Rib Fixation for a Patient with Severely Displaced and Overlapped Costal Cartilage Fractures
| Autor: | Oh-Sang Kwon, Jung Suk Kim, Jong Hyun Lee, Sung Ho Han, Soon-Ho Chon, Kyounghwan Kim, Min Koo Lee, Ho hyoung Lee |
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| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Orthodontics Flail chest Rib cage business.industry Cartilage 030208 emergency & critical care medicine 030230 surgery musculoskeletal system medicine.disease Costal cartilage 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Severe pain business |
| Zdroj: | Journal of Trauma and Injury. 31:12-15 |
| ISSN: | 2287-1683 1738-8767 |
| Popis: | Rib fixations for flail chest or displaced rib fractures are not a new technique. However, reports on rib fixations involving costal cartilage fractures are very few and surpris ingly there are no reports of internal fixations involving only the costal cartilage in the English literature. The diagnosis is difficult and the necessity of the procedure may be quite controversial. Placing plates in screws into the costal cartilage alone may seem unstable and easily dislodged or stripped through the cartilage. We report a 31-year-old male scuba diver instructor who underwent rib fixations over his 7th and 8th costal cartilage ribs for severe pain. The procedure was done with conventional plates and screws. He had the plates and screws removed 2 months later due to lingering pain, but with them removed he is now quite happy with the results without pain. The procedure for fixation of painful overlapped costal cartilage is quite simple and can be done with the usual conventional methods, fixating plate and screws directly over the cartilage alone without fixation over the bony rib. |
| Databáze: | OpenAIRE |
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