed by RT-PCR of mouse rib fractures that the upregulation of Ihh mRNA occurred within hours after fracture, immediately followed by that of Ptc ..
  8. ncbi Spontaneous radiation-induced rib fractures in breast cancer patients treated with postmastectomy irradiation. A clinical radiobiological analysis of the influence of fraction size and dose-response relationships on late bone damage
    M Overgaard
    Department of Oncology and Radiotherapy, Radiumstationen, Aarhus, Denmark
    Acta Oncol 27:117-22. 1988
    ..Using the linear quadratic model, alpha/beta ratios for late bone damage were estimated to be within the range of 1.8-2.8 Gy, i.e. similar to those reported for other late responding normal tissues...
  9. ncbi Chest wall pain and rib fracture after stereotactic radiotherapy for peripheral non-small cell lung cancer
    Jon Paul J Voroney
    Department of Radiation Oncology, Tom Baker Cancer Centre Alberta, Canada
    J Thorac Oncol 4:1035-7. 2009
    ..The median dose to rib fracture sites was 46 to 50 Gy, depending on the method of dose calculation. We describe a typical case of poststereotactic radiotherapy rib fracture and present dosimetric analysis of patients with rib fracture...
  10. ncbi Case report: ultrasound-guided continuous thoracic paravertebral block for outpatient acute pain management of multilevel unilateral rib fractures
    Hiroaki Murata
    Department of Anesthesiology, Columbia University, St Luke s Roosevelt Hospital, New York, NY 10025, USA
    Anesth Analg 116:255-7. 2013
    A 61-year-old man with multiple unilateral rib fractures (T3-T8) gained the ability to breathe deeply and to ambulate after ultrasound-guided continuous thoracic paravertebral block and was discharged home after being observed for 15 ..
  11. ncbi Chest wall toxicity after stereotactic body radiotherapy for malignant lesions of the lung and liver
    David L Andolino
    Department of Radiation Oncology, Indiana University School of Medicine, Indianapolis, IN 46202, USA
    Int J Radiat Oncol Biol Phys 80:692-7. 2011
    ..To quantify the frequency of rib fracture and chest wall (CW) pain and identify the dose-volume parameters that predict CW toxicity after stereotactic body radiotherapy (SBRT)...
  12. pmc An analysis of 214 cases of rib fractures
    Sule Karadayi
    Department of Emergency Medicine, Cumhuriyet University Medical School, Sivas, Turkey
    Clinics (Sao Paulo) 66:449-51. 2011
    b>Rib fractures are the most common type of injury associated with trauma to the thorax. In this study, we investigated whether morbidity and mortality rates increased in correlation with the number of fractured ribs.
  13. ncbi Rib fractures: relationship with pneumonia and mortality
    Karen J Brasel
    Department of Surgery, Injury Research Center, Medical College of Wisconsin, USA
    Crit Care Med 34:1642-6. 2006
    ..Sample size has limited the assessment of other risk factors. We used a national database to analyze suspected risk factors contributing to pneumonia and mortality in patients sustaining rib fractures.
  14. ncbi Prevalence and characteristics of rib fractures in ex-preterm infants
    Angela Lucas-Herald
    Section of Child Health, Royal Hospital for Sick Children, Yorkhill, Glasgow, United Kingdom
    Pediatrics 130:1116-9. 2012
    This study aimed to identify the prevalence and characteristics of rib fractures in ex-preterm infants.
  15. pmc Epidemiology of rib fractures in older men: Osteoporotic Fractures in Men (MrOS) prospective cohort study
    Elizabeth Barrett-Connor
    Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093 0607, USA
    BMJ 340:c1069. 2010
    To study the causes and consequences of radiologically confirmed rib fractures (seldom considered in the context of osteoporosis) in community dwelling older men.
  16. ncbi Management of patients with multiple rib fractures
    A Easter
    University of Arkansas for Medical Sciences, College of Nursing, Little Rock, Ark, USA
    Am J Crit Care 10:320-7; quiz 328-9. 2001
    Multiple rib fractures in trauma patients are associated with significant morbidity and mortality...
  17. ncbi Rib fractures under anterior-posterior dynamic loads: experimental and finite-element study
    Zuoping Li
    Center for Applied Biomechanics, University of Virginia, Charlottesville, VA, USA
    J Biomech 43:228-34. 2010
    ....
  18. ncbi The evaluation of diagnostic accordance between plain radiography and bone scintigraphy for the assessment of sternum and rib fractures in the early period of blunt trauma
    Y Erhan
    Ege University Medical School, Emergency Department, , Turkey
    Ulus Travma Derg 7:242-5. 2001
    ..5%), while scintigraphy suggested pathologies in 24 (70.5%) patients. Rib fractures were identified radiographically in 16 (47%) and scintigraphically in 17 (50%) patients...
  19. pmc Overexpression of BMP3 in the developing skeleton alters endochondral bone formation resulting in spontaneous rib fractures
    Laura W Gamer
    Department of Developmental Biology, Harvard School of Dental Medicine, Boston, Massachusetts 02115, USA
    Dev Dyn 238:2374-81. 2009
    ..BMP3 transgenic mice displayed spontaneous rib fractures that were first detected at E17.0...
