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1. Biomedical articles (top 50; 2009 to 2014)
1. |||||||||. 100%  Karadayi S, Nadir A, Sahin E, Celik B, Arslan S, Kaptanoglu M: An analysis of 214 cases of rib fractures. Clinics (Sao Paulo); 2011;66(3):449-51
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] An analysis of 214 cases of rib fractures.
  • INTRODUCTION: Rib fractures are the most common type of injury associated with trauma to the thorax.
  • In this study, we investigated whether morbidity and mortality rates increased in correlation with the number of fractured ribs.
  • MATERIALS AND METHODS: Data from 214 patients with rib fractures who applied or were referred to our clinic between January 2007 and December 2008 were retrospectively evaluated.
  • The patients were allocated into three groups according to the number of fractures:.
  • 1) patients with an isolated rib fracture (RF1) (n = 50, 23.4%), 2) patients with two rib fractures (RF2) (n = 53, 24.8%), and 3) patients with more than two rib fractures (RF3) (n = 111, 51.9%).
  • The patients were evaluated and compared according to the number of rib fractures, mean age, associated chest injuries (hemothorax, pneumothorax, and/or pulmonary contusion), and co-existing injuries to other systems.
  • CONCLUSION: Patients with any number of rib fractures should be carefully screened for co-existing injuries in other body systems and hospitalized to receive proper treatment.
  • [MeSH-major] Rib Fractures / epidemiology

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  • (PMID = 21552671.001).
  • [ISSN] 1980-5322
  • [Journal-full-title] Clinics (São Paulo, Brazil)
  • [ISO-abbreviation] Clinics (Sao Paulo)
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Brazil
  • [Other-IDs] NLM/ PMC3072006
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2. |||||||||. 98%  Wuermser LA, Achenbach SJ, Amin S, Khosla S, Melton LJ 3rd: What accounts for rib fractures in older adults? J Osteoporos; 2011;2011:457591
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] What accounts for rib fractures in older adults?
  • To address the epidemiology of rib fractures, an age- and sex-stratified random sample of 699 Rochester, Minnesota, adults age 21-93 years was followed in a long-term prospective study.
  • Bone mineral density (BMD) was assessed at baseline, and fractures were ascertained by periodic interview and medical record review.
  • During 8560 person-years of followup (median, 13.9 years), 56 subjects experienced 67 rib fracture episodes.
  • Risk factors for falling predicted rib fractures as well as BMD, but both were strongly age-related.
  • After age-adjustment, BMD was associated with rib fractures in women but not men.
  • Importantly, rib fractures attributed to severe trauma were associated with BMD in older individuals of both sexes.
  • Self-reported heavy alcohol use doubled fracture risk but did not achieve significance due to limited statistical power.
  • Bone density, along with heavy alcohol use and other risk factors for falling, contributes to the risk of rib fractures, but no one factor predominates.
  • Older women with rib fractures, regardless of cause, should be considered for an osteoporosis evaluation, and strategies to prevent falling should be considered in both sexes.

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  • (PMID = 22028986.001).
  • [ISSN] 2042-0064
  • [Journal-full-title] Journal of osteoporosis
  • [ISO-abbreviation] J Osteoporos
  • [Language] eng
  • [Grant] United States / NIA NIH HHS / AG / R01 AG034676; United States / NIA NIH HHS / AG / R01 AG034676-47; United States / NIAMS NIH HHS / AR / R01 AR027065-30; United States / NCRR NIH HHS / RR / UL1 RR024150-06
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3199083
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3. |||||||||. 97%  Byun JH, Kim HY: Factors affecting pneumonia occurring to patients with multiple rib fractures. Korean J Thorac Cardiovasc Surg; 2013 Apr;46(2):130-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Factors affecting pneumonia occurring to patients with multiple rib fractures.
  • BACKGROUND: Rib fractures are the most common type of thoracic trauma and cause other complications.
  • We explored the risk factors for pneumonia in patients with multiple rib fractures.
  • MATERIALS AND METHODS: Four hundred and eighteen patients who visited our hospital with multiple rib fractures between January 2002 and December 2008 were retrospectively reviewed.
  • Patients with only a single rib fracture or who were transferred to another hospital within 2 days were excluded.
  • The median number of rib fractures was 4.8.
  • The Injury Severity Score (ISS) and rib score had a median of 15.27 and 6.9, respectively.
  • The factors affecting pneumonia in patients with multiple rib fractures in multivariate analysis included age (p=0.004), ISS (p<0.001), and rib score (p=0.038).
  • CONCLUSION: The factors affecting risk of pneumonia in patients with multiple rib fractures included age (p=0.004), ISS (p<0.001), and rib score (p=0.038).

