Resection of Posttraumatic Rib Synostoses Resolves Pulmonary Insufficiency: A Case Report.

Autor:	Mavrommatis S; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota., LaRoque MC; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota., Cole PA; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota.; HealthPartners Orthopaedics & Sports Medicine, Bloomington, Minnesota.
Jazyk:	angličtina
Zdroj:	JBJS case connector [JBJS Case Connect] 2022 May 04; Vol. 12 (2). Date of Electronic Publication: 2022 May 04 (Print Publication: 2022).
DOI:	e22.00037
Abstrakt:	Case: A 30-year-old woman underwent open reduction and internal fixation for multiple segmental rib fractures status post a motor vehicle collision. A year later, the patient presented with extensive intercostal heterotopic ossification associated with multilevel, hemithoracic, rib synostoses compromising her ventilation. The patient subsequently underwent synostoses excision and hardware removal. Pulmonary function tests (PFT), imaging, and patient-reported outcome scores demonstrate resolution of impairment. Conclusion: Resection of multilevel, intercostal, rib synostoses provided an effective treatment for pulmonary restrictive disorder secondary to traumatic rib synostosis. This is the first patient with documentation of prereconstructive and postreconstructive PFTs for chest wall synostosis excision. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B851). (Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze:	MEDLINE
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