  20. ncbi Risk factors for 24-hour mortality after traumatic rib fractures owing to motor vehicle accidents: a nationwide population-based study
    Yung Chang Lien
    Division of Thoracic Surgery, Department of Surgery, Taipei Medical University and Hospital, Taipei, Taiwan
    Ann Thorac Surg 88:1124-30. 2009
    ..We used 3-year population-based data in Taiwan to evaluate risk factors associated with 24-hour mortality among adults with obvious rib fractures and needing hospitalization after traffic accidents.
  21. ncbi The diagnosis and treatment of non-cardiac thoracic trauma
    J V O'Connor
    R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland, USA
    J R Army Med Corps 156:5-14. 2010
    ..Detailed imaging studies are reserved for haemodynamically stable patients. The evaluation and treatment of specific thoracic injuries will be discussed, as well as some general principles in treating thoracic trauma...
  22. ncbi Rib fractures identified at post-mortem examination in sudden unexpected deaths in infancy (SUDI)
    Martin A Weber
    Department of Paediatric Pathology, Great Ormond Street Hospital For Children and UCL Institute of Child Health, Great Ormond Street, London WC1N 3JH, UK
    Forensic Sci Int 189:75-81. 2009
    b>Rib fractures may be associated with non-accidental injury (NAI) in infancy, but the possible significance of fresh rib fractures in relation to resuscitation remains undetermined...
  23. ncbi Rib fractures in the elderly
    E M Bulger
    Harborview Medical Center, Seattle, Washington 98104 2499, USA
    J Trauma 48:1040-6; discussion 1046-7. 2000
    We sought to ascertain the extent to which advanced age influences the morbidity and mortality after rib fractures (fxs), to define the relationship between number of rib fractures and morbidity and mortality, and to evaluate the ..
  24. ncbi Rib fractures in the elderly: a marker of injury severity
    Stanislaw P Stawicki
    Department of Surgery, St Luke s Hospital and Health Netowkr, Bethlehem, Pennsylvania, USA
    J Am Geriatr Soc 52:805-8. 2004
    To examine the relationship between the number of rib fractures (RIBFs) and mortality, injury severity, and resource consumption in elderly patients admitted to trauma centers.
  25. ncbi Cough-induced rib fractures
    Viktor Hanak
    Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA
    Mayo Clin Proc 80:879-82. 2005
    To define the demographic, clinical, and radiological features of patients with cough-induced rib fractures and to assess potential risk factors.
  26. pmc Bilateral fractured clavicles with multiple rib fractures
    Gururaj Puranik
    Oxford Radcliffe Hospitals, Oxford, UK
    Emerg Med J 24:675. 2007
  27. ncbi [Indicators of severity in chest trauma]
    Jordi Freixinet
    Servicio de Cirugía Torácica, Hospital Universitario de Gran Canaria Dr Negrin, Las Palmas de Gran Canaria, Las Palmas, Espana
    Arch Bronconeumol 44:257-62. 2008
    ..We undertook a review of patients with chest trauma attended between January 1992 and June 2005 in order to establish severity criteria in these cases...
  28. ncbi The positive predictive value of rib fractures as an indicator of nonaccidental trauma in children
    Katherine A Barsness
    Department of Surgery, The Children s Hospital, University of Colorado Health Sciences Center, Denver, USA
    J Trauma 54:1107-10. 2003
    b>Rib fractures have a strong association with nonaccidental trauma (NAT) and severe trauma...
  29. ncbi Flail chest and pulmonary contusion
    Renata Bastos
    Division of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
    Semin Thorac Cardiovasc Surg 20:39-45. 2008
    ..At the end of this section are listed the current major recommendations and their levels of evidence...
  30. ncbi Use of a remifentanil PCA for a patient with multiple rib fractures
    Patrick Colm Dill-Russell
    Can J Anaesth 49:757. 2002
  31. ncbi Transcutaneous electrical nerve stimulation for pain management in patients with uncomplicated minor rib fractures
    Mustafa Oncel
    Kartal Education and Research Hospital, Department of General Surgery, Cevizli Istanbul, Turkey
    Eur J Cardiothorac Surg 22:13-7. 2002
    Few non-surgical conditions are more painful than rib fractures. There are a few methods for pain relief in patients with minor rib fractures.
  32. ncbi Randomized, double-blind, placebo-controlled trial using lidocaine patch 5% in traumatic rib fractures
    Nichole K Ingalls
    Michigan State University Grand Rapids Medical Education and Research Center, Grand Rapids, MI, USA
    J Am Coll Surg 210:205-9. 2010
    ..Anecdotal experience at our institution suggests the lidocaine patch 5% decreases narcotic usage in patients with traumatic rib fractures. This trial was developed to define the patch's efficacy.
  33. ncbi CT diagnosis of Rib fractures and the prediction of acute respiratory failure
    David H Livingston
    Division of Trauma, Department of Surgery, New Jersey Medical School, Newark, New Jersey, USA
    J Trauma 64:905-11. 2008
    The number of rib fractures has been reported to correlate with mortality after blunt chest trauma...
