Cough-Induced Multiple, Bilateral, Asymmetrical Rib Fractures in a Scoliosis Patient: A Case Report.

Autor:	Incze-Bartha Z; Department of Anatomy and Embryology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, Târgu Mureș, ROU.; Department of Orthopedic Surgery and Traumatology, Dr. Fogolyán Kristóf Emergency County Hospital, Sfântu Gheorghe, ROU., Russo AP; Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, Târgu Mureș, ROU., Pastorello Y; Department of Anatomy and Embryology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, Târgu Mureș, ROU., Vunvulea V; Department of Anatomy and Embryology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, Târgu Mureș, ROU.; Department of Radiology, Emergency County Hospital Târgu Mureș, Târgu Mureș, ROU., Stanciu N; Department of Anatomy and Embryology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, Târgu Mureș, ROU.; Department of Orthopedic Surgery and Traumatology, Emergency County Hospital Târgu Mureș, Târgu Mureș, ROU., Mattarocci M; Department of Aesthetic Medicine, The Ghanem Clinic, London, GBR., Dénes L; Department of Anatomy and Embryology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, Târgu Mureș, ROU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Nov 22; Vol. 15 (11), pp. e49251. Date of Electronic Publication: 2023 Nov 22 (Print Publication: 2023).
DOI:	10.7759/cureus.49251
Abstrakt:	Cough-induced rib fractures represent infrequent complications of strenuous and prolonged coughing, mostly provoked by respiratory tract infections, with localized chest pain being the most indicative component of the clinical picture. This paper reports a case of a 27-year-old female patient who presented with four cough-induced rib fractures following the contraction of an upper respiratory tract infection. The unique character of this case is provided by the young age of the patient, the presence of multiple and bilaterally located rib fractures, and the absence of predisposing factors related to her bone physiology. Furthermore, three of the four fractures were revealed on the left side, where a scoliotic sinistro-convex thoracic curvature is described. Following conservative treatment, the patient experienced a complete resolution of symptoms and favorable clinical outcomes. Even in the seemingly low-risk category, the diagnosis of cough-induced rib fractures should be taken into consideration, and their correlation to pre-existing rib deformities, such as the ones secondary to scoliosis, should be thoroughly investigated. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Incze-Bartha et al.)
Databáze:	MEDLINE
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