Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma
| Autor: | Jonne T.H. Prins, Mathieu M. E. Wijffels |
|---|---|
| Přispěvatelé: | Surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
musculoskeletal diseases Flail chest medicine.medical_specialty Sternum Rib Fractures Thoracic Injuries Fractures Multiple Pain medication Costochondral junctions Case Report surgery 03 medical and health sciences Fracture Fixation Internal 0302 clinical medicine Flail Chest Medicine Humans Aged business.industry 030208 emergency & critical care medicine 030229 sport sciences General Medicine medicine.disease musculoskeletal system Surgery trauma Male patient Rib cartilage Anterior rib business Operative fixation |
| Zdroj: | BMJ Case Reports, 14(3):e239511. BMJ Publishing Group BMJ Case Reports |
| ISSN: | 1757-790X |
| Popis: | A 73-year-old male patient underwent operative treatment for dislocation of multiple costochondral junctions alongside multiple bony rib fractures and a flail chest following high-energy trauma. During the operative fixation of the flail chest, the costochondral lesions were surgically stabilised with plates and screws, which were fixated on the osseous anterior rib, sternum or the rib cartilage. The patient experienced no pulmonary complications during the primary admission. At 7 months after the trauma, the chest CT scan showed full consolidation of all fixated rib fractures, including the costochondral lesions, without hardware dislocation or complications. The patient did not require any pain medication and had no pain during daily activities, at rest or at night. Although being a biomechanically demanding region, which is often not defined in current rib fracture classification, operative treatment of costochondral lesions is feasible with outcome similar to the treatment of bony rib fractures. |
| Databáze: | OpenAIRE |
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