Rib fracture displacement worsens over time
| Autor: | Samuel Cemaj, Benjamin M. Grams, Zachary M. Bauman, Charity H. Evans, Ujwal R. Yanala, Valerie Shostrom, Brett H. Waibel, Lisa L. Schlitzkus |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Demographics Sports medicine Rib Fractures Thoracic Injuries Pain Chest trauma Ribs Critical Care and Intensive Care Medicine Blunt Injury Severity Score medicine Humans Orthopedics and Sports Medicine Displacement (orthopedic surgery) Rib fracture Aged Retrospective Studies Rib cage business.industry Displacement Middle Aged Fracture displacement Rib fixation Mechanism of injury Emergency Medicine Surgery Original Article business Nuclear medicine |
| Zdroj: | European Journal of Trauma and Emergency Surgery |
| ISSN: | 1863-9941 1863-9933 |
| Popis: | Purpose Rib fractures (RF) occur in 10% of trauma patients; associated with significant morbidity and mortality. Despite advancing technology of surgical stabilization of rib fractures (SSRF), treatment and indications remain controversial. Lack of displacement is often cited as a reason for non-operative management. The purpose was to examine RF patterns hypothesizing RF become more displaced over time. Methods Retrospective review of all RF patients from 2016–2017 at our institution. Patients with initial chest CT (CT1) followed by repeat CT (CT2) within 84 days were included. Basic demographics were obtained. Primary outcomes included RF displacement in millimeters (mm) between CT1 and CT2 in three planes (AP = anterior/posterior, O = overlap/gap, and SI = superior/inferior). Displacement was calculated by subtracting CT1 fracture displacement from CT2 displacement for each rib. Given anatomic and clinical characteristics, ribs were grouped (1–2, 3–6, 7–10, 11–12), averaged, and analyzed for displacement. Secondary outcome included number of missed RF on CT1. Non-parametric sign test and paired t test were used for analysis. Significance was set at p |
| Databáze: | OpenAIRE |
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