  34. ncbi Rib fractures in chronic alcoholic men: Relationship with feeding habits, social problems, malnutrition, bone alterations, and liver dysfunction
    Emilio Gonzalez-Reimers
    Servicios de Medicina Interna, Hospital Universitario, Universidad de La Laguna, Ofra s n, Tenerife, Canary Islands, Spain
    Alcohol 37:113-7. 2005
    b>Rib fractures are common in alcoholics. This high prevalence might be due to ethanol-associated malnutrition, bone disease, liver dysfunction, or the peculiar lifestyle of the alcoholic with frequent trauma and altercations...
  35. ncbi Non-accidental injury: a retrospective analysis of a large cohort
    Helen Carty
    RLC NHS Trust Alder Hey, Liverpool L12 2 AP, UK
    Eur Radiol 12:2919-25. 2002
    ..It necessarily reflects personal experience and is not a population study. The distribution of the injuries in a cohort of 467 patients is reviewed...
  36. ncbi No difference in autopsy detected injuries in cardiac arrest patients treated with manual chest compressions compared with mechanical compressions with the LUCAS device--a pilot study
    David Smekal
    Department of Surgical Sciences Anaesthesiology and Intensive Care, Uppsala University, SE 751 85 Uppsala, Sweden
    Resuscitation 80:1104-7. 2009
    ..To compare the variety and incidence of internal injuries after manual and mechanical chest compressions during CPR...
  37. ncbi Epidural analgesia improves outcome after multiple rib fractures
    Eileen M Bulger
    Departments of Surgery and Anesthesiology, Harborview Medical Center, University of Washington, Seattle, WA 98005, USA
    Surgery 136:426-30. 2004
    b>Rib fractures are common and associated with significant pulmonary morbidity. We hypothesized that epidural analgesia would provide superior pain relief, and reduce the risk of subsequent pneumonia.
  38. ncbi Acupuncture for central pain affecting the ribcage following traumatic brain injury and rib fractures--a case report
    Clare P Donnellan
    Linden lodge Neuro Rehabilitation Unit, Nottingham University Hospitals NHS Trust, Nottingham, UK
    Acupunct Med 24:129-33. 2006
    ..central pain in a 51 year old man following severe traumatic brain injury and multiple injuries including rib fractures. The patient reported rapid and significant improvements in pain and mood during a course of acupuncture ..
  39. ncbi Comparison of computed tomography and chest radiography in the detection of rib fractures in abused infants
    Sandra L Wootton-Gorges
    Department of Radiology, University of California, Davis Medical Center and UC Davis Children s Hospital, 4860 Y Street, Sacramento, CA 95817, USA
    Child Abuse Negl 32:659-63. 2008
    Chest radiographs (CXR) are the standard method for evaluating rib fractures in abused infants. Computed tomography (CT) is a sensitive method to detect rib fractures...
  40. ncbi How common are rib fractures in extremely low birth weight preterm infants?
    D Smurthwaite
    Department of Paediatrics, Saint Mary s Hospital for Women and Children, Hathersage Road, Manchester, UK
    Arch Dis Child Fetal Neonatal Ed 94:F138-9. 2009
    This study was prompted by incidental finding of healing rib fractures on chest radiographs of ex-preterm born infants, who were admitted to hospital with acute respiratory illnesses within a few weeks of discharge from the neonatal ..
  41. ncbi Hospital-treated minimal-trauma rib fractures in elderly Finns: long-term trends and projections for the future
    M Palvanen
    Accident and Trauma Research Center, UKK Institute for Health Promotion Research, Kaupinpuistonkatu 1, 33500, Tampere, Finland
    Osteoporos Int 15:649-53. 2004
    We determined the current trends in the number and incidence of hospital-treated minimal-trauma rib fractures (low- to moderate-energy traumas typically caused by a fall from standing height or less) in Finnish elderly people by ..
  42. ncbi Rib fractures in infants due to cardiopulmonary resuscitation efforts
    David Dolinak
    Cuyahoga County Coroner s Office, Cleveland, Ohio 44106, USA
    Am J Forensic Med Pathol 28:107-10. 2007
    ..cardiopulmonary resuscitation (CPR) efforts, relatively little is written about the generation of CPR-related rib fractures in the infant age range...
  43. ncbi Rib fractures in infancy: establishing the mechanisms of cause from the injuries--a literature review
    M J Worn
    Institute of Medical Engineering and Medical Physics, Cardiff School of Engineering, Cardiff University, PO BOX 685, The Parade, Cardiff, CF24 3TA, Wales, UK
    Med Sci Law 47:200-12. 2007
    In the absence of a history of a significant accidental event, the most likely diagnosis in an infant with rib fractures is non-accidental injury...
  44. ncbi Rib fractures predict incident limb fractures: results from the European prospective osteoporosis study
    A A Ismail
    Department of Rheumatology, Stepping Hill Hospital, Stockport, UK
    Osteoporos Int 17:41-5. 2006
    Population studies suggest that rib fractures are associated with a reduction in bone mass...