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  • (PMID = 23614099.001).
  • [ISSN] 2233-601X
  • [Journal-full-title] The Korean journal of thoracic and cardiovascular surgery
  • [ISO-abbreviation] Korean J Thorac Cardiovasc Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC3631787
  • [Keywords] NOTNLM ; Hemothorax / Trauma
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4. ||||||||.. 84%  Downs C, Rodgerson D: The use of nylon cable ties to repair rib fractures in neonatal foals. Can Vet J; 2011 Mar;52(3):307-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The use of nylon cable ties to repair rib fractures in neonatal foals.
  • Commercially available nylon cable ties were used as a method of internal fixation for displaced rib fractures in 8 equine neonates.
  • The use of nylon cable ties as internal fixation for displaced rib fractures in foals is an effective surgical procedure.
  • [MeSH-major] Animals, Newborn / injuries. Fracture Fixation, Internal / veterinary. Horses / injuries. Nylons. Rib Fractures / veterinary

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  • (PMID = 21629427.001).
  • [ISSN] 0008-5286
  • [Journal-full-title] The Canadian veterinary journal. La revue vétérinaire canadienne
  • [ISO-abbreviation] Can. Vet. J.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Canada
  • [Chemical-registry-number] 0 / Nylons
  • [Other-IDs] NLM/ PMC3039906
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5. ||||||||.. 83%  Duan J, Lee Y, Jania C, Gong J, Rojas M, Burk L, Willis M, Homeister J, Tilley S, Rubin J, Deb A: Rib fractures and death from deletion of osteoblast βcatenin in adult mice is rescued by corticosteroids. PLoS One; 2013;8(2):e55757
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Rib fractures and death from deletion of osteoblast βcatenin in adult mice is rescued by corticosteroids.
  • Ribs are primarily made of cortical bone and are necessary for chest expansion and ventilation.
  • Rib fractures represent the most common type of non-traumatic fractures in the elderly yet few studies have focused on the biology of rib fragility.
  • Here, we show that deletion of βcatenin in Col1a2 expressing osteoblasts of adult mice leads to aggressive osteoclastogenesis with increased serum levels of the osteoclastogenic cytokine RANKL, extensive rib resorption, multiple spontaneous rib fractures and chest wall deformities.
  • Within days of osteoblast specific βcatenin deletion, animals die from respiratory failure with a vanishing rib cage that is unable to sustain ventilation.
  • Treatment with the bisphosphonate pamidronate delayed but did not prevent death or associated rib fractures.
  • Dexamethasone preserved rib structure, prevented respiratory compromise and strikingly increased survival.
  • Our findings provide a novel model of accelerated osteoclastogenesis, where deletion of osteoblast βcatenin in adults leads to rapid development of destructive rib fractures.
  • We demonstrate the role of βcatenin dependent mechanisms in rib fractures and suggest that glucocorticoids, by suppressing RANKL, may have a role in treating bone loss due to aggressive osteoclastogenesis.
  • [MeSH-major] Adrenal Cortex Hormones / therapeutic use. Osteoblasts / metabolism. Rib Fractures / drug therapy. Rib Fractures / metabolism. beta Catenin / metabolism

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  • (PMID = 23393600.001).
  • [ISSN] 1932-6203
  • [Journal-full-title] PloS one
  • [ISO-abbreviation] PLoS ONE
  • [Language] eng
  • [Grant] United States / NIAMS NIH HHS / AR / AR56655; United States / NHLBI NIH HHS / HL / HL090823; United States / NHLBI NIH HHS / HL / HL102190; United States / NHLBI NIH HHS / HL / HL104129; United States / NCI NIH HHS / CA / P30 CA016086; United States / NHLBI NIH HHS / HL / R01 HL102190
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Adrenal Cortex Hormones; 0 / beta Catenin; 7S5I7G3JQL / Dexamethasone
  • [Other-IDs] NLM/ PMC3564851
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6. ||||||||.. 82%  Moreno De La Santa Barajas P, Polo Otero MD, Delgado Sánchez-Gracián C, Lozano Gómez M, Toscano Novella A, Calatayud Moscoso Del Prado J, Leal Ruiloba S, Choren Durán ML: [Surgical fixation of rib fractures with clips and titanium bars (STRATOS System). Preliminary experience]. Cir Esp; 2010 Sep;88(3):180-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Surgical fixation of rib fractures with clips and titanium bars (STRATOS System). Preliminary experience].
  • [Transliterated title] Fijación quirúrgica de las fracturas costales con grapas y barras de titanio (sistema STRATOS). Experiencia preliminar.
  • INTRODUCTION: Rib fractures are very common in closed chest injuries.
  • The purpose of this study is to assess the usefulness of titanium rib bars and clips in stabilising rib fractures.
  • MATERIAL AND METHODS: Twenty-two patients with rib fractures were treated with open reduction and internal fixation between 2008 and 2009.
  • 1) Patients with unstable chest (13 patients), 2) Patients with pain or instability due to rib fractures (6 patients), and 3) Significant traumatic deformities of the chest wall (3 patients).
  • CONCLUSIONS: Open reduction with internal fixation of rib fractures is a good alternative.
  • The use of titanium rib bars and clips give good clinical results, are easy to apply and have few complications.
  • [MeSH-major] Fracture Fixation, Internal. Rib Fractures / surgery

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  • [Copyright] Copyright © 2010 AEC. Published by Elsevier Espana. All rights reserved.
  • [CommentIn] Cir Esp. 2011 Oct;89(8):558-9; author reply 559 [21724181.001]
  • (PMID = 20638653.001).
  • [ISSN] 1578-147X
  • [Journal-full-title] Cirugía española
  • [ISO-abbreviation] Cir Esp
  • [Language] spa
  • [Publication-type] Clinical Trial; English Abstract; Journal Article
  • [Publication-country] Spain
  • [Chemical-registry-number] D1JT611TNE / Titanium
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7. |......... 7%  Cooper IF, Siadaty MS: 'Medical Devices' associated with 'Broken Rib': Top Publications. BioMedLib Review; MedicalDevice;BrokenRib:705546119. ISSN: 2331-5717. 2014/4/24
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  • [Title] 'Medical Devices' associated with 'Broken Rib': Top Publications.
  • Background: There are articles published each month which present 'medical device' for 'broken rib'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Downs C et al: The use of nylon cable ties to repair rib fractures in neonatal foals.
  • Moreno De La Santa Barajas P et al: [Surgical fixation of rib fractures with clips and titanium bars (STRATOS System). Preliminary experience].
  • Crandall J et al: Rib fracture patterns and radiologic detection--a restraint-based comparison.
  • Lazcano A et al: Use of rib belts in acute rib fractures.
  • Zink KA et al: Lidocaine patches reduce pain in trauma patients with rib fractures.
  • Tanaka A et al: [Surgical stabilization of multiple rib fractures successfully achieved with the use of long metalic plates].
  • Bottlang M et al: Anatomically contoured plates for fixation of rib fractures.
  • Odenwald G: [Circular scultetus bandage in rib fractures].
  • Mayberry JC et al: Absorbable plates for rib fracture repair: preliminary experience.
  • Vu KC et al: Reduction of rib fractures with a bioresorbable plating system: preliminary observations.