  45. ncbi Birth-related mid-posterior rib fractures in neonates: a report of three cases (and a possible fourth case) and a review of the literature
    Rick R van Rijn
    Department of Radiology, Academic Medical Centre Amsterdam, Meibergdreef 9, Amsterdam Zuid Oost 1105 AZ, The Netherlands
    Pediatr Radiol 39:30-4. 2009
    Posterior rib fractures in young children have a high positive predictive value for non-accidental injury (NAI)...
  46. ncbi Evaluation by ultrasound of traumatic rib fractures missed by radiography
    Figen Turk
    Department of Thoracic Surgery, Ordu State Hospital, 52 200, Ordu, Turkey
    Emerg Radiol 17:473-7. 2010
    b>Rib fractures are the most common (25%) injuries resulting from blunt chest trauma, and are usually revealed on radiographs...
  47. ncbi Effect of epidural analgesia in patients with traumatic rib fractures: a systematic review and meta-analysis of randomized controlled trials
    François M Carrier
    Department of Anesthesiology, Hopital de l Enfant Jesus, Universite Laval, 1401, 18ème rue, Quebec, QC G1J 1Z4, Canada
    Can J Anaesth 56:230-42. 2009
    ..recently proposed epidural analgesia as the optimal analgesic modality for patients with multiple traumatic rib fractures. However, its beneficial effects are not consistently recognized in the literature...
  48. pmc Isolated rib fractures in elderly patients: mortality and morbidity
    Yoav Barnea
    Department of Surgery A, Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, Israel
    Can J Surg 45:43-6. 2002
    To describe the management, morbidity and mortality seen with isolated rib fractures in elderly patients and assess the need for hospitalization.
  49. ncbi Thoracic trauma: an analysis of 187 patients
    P Segers
    Departments of Thoracic and Vascular Surgery and of Intensive Care, University Hospital of Antwerp, Edegem, Belgium
    Acta Chir Belg 101:277-82. 2001
    ..8 (ranges: 4-75). In only 17.6% of the patients an isolated thoracic trauma was present. Rib fractures (n = 133), pulmonary contusion (n = 110), pneumothorax (n = 78) and haemothorax (n = 65) were the most ..
  50. ncbi Clinical rib fractures: are follow-up chest X-rays a waste of resources?
    Brian J Bansidhar
    Department of Surgery and Clinical Research, Temple University Conemaugh Memorial Medical Center, Johnstown, Pennsylvania 15905, USA
    Am Surg 68:449-53. 2002
    b>Rib fractures (RFs) are estimated to be present in 10 per cent of all traumatic injuries. However, up to 50 per cent of all fractures go undetected on the screening chest X-ray (CXR)...
  51. ncbi [Chest trauma: analysis of 126 cases]
    I Yalcinkaya
    Tip Fakültesi Göğüs Cerrahisi Kliniği 65200 Van
    Ulus Travma Derg 6:288-91. 2000
    ..Hemo and/or pneumothorax represented the most common thoracic injury (85.7%). Rib fractures were present in 47 cases (36.2% with more than 3 rib fractures)...
  52. ncbi α(1) adrenergic receptor agonist, phenylephrine, actively contracts early rat rib fracture callus ex vivo
    Stuart J McDonald
    Musculoskeletal Research Centre, School of Human Biosciences, La Trobe University, Victoria 3086, Australia
    J Orthop Res 29:740-5. 2011
    ..We propose that increased concentrations of α(1) AR agonists such as noradrenaline may tonically contract callus in vivo to promote osteogenesis...
  53. ncbi Epidural buprenorphine in management of pain in multiple rib fractures
    Ramasamy Govindarajan
    Brookdale University Hospital and Medical Center, Brooklyn, NY 11212, USA
    Acta Anaesthesiol Scand 46:660-5. 2002
    Pain from multiple rib fractures may affect pulmonary function, morbidity, and length of stay in the intensive care units...
  54. ncbi Analysis of epidemiology, lesions, treatment and outcome of 354 consecutive cases of blunt and penetrating trauma to the chest in an African setting
    Alain Chichom Mefire
    University of Buea, Cameroon
    S Afr J Surg 48:90-3. 2010
    ..The proportion of death and disability related to trauma is increasing in Third-World countries. Thoracic trauma is significantly involved, but few data are available on this issue in African countries with specific local conditions...
  55. ncbi Continuous intercostal nerve blockade for rib fractures: ready for primetime?
    Michael S Truitt
    Methodist Dallas Medical Center, Dallas, Texas, USA
    J Trauma 71:1548-52; discussion 1552. 2011
    Providing analgesia for patients with rib fractures continues to be a management challenge. The objective of this study was to examine our experience with the use of a continuous intercostal nerve block (CINB)...
  56. ncbi Morbidity from rib fractures increases after age 45
    John B Holcomb
    Department of Surgery, University of Texas Health Sciences Center, Houston, TX, USA
    J Am Coll Surg 196:549-55. 2003
    Recent studies have demonstrated increased morbidity in elderly patients with rib fractures after blunt trauma...