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  • [Copyright] Copyright 2014 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 705546119.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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8. |||||||||. 101%  Sanchez TR, Nguyen H, Palacios W, Doherty M, Coulter K: Retrospective evaluation and dating of non-accidental rib fractures in infants. Clin Radiol; 2013 Aug;68(8):e467-71
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Retrospective evaluation and dating of non-accidental rib fractures in infants.
  • AIM: To describe the sequential appearance of healing rib fractures on initial and follow-up radiographs using published guidelines in approximating the age of rib fractures in infants with the aim of establishing a more objective method of dating rib fractures by measuring the thickness of the callous formation.
  • Six radiological features of rib fractures evaluating the appearance of the callous formation (C stage) and fracture line (F stage) were assessed.
  • RESULTS: Sixteen infants (age range 1-11 months, seven males and nine females) with 23 rib fractures were analysed.
  • The thickness of the callous formation follows a predictable pattern advancing one stage after a 2-week follow-up with progressive callous thickening starting from stage 2, peaks at around stage 4, and then tapers and remodels until it almost disappears when the fracture is healed at stage 6.
  • CONCLUSION: It appears that rib fractures in infants follow a predictable pattern of healing.
  • Measuring the thickness of the callous formation is a more objective way of guiding the radiologist in estimating the age of the fracture.
  • [MeSH-major] Child Abuse. Fracture Healing. Rib Fractures / etiology. Rib Fractures / radiography

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  • [Copyright] Published by Elsevier Ltd.
  • (PMID = 23622800.001).
  • [ISSN] 1365-229X
  • [Journal-full-title] Clinical radiology
  • [ISO-abbreviation] Clin Radiol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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9. |||||||||. 100%  Schok T, Konsten JL: [Hypovolaemic shock several days after rib fractures]. Ned Tijdschr Geneeskd; 2013;157(2):A4957
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Hypovolaemic shock several days after rib fractures].
  • [Transliterated title] Hypovolemische shock enkele dagen na ribfracturen.
  • BACKGROUND: A quarter of all patients with rib fractures develop a haemothorax.
  • Both patients had multiple rib fractures.
  • CONCLUSION: A delayed haemothorax is rare but in cases of hypovolaemic shock, this dangerous complication of rib fractures should be ruled out.
  • [MeSH-major] Hemothorax / etiology. Rib Fractures / complications. Shock / etiology

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  • (PMID = 23302347.001).
  • [ISSN] 1876-8784
  • [Journal-full-title] Nederlands tijdschrift voor geneeskunde
  • [ISO-abbreviation] Ned Tijdschr Geneeskd
  • [Language] dut
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Netherlands
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10. |||||||||. 97%  Yang Y, Young JB, Schermer CR, Utter GH: Use of ketorolac is associated with decreased pneumonia following rib fractures. Am J Surg; 2014 Apr;207(4):566-72
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Use of ketorolac is associated with decreased pneumonia following rib fractures.
  • BACKGROUND: The effectiveness of the nonsteroidal anti-inflammatory drug ketorolac in reducing pulmonary morbidity after rib fractures remains largely unknown.
  • METHODS: A retrospective cohort study was conducted spanning January 2003 to June 2011 assessing pneumonia within 30 days and potential adverse effects of ketorolac among all patients with rib fractures who received ketorolac <4 days after injury compared with a random sample of those who did not.
  • The rates of acute kidney injury, gastrointestinal hemorrhage, and fracture nonunion were not different.
  • CONCLUSIONS: Early administration of ketorolac to patients with rib fractures is associated with a decreased likelihood of pneumonia, without apparent risks.
  • [MeSH-major] Ketorolac / therapeutic use. Pneumonia / prevention & control. Rib Fractures / complications

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  • [Copyright] Copyright © 2014 Elsevier Inc. All rights reserved.
  • (PMID = 24112670.001).
  • [ISSN] 1879-1883
  • [Journal-full-title] American journal of surgery
  • [ISO-abbreviation] Am. J. Surg.
  • [Language] eng
  • [Grant] United States / NCRR NIH HHS / RR / UL1 RR024146
  • [Publication-type] Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Anti-Inflammatory Agents, Non-Steroidal; YZI5105V0L / Ketorolac
  • [Keywords] NOTNLM ; Analgesia / Ketorolac / Nonsteroidal anti-inflammatory drug / Pneumonia / Pulmonary complication / Rib fractures
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11. |||||||||. 96%  Hamilton NA, Bucher BT, Keller MS: The significance of first rib fractures in children. J Pediatr Surg; 2011 Jan;46(1):169-72
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The significance of first rib fractures in children.
  • PURPOSE: The purpose of the study was to determine if first rib fractures are associated with an increased incidence of thoracic vascular injury in pediatric patients.
  • METHODS: The medical records of all children diagnosed with a first rib fracture or a central vascular injury after blunt trauma treated at a state-designated level 1 pediatric trauma center from 2000 to 2009 were reviewed.
  • RESULTS: Thirty-three children (0.27% of patients; mean age, 10.9 ± 0.9 years) were identified with either a first rib fracture or thoracic vascular injury owing to blunt trauma.
  • Thirty-two children had a first rib fracture, and only 1 child (3%) had significant thoracic vascular injury.
  • Mediastinal abnormalities (indistinct aortic knob) were identified in 3 children, 2 with first rib fracture on initial chest radiograph.
  • In children with first rib fractures and a normal mediastinum by screening chest x-ray, the negative predictive value for thoracic vascular injury was 100%.
  • CONCLUSIONS: Children with first rib fractures without mediastinal abnormality on chest radiograph require no further workup for thoracic vascular injury.
  • [MeSH-major] Rib Fractures / epidemiology. Thoracic Injuries / epidemiology. Vascular System Injuries / epidemiology

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  • [Copyright] Copyright © 2011 Elsevier Inc. All rights reserved.
  • (PMID = 21238660.001).
  • [ISSN] 1531-5037
  • [Journal-full-title] Journal of pediatric surgery
  • [ISO-abbreviation] J. Pediatr. Surg.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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12. |||||||||. 92%  Shuaib W, Vijayasarathi A, Tiwana MH, Johnson JO, Maddu KK, Khosa F: The diagnostic utility of rib series in assessing rib fractures. Emerg Radiol; 2014 Apr;21(2):159-64
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The diagnostic utility of rib series in assessing rib fractures.
  • Rib series rarely add information to the posteroanterior (PA) film for the diagnosis of rib fractures.
  • In this investigation, we evaluated the utility of rib X-rays using turnaround time (TAT), radiation exposure, and cost-efficiency as the key parameters.
  • We included patients who had rib series performed for suspected rib fractures.
  • Effective radiation dose for rib series was calculated as a summation of radiation dose from the standard rib series images for each patient.
  • The mean turnaround time for patients undergoing rib series had a value of 133.5 (±129.8) min as opposed to a single chest PA of 61.8(± 64) min.
  • Average effective radiation dose for a rib series was 0.105 (±0.04) mSv, whereas average effective radiation dose of a single chest PA was 0.02 mSv.
  • Dedicated rib series has a low-yield diagnostic value as it pertains to management change.

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  • (PMID = 24297110.001).
  • [ISSN] 1438-1435
  • [Journal-full-title] Emergency radiology
  • [ISO-abbreviation] Emerg Radiol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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13. |||||||||. 86%  Adams C, Streeter EM, King R, Rozanski E: Cause and clinical characteristics of rib fractures in cats: 33 cases (2000-2009). J Vet Emerg Crit Care (San Antonio); 2010 Aug;20(4):436-40
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Cause and clinical characteristics of rib fractures in cats: 33 cases (2000-2009).
  • OBJECTIVE: To characterize the clinical features and population differences among cats sustaining traumatic and nontraumatic rib fractures.
  • ANIMALS: Thirty-three cats with radiographic evidence of rib fractures.
  • MEASUREMENTS AND MAIN RESULTS: Cats with rib fractures were identified by performing a computer search of the radiology database.
  • Thirty-three cats that sustained rib fractures were identified between January 2000 and September 2009.
  • Seventeen cats had fractures due to trauma and 16 were deemed to occur from nontraumatic causes.
  • Older cats were more likely to sustain rib fractures as a result of a presumed nontraumatic causes.
  • A Chi-square analysis showed that nontraumatic fractures occurred significantly more often in the midbody region and involved the 9th-13th ribs.
  • The majority of cats with presumed nontraumatic rib fracture had respiratory disease; the remaining cats had chronic renal disease or neoplasia.
  • Cats with traumatic rib fractures had external signs of trauma.
  • CONCLUSION: Rib fractures in cats may be clearly associated with trauma, or may be an incidental finding in cats with comorbidities.
  • Cats with diseases that cause prolonged respiratory effort or coughing, metabolic diseases, or certain neoplasms, are at increased risk of spontaneous nontraumatic rib fractures.
  • [MeSH-major] Cat Diseases / epidemiology. Cat Diseases / etiology. Cats / injuries. Rib Fractures / veterinary