  57. ncbi Disclosure of unnoticed rib fractures with the use of ultrasonography in minor blunt chest trauma
    Murat Kara
    Department of Thoracic Surgery, University of Kirikkale, School of Medicine, 71100 Kirikkale, Turkey
    Eur J Cardiothorac Surg 24:608-13. 2003
    b>Rib fractures are the most common injuries resulting from blunt chest trauma. The sensitivity of chest X-rays in showing the rib fractures is limited particularly in those involving the cartilage part of the rib...
  58. ncbi Anatomically contoured plates for fixation of rib fractures
    Michael Bottlang
    Legacy Biomechanics Laboratory, Portland, Oregon, USA
    J Trauma 68:611-5. 2010
    ..This study implemented for the first time biometric parameters to derive anatomically contoured rib plates. These plates were tested on a range of cadaveric ribs to quantify plate fit and to extract a best-fit plating configuration...
  59. pmc Fatality risk and the presence of rib fractures
    Richard Kent
    University of Virginia Center for Applied Biomechanics, Dept of Mechanical and Aerospace Engineering, Charlottesville, VA, USA
    Ann Adv Automot Med 52:73-82. 2008
    b>Rib fractures may be dismissed as clinically insignificant, or of secondary importance in a patient presenting with other serious injuries, especially if the patient is young...
  60. ncbi Delayed heart perforation after blunt trauma
    Thierry Roth
    Division of General Thoracic Surgery, University Hospital, 3010 Berne, Switzerland
    Eur J Cardiothorac Surg 21:121-3. 2002
    ..Outcome was favourable and the patient was operated on for his flail chest by internal stabilization the next day...
  61. ncbi Less-invasive stabilization of rib fractures by intramedullary fixation: a biomechanical evaluation
    Michael Bottlang
    Biomechanics Laboratory, Legacy Research and Technology Center, Portland, Oregon 97232, USA
    J Trauma 68:1218-24. 2010
    This study evaluated intramedullary fixation of rib fractures with Kirschner wires and novel ribs splints...
  62. ncbi Evaluation of intramedullary rib splints for less-invasive stabilisation of rib fractures
    Inga Helzel
    Biomechanics Laboratory, Legacy Research and Technology Centre, Portland, OR 97232, USA
    Injury 40:1104-10. 2009
    Intramedullary fixation of rib fractures with generic Kirschner wires has been practiced for over 50 years. However, this technique has not been advanced to address reported complications of wire migration and cut-out...
  63. ncbi Thoracic trauma in horses
    Diana M Hassel
    Equine Emergency Surgery and Critical Care, Colorado State University, Fort Collins, CO 80526, USA
    Vet Clin North Am Equine Pract 23:67-80. 2007
    ..Emergency management of these various forms of thoracic trauma is discussed...
  64. ncbi [Arterial air embolism following multiple injuries after a fall from the tenth floor]
    P Hilbert
    Klinik fur Anasthesiologie, Intensiv und Notfallmedizin, BG Kliniken Bergmannstrost, Merseburgerstrasse 165, 06112, Halle Saale, Germany
    Unfallchirurg 110:711-5. 2007
    ..Besides stabilizing the circulation with i.v. fluids, blood transfusion and catecholamine therapy, the use of hyperbaric oxygenation was the decisive therapeutic measure...
  65. ncbi [Emergency surgery for chest injuries in the multiply injured: a systematic review]
    U C Liener
    Abteilung für Unfall, Hand, Plastische und Wiederherstellungschirurgie, Universitatsklinik, Steinhovelstrasse 9, 89075 Ulm
    Unfallchirurg 109:447-52. 2006
    ..This systematic review assesses the early operative management of severe chest trauma in multi injured patients with special regard to the priority of the operative therapy...
  66. ncbi [Chest injury. Part I: Significance--symptoms--diagnostic procedures]
    C Waydhas
    Klinik für Unfallchirurgie, Universitatsklinikum Essen, Hufelandstrasse 55, 45147 Essen, Deutschland
    Unfallchirurg 109:777-84; quiz 785. 2006
    ..The first part of this serial paper on the management of chest injuries focuses on anatomical aspects, pathophysiology and symptoms, but mainly on the indications for the standard diagnostic procedures and further high-tech examinations...
  67. ncbi [Diaphragmatic traumatic hernia]
    Juan José Olivares-Becerra
    Departamento de Cirugia General, UMAE Hospital de Especialidades, Centro Medico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
    Cir Cir 74:415-23. 2006
    ..We undertook this study to describe the clinical characteristics of consecutive patients with traumatic diaphragmatic hernias treated surgically at our institution...
  68. ncbi Rare lung trauma in early pregnancy
    Krzysztof M Kuczkowski
    Arch Gynecol Obstet 275:511. 2007
  69. ncbi [Reconstruction of a crushed chest with HI-TEX PARP NT implant]
    J Vodicka
    Chirurgische Klinik, Universitätskrankenhaus, Alej Svobody 80, 30460 Pilsen, Czech Republic
    Unfallchirurg 110:255-8. 2007
    ..The presented procedure is being discussed as an alternative to metallic fixation in thoracic instability in cases of devastating injury or injury resulting in bone and tissue loss...