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  • (PMID = 20731810.001).
  • [ISSN] 1476-4431
  • [Journal-full-title] Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)
  • [ISO-abbreviation] J Vet Emerg Crit Care (San Antonio)
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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14. |||||||||. 85%  Reyes JA, Somers GR, Taylor GP, Chiasson DA: Increased incidence of CPR-related rib fractures in infants--is it related to changes in CPR technique? Resuscitation; 2011 May;82(5):545-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Increased incidence of CPR-related rib fractures in infants--is it related to changes in CPR technique?
  • OBJECTIVE: A recent increase in the number of infants presenting at autopsy with rib fractures associated with cardio-pulmonary resuscitation (CPR) precipitated a study to determine whether such a phenomenon was related to recent revision of paediatric resuscitation guidelines.
  • RESULTS: Analysis of the study population revealed CPR-related rib fractures in 19 infants (3.3%), 14 of whom died in the 2006-2008 period.
  • The difference in annual frequency of CPR-related fractures between the periods before and after revision of paediatric CPR guidelines was statistically highly significant.
  • CONCLUSIONS: The findings indicate that CPR-associated rib fractures have become more frequent in infants since changes in CPR techniques were introduced in 2005.
  • This has important implications for both clinicians and pathologists in their assessment of rib fractures in this patient population.
  • [MeSH-major] Cardiopulmonary Resuscitation / methods. Heart Arrest / therapy. Rib Fractures / epidemiology

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  • [Copyright] Crown Copyright © 2011. Published by Elsevier Ireland Ltd. All rights reserved.
  • [CommentIn] Resuscitation. 2012 Apr;83(4):e109; author reply e111 [22269097.001]
  • [CommentIn] Resuscitation. 2011 Oct;82(10):1362 [21782313.001]
  • (PMID = 21353734.001).
  • [ISSN] 1873-1570
  • [Journal-full-title] Resuscitation
  • [ISO-abbreviation] Resuscitation
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Ireland
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15. ||||||||.. 84%  Turk F, Kurt AB, Saglam S: Evaluation by ultrasound of traumatic rib fractures missed by radiography. Emerg Radiol; 2010 Nov;17(6):473-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Evaluation by ultrasound of traumatic rib fractures missed by radiography.
  • Rib fractures are the most common (25%) injuries resulting from blunt chest trauma, and are usually revealed on radiographs.
  • Radiography sometimes cannot show fractures, especially those in costal cartilages, except for densely calcified ones.
  • Several authors have recently investigated the role of ultrasound in the detection of rib fractures.
  • We conducted this study to investigate possible rib fractures with ultrasound, determine those overlooked on chest x-ray, and analyze the possible clinical predictors of these insidious rib fractures in minor or mild blunt chest trauma.
  • All radiographs were reviewed by two radiologists who noted rib fractures or other complications.
  • The costal cartilage normally appears relatively hypoechoic compared with the osseous rib.
  • Fractures of the rib, costochondral junction, and costal cartilage were denoted by a clear disruption of the anterior echogenic margin.
  • None of the rib fractures were identified radiographically.
  • Sonography detected 26 rib fractures in 18 of 20 subjects at presentation.
  • Sonography reveals more fractures than radiography and will reveal fractures in most patients presenting with suspected rib fracture.
  • [MeSH-major] Rib Fractures / ultrasonography. Wounds, Nonpenetrating / ultrasonography

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  • (PMID = 20652719.001).
  • [ISSN] 1438-1435
  • [Journal-full-title] Emergency radiology
  • [ISO-abbreviation] Emerg Radiol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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16. ||||||||.. 84%  Gordy S, Fabricant L, Ham B, Mullins R, Mayberry J: The contribution of rib fractures to chronic pain and disability. Am J Surg; 2014 May;207(5):659-62; discussion 662-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The contribution of rib fractures to chronic pain and disability.
  • BACKGROUND: The contribution of rib fractures to chronic pain and disability is not well described.
  • METHODS: Two hundred three patients with rib fractures were followed for 6 months.
  • Associated injuries, bilateral rib fractures, injury severity score, and number of rib fractures were not predictive of chronic pain.
  • Among 89 patients with isolated rib fractures, the prevalence of chronic pain was 28% and of disability was 40%.
  • Bilateral rib fractures and acute PPI predicted disability.
  • CONCLUSION: The contribution of rib fractures to chronic pain and disability is significant but unpredictable with conventional injury descriptors.
  • [MeSH-major] Chronic Pain / etiology. Recovery of Function. Rib Fractures / complications

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  • [Copyright] Copyright © 2014 Elsevier Inc. All rights reserved.
  • (PMID = 24612969.001).
  • [ISSN] 1879-1883
  • [Journal-full-title] American journal of surgery
  • [ISO-abbreviation] Am. J. Surg.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Keywords] NOTNLM ; Chronic pain / Disability / Flail chest / Rib fractures
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17. ||||||||.. 84%  Love JC, Derrick SM, Wiersema JM, Pinto DC, Greeley C, Donaruma-Kwoh M, Bista B: Novel classification system of rib fractures observed in infants. J Forensic Sci; 2013 Mar;58(2):330-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Novel classification system of rib fractures observed in infants.
  • Rib fractures are considered highly suspicious for nonaccidental injury in the pediatric clinical literature; however, a rib fracture classification system has not been developed.
  • As an aid and impetus for rib fracture research, we developed a concise schema for classifying rib fracture types and fracture location that is applicable to infants.
  • The system defined four fracture types (sternal end, buckle, transverse, and oblique) and four regions of the rib (posterior, posterolateral, anterolateral, and anterior).
  • It was applied to all rib fractures observed during 85 consecutive infant autopsies.
  • Rib fractures were found in 24 (28%) of the cases.
  • A total of 158 rib fractures were identified.
  • The proposed schema was adequate to classify 153 (97%) of the observed fractures.
  • The results indicate that the classification system is sufficiently robust to classify rib fractures typically observed in infants and should be used by researchers investigating infant rib fractures.

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  • [Copyright] © 2013 American Academy of Forensic Sciences.
  • (PMID = 23406328.001).
  • [ISSN] 1556-4029
  • [Journal-full-title] Journal of forensic sciences
  • [ISO-abbreviation] J. Forensic Sci.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Keywords] NOTNLM ; child abuse / forensic anthropology / forensic pathology / forensic science / infants / rib fractures
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18. ||||||||.. 84%  Weber MA, Risdon RA, Offiah AC, Malone M, Sebire NJ: Rib fractures identified at post-mortem examination in sudden unexpected deaths in infancy (SUDI). Forensic Sci Int; 2009 Aug 10;189(1-3):75-81
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Rib fractures identified at post-mortem examination in sudden unexpected deaths in infancy (SUDI).
  • Rib fractures may be associated with non-accidental injury (NAI) in infancy, but the possible significance of fresh rib fractures in relation to resuscitation remains undetermined.
  • Consequently, it is important to detect and confirm the presence of rib fractures when performing a post-mortem examination, particularly in the context of sudden unexpected death in infancy (SUDI).
  • At our centre, it has been local policy to perform routine radiological skeletal surveys and detailed post-mortem examination of the ribs in all SUDI autopsies.
  • The aim of this study is to establish the characteristics of all rib fractures identified at autopsy in the setting of SUDI from a large series of cases examined at a single specialist centre.
  • As part of a larger review of paediatric post-mortem examinations performed at a single specialist institution over a 10-year period (1996-2005), all cases presenting as SUDI (aged 7-365 days) were identified and their anonymised records searched to identify all cases in which rib fractures were recorded.
  • Rib fractures were identified in 24 cases (4%).
  • 15 infants (3% of SUDI) demonstrated healing rib fractures, of which 10 infants (67%) showed additional features suggestive of NAI.
  • The other 9 infants (2% of SUDI) demonstrated fresh rib fractures only with no surrounding tissue reaction histologically; in 7 (78%) of these there were no other injuries and the fresh fractures were interpreted to have been caused by resuscitation-related trauma.
  • All of the resuscitation-related fractures were situated in the anterolateral chest, in contrast to NAI-associated fractures, which were located in the anterolateral and/or posterior chest.
  • Anterior costochondral junction fractures were also seen in a minority of NAI-associated cases, but such fractures were not seen in apparent resuscitation-related cases.
  • Compared to healing rib fractures, which were detected on skeletal survey in 93%, fresh rib fractures were only detected in 22% of skeletal surveys.
  • Rib fractures are uncommon in infancy and may indicate NAI, particularly when healed or healing, posterior or involving the costochondral junction.
  • Fresh rib fractures may be missed on skeletal survey, but can be reliably detected at post-mortem examination following stripping of the pleura and detailed examination of each rib.
  • Fresh anterolateral fractures, which may be multiple, contiguous and even bilateral, are highly likely to be related to resuscitation if there are no other associated injuries.
  • [MeSH-major] Autopsy. Rib Fractures / pathology. Sudden Infant Death
  • [MeSH-minor] Cardiopulmonary Resuscitation / adverse effects. Child Abuse / diagnosis. Forensic Pathology. Fracture Healing. Humans. Infant. Infant, Newborn. Ribs / radiography