  70. ncbi Blunt and penetrating traumatic ruptures of the diaphragm
    H Esme
    Department of Thoracic Surgery, Faculty of Medicine, Afyon Kocatepe University, Pembe Hastane, 03200 Afyon, Turkey
    Thorac Cardiovasc Surg 54:324-7. 2006
    ..The purpose of this study was to review our experience with the management of TDR in order to identify the factors contributing to diagnostic delay and associated morbidity and mortality...
  71. ncbi The use of chest computed tomography versus chest X-ray in patients with major blunt trauma
    Matthias Traub
    Trauma Service, Royal North Shore Hospital, St Leonards, NSW 2065, Australia
    Injury 38:43-7. 2007
    ..This study identifies the clinical features associated with further diagnostic information obtained on a CT chest scan compared with a standard chest X-ray in patients sustaining blunt trauma to the chest...
  72. ncbi Cardiac impalement from a rib after blunt trauma
    William R Wrightson
    Department of Surgery, University of Louisville, Louisville, Kentucky 40292, USA
    Am Surg 73:465-7. 2007
    ..The diagnosis, surgical approach, and course of the patient are discussed...
  73. pmc Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma
    Richard Parris
    Royal Bolton Hospital, UK
    Emerg Med J 24:848-9. 2007
    ..The clinical bottom line is that epidural analgesia may provide better pain relief, but may not alter clinical outcomes...
  74. ncbi [Treatment in unstable thorax. Case report]
    Juan Matus Jiménez
    Hospital General La Villa
    Acta Ortop Mex 22:55-8. 2008
    ..The anchors were retired in week number four and after 3 months he reintegrated to normal labor and daily activities, with limitation on flexo-extension of the left elbow by arthrogryposis...
  75. ncbi Delayed pneumothorax complicating minor rib fracture after chest trauma
    Ming Shian Lu
    Division of Thoracic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Putz City, Chiayi County, Taiwan
    Am J Emerg Med 26:551-4. 2008
    ..We evaluated the safety of close observation in patients with delayed PTX complicating rib fracture after minor chest trauma...
  76. ncbi Thoracic trauma: presentation and management outcome
    Muhammad Saaiq
    Department of Surgery, Pakistan Institute of Medical Sciences, Islamabad
    J Coll Physicians Surg Pak 18:230-3. 2008
    ..To determine the presentation and management outcome of thoracic trauma in a tertiary care setting...
  77. ncbi Perils of rib fractures
    Om P Sharma
    Department of Trauma Services, The Toledo Hospital and Toledo Children s Hospital, Toledo, Ohio, USA
    Am Surg 74:310-4. 2008
    b>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...
  78. doi The extrapleural fat sign
    Elena Alventosa Fernández
    J Thorac Cardiovasc Surg 135:225-6. 2008
  79. ncbi Three-dimensional imaging of traumatic multiple fractures of the thorax by multislice computed tomography
    Toshihiro Osaki
    Department of Chest Surgery, Saiseikai Fukuoka General Hospital, Chuo Ku, Fukuoka, Japan
    Ann Thorac Surg 85:344. 2008
  80. ncbi Chest injuries - what is new?
    Marius Keel
    Division of Trauma Surgery, University Hospital Zurich, Zurich, Switzerland
    Curr Opin Crit Care 13:674-9. 2007
    ..This article reviews new aspects about the significance, diagnosis and treatment of different chest injuries...
  81. ncbi [Extensive traumatic pneumomediastinum. without injuries of organs in the thorax: report of a case]
    D Okutani
    Department of Cancer and Thoracic Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan
    Kyobu Geka 60:942-5. 2007
    ..findings taken immediately after trauma demonstrated pneumo-mediastinum, subcutaneous emphysema with multiple rib fractures and right clavicle fracture...
  82. ncbi Diagnostic dilemmas and current controversies in blunt chest trauma
    Daniel McGillicuddy
    Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, W CC 2, Boston, MA 02215, USA
    Emerg Med Clin North Am 25:695-711, viii-ix. 2007
    ..The article concludes with a discussion of the management of rib fractures in the elderly.
  83. ncbi [Mitral valve incompetence after blunt chest trauma. Case report and review of the literature in special consideration of legal medical opinions]
    Alfried Germing
    Medizinische Klinik II, Kardiologie und Angiologie, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Ruhr Universitat Bochum, Burkle de la Camp Platz 1, Bochum
    Med Klin (Munich) 103:433-9. 2008
    ..Preexisting mitral valve disease, especially the prolapse syndrome, has to be differentiated from trauma-induced dysfunction. This differentiation may be important for delivering an official legal medical opinion...
  84. ncbi Blunt traumatic injuries of the lung parenchyma, pleura, thoracic wall, and intrathoracic airways: multidetector computer tomography imaging findings
    Guillermo P Sangster
    Department of Radiology, LSUHSC S, 1501 Kings Highway, Shreveport, LA 71130, USA
    Emerg Radiol 14:297-310. 2007
    ..The limitations of the initial chest radiography and the benefits of MDCT authenticate this imaging technique as the best modality in the diagnosis of chest trauma...
  85. ncbi [Thoracic injuries at a regional trauma centre]
    Hans Olav Kjøs
    Det medisinske fakultet, Norges Teknisk Naturvitenskapelige Universitet, 7030 Trondheim
    Tidsskr Nor Laegeforen 127:1496-9. 2007
    ..The purpose of this study was to establish patient characteristics and the severity and extent of thoracic injury for patients referred to a Norwegian regional trauma centre...
  86. ncbi Scapula fractures: a marker for concomitant injury? A retrospective review of data in the National Trauma Database
    Keith D Baldwin
    Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104 4283, USA
    J Trauma 65:430-5. 2008
    ..The goal of this study was to determine whether there was a relationship between scapula fractures and concomitant injury and which injuries related simply to the increased injury severity observed in this patient population...
  87. ncbi Large extrapleural hematoma in an anticoagulated patient after a thoracic blunt trauma
    A Mingoli
    Department of Surgery Pietro Valdoni, University of Rome, La Sapienza, Italy, Servizio Speciale di Chirurgia d Urgenza 1
    Ann Ital Chir 75:83-5; discussion 86. 2004
    ..a traumatic extrapleural hematoma that developed in an anticoagulated patient with a thoracic blunt trauma and rib fractures, and required an emergency surgical treatment...
  88. ncbi [Pneumothorax revealed by postoperative computed tomography]
    Shizuka Ikeda
    Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka 814 0180
    Masui 54:1306-8. 2005
    ..Pneumothorax was not evident on a postoperative chest X-ray, but computed tomography of the chest demonstrated right-sided pneumothorax. An ECG electrode had overlapped the fractured rib on the preoperative chest X-ray...
  89. ncbi [Traumatic aortic regurgitation complicating chronic bronchitis; report of a case]
    T Yuasa
    Department of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, Japan
    Kyobu Geka 58:1087-9. 2005
    ..He received blunt trauma to the left chest wall including left rib fractures, pneumothorax, hemothorax and a fracture of left scapula...
  90. ncbi Influence of flail chest on outcome among patients with severe thoracic cage trauma
    George C Velmahos
    Division of Trauma and Critical Care, Department of Surgery, University of Southern California, Los Angeles, California, USA
    Int Surg 87:240-4. 2002
    Flail chest is associated with a higher morbidity compared with multiple rib fractures, and it requires early intubation. This was a prospective comparative uncontrolled study at an academic level 1 trauma center...
  91. ncbi A 44-year-old woman with multiple blunt trauma related to horseback riding
    Sally Bragg
    Division of Trauma and Critical Care Services, Memorial Regional Hospital, Hollywood, Florida 33021, USA
    J Emerg Nurs 31:458-9. 2005
  92. ncbi Do all patients with left costal margin injuries require radiographic evaluation for intraabdominal injury?
    James F Holmes
    Department of Emergency Medicine, University of California, School of Medicine, Davis, CA, USA
    Ann Emerg Med 46:232-6. 2005
    ..We determine whether all patients with pain or tenderness to the left lower ribs after blunt traumatic injury require abdominal computed tomography (CT) scanning for the detection of splenic injury...
  93. ncbi Pulmonary trauma emergency department evaluation and management
    Edward A Ullman
    Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02155, USA
    Emerg Med Clin North Am 21:291-313. 2003
    ..This rise in respiratory injuries will require a more aggressive approach of patients with minimal morbidity and mortality. A systematic approach to respiratory injuries is crucial to improving patient outcomes...
  94. ncbi A traumatic pneumothorax as a result of a rib fracture in a college baseball player
    Maureen K Dwyer
    University of Kentucky, Lexington, KY, USA
    Orthopedics 26:726-7. 2003
  95. ncbi [Intraspinal air, a rare complication of blunt chest trauma]
    M Harandou
    Service de Reanimation Polyvalente, hôpital Al Ghassani, Fes, Maroc, SAMU 93, EA 3409, Hopital Avicenne, 125, rue de Stalingrad, 93009 Bobigny Cedex, France
    Ann Fr Anesth Reanim 24:421-4. 2005
    ..The chest CT-scan showed a bilateral-hemothorax, a small right pneumothorax, rib fractures, and a fracture of the fourth thoracic vertebra associated with air in the spinal canal extending from T6 to ..
  96. ncbi Operative chest wall fixation with osteosynthesis plates
    Christine Engel
    Clinical Research and Technology Center, Legacy Health System, Portland, Oregon 97212, USA
    J Trauma 58:181-6. 2005
  97. ncbi Efficacy of thoracic computerized tomography in blunt chest trauma
    L Omert
    Department of Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA
    Am Surg 67:660-4. 2001
    ..In patients with severe mechanisms of injury and normal CXRs TCT expeditiously identifies occult chest injuries that require treatment in 5 per cent of this population...
  98. ncbi [Application of multislice spiral CT (MSCT) in multiple injured patients and its effect on diagnostic and therapeutic algorithms]
    T Boehm
    Spitäler Chur AG, Department für Radiologie, Chur, Schweiz
    Rofo 176:1734-42. 2004
    ..An optimized whole body CT protocol for the assessment of trauma victims using MSCT as well as a two-step algorithm for reporting the imaging findings depending on their clinical significance is presented...
  99. ncbi Anterior pneumothorax and a negative chest X-ray in trauma
    Sean O Henderson
    Department of Emergency Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA
    J Emerg Med 26:231-2. 2004
  100. ncbi Blunt chest trauma
    V O Adegboye
    Cardiothoracic Unit of the Department of Surgery, University College Hospital, Ibadan, Nigeria
    Afr J Med Med Sci 31:315-20. 2002
    ..2% (154 patients) among 426 patients. We conclude that majority of blunt chest trauma can be managed by simple procedures with minimal complications. Severe soft tissue chest injuries can occur without bony chest wall fractures...
  101. ncbi Stabilisation of thoracic wall in patients with chest injury
    J Zelenak
    Surgical Department, Faculty Hospital, Ruzinov, Bratislava, Slovakia
    Bratisl Lek Listy 103:176-8. 2002
    ..In indicated cases, the authors recommend an active surgical approach in the treatment of patients with unstable thoracic injuries. (Tab. 2, Fig. 2, Ref. 3.)...

Research Grants15

  1. Glucocorticoids, Bone Strength and Angiogenesis
    ROBERT STEWART WEINSTEIN; Fiscal Year: 2013
    ..Vertebral and rib fractures are of particular importance to the VA patient care mission because in addition to causing pain and reducing ..
  2. Automated retraction for thoracotomy: Improved recovery of respiratory function a
    HUGH CRENSHAW; Fiscal Year: 2009
    ..Preliminary results have been positive, demonstrating that these retractors can decrease rib fractures and retraction force, greatly smooth the force of retraction, and detect imminent fractures in time to prevent ..
  3. BIOENGINEERING ANALYSIS OF SIDE IMPACT INJURIES TO OLDER DRIVERS
    Frank Pintar; Fiscal Year: 2007
    ..Also, data from our local trauma center indicates that occupants over 59 may have 3 or 4 times the number of rib fractures than a young person in a similar side impact crash...
  4. Clinical Decision Rule to Identify Children with Intra-Abdominal Injuries
    James Holmes; Fiscal Year: 2008
    ..unreadable]..
  5. CVD Predictors of Cognitive Function Trajectory over 20 Years
    Elizabeth L Barrett Connor; Fiscal Year: 2010
    ..This information is important given the aging of the population, the fact that CVD risk factors are modifiable, and because the maintenance of cognitive function is an essential component of healthy aging. ..
  6. GENDER DIFFERENCES IN OSTEOPOROSIS
    Elizabeth Barrett Connor; Fiscal Year: 2002
    ....
  7. TRAUMA-RELATED ERYTHROPOIETIC SUPPRESSION
    David Livingston; Fiscal Year: 2003
    ..Understanding the mechanisms behind post-trauma anemia will allow therapeutic interventions improving endogenous erythropoiesis to be targeted. ..
  8. Outcomes of Sleep Disorders in Older Men
    Elizabeth Barrett Connor; Fiscal Year: 2007
    ..We will also supplement the bank of MrOS specimens to allow for testing of future hypotheses concerning the role of sleep in the development of age-related diseases and conditions. ..
  9. Endogenous/Exogenous Sex Hormones & CHD Risk Factors
    Elizabeth Barrett Connor; Fiscal Year: 2003
    ..These observations may aid in deciding whether individual women should use HRT and, if so, which regimen would provide the most benefit with the least risk. ..
  10. Medication Adherence in Adolescents with Hypertension
    Renee Robinson; Fiscal Year: 2005
    ..effective assessment methods to identify risk factors for non-adherence and to improve long-term medication adherence in children and adolescents suffering from chronic renal diseases, such as hypertension or solid organ transplantation ..
  11. Transducible Molecular Probes for Imaging Tumors
    Claude Sirlin; Fiscal Year: 2004
    ..abstract_text> ..
  12. Prevention of Osteoporosis after Transplantation
    Elizabeth Shane; Fiscal Year: 2002
    ..We are now applying for 3 years of support to complete 12 months of observation on those subjects enrolled after March, 2001 and to complete an additional 24 months of follow-up on enrolled participants. ..
  13. The Effect of Hypertonic Resuscitation for Blunt Trauma
    Eileen Bulger; Fiscal Year: 2005
    ..abstract_text> ..
  14. Hypertonic Modulation of Inflammation following Injury
    Eileen M Bulger; Fiscal Year: 2010
    ..The results of these studies will provide valuable information to determine the ultimate therapeutic use of the resuscitation strategy. ..
  15. MR Imaging of Non-Alcoholic Fatty Liver Disease
    Claude B Sirlin; Fiscal Year: 2010
    ..Developing a safe and accurate method to diagnose and follow this disease may lead to earlier diagnosis and more effective treatment. ..