19. ||||||||.. 82%  Brown SD, Walters MR: Patients with rib fractures: use of incentive spirometry volumes to guide care. J Trauma Nurs; 2012 Apr-Jun;19(2):89-91; quiz 92-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Patients with rib fractures: use of incentive spirometry volumes to guide care.
  • Rib fractures pose significant risk to trauma patients.
  • This article provides trauma nurses with the rationale for documenting and tracking incentive spirometry volumes to improve outcomes for patients with rib fractures.
  • [MeSH-major] Respiratory Therapy / nursing. Rib Fractures / nursing. Rib Fractures / therapy. Spirometry / methods. Spirometry / nursing

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  • (PMID = 22673074.001).
  • [ISSN] 1078-7496
  • [Journal-full-title] Journal of trauma nursing : the official journal of the Society of Trauma Nurses
  • [ISO-abbreviation] J Trauma Nurs
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
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20. ||||||||.. 82%  Fabricant L, Ham B, Mullins R, Mayberry J: Prolonged pain and disability are common after rib fractures. Am J Surg; 2013 May;205(5):511-5; discusssion 515-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Prolonged pain and disability are common after rib fractures.
  • BACKGROUND: The contribution of rib fractures to prolonged pain and disability may be underappreciated and undertreated.
  • Clinicians are traditionally taught that the pain and disability of rib fractures resolves in 6 to 8 weeks.
  • METHODS: This study was a prospective observation of 203 patients with rib fractures at a level 1 trauma center.
  • RESULTS: One hundred forty-five male patients and 58 female patients with a mean injury severity score (ISS) of 20 (range, 1 to 59) had a mean of 5.4 rib fractures (range, 1 to 29).
  • Forty-four (22%) patients had bilateral fractures, 15 (7%) had flail chest, and 92 (45%) had associated injury.
  • Among 111 patients with isolated rib fractures, 67 (64%) had prolonged chest wall pain and 69 (66%) had prolonged disability.
  • CONCLUSIONS: Prolonged chest wall pain is common, and the contribution of rib fractures to disability is greater than traditionally expected.
  • Further investigation into more effective therapies that prevent prolonged pain and disability after rib fractures is needed.
  • [MeSH-major] Convalescence. Musculoskeletal Pain / etiology. Recovery of Function. Return to Work. Rib Fractures / complications

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  • [Copyright] Copyright © 2013 Elsevier Inc. All rights reserved.
  • (PMID = 23592156.001).
  • [ISSN] 1879-1883
  • [Journal-full-title] American journal of surgery
  • [ISO-abbreviation] Am. J. Surg.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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21. ||||||||.. 81%  Alexander ES, Hankins CA, Machan JT, Healey TT, Dupuy DE: Rib fractures after percutaneous radiofrequency and microwave ablation of lung tumors: incidence and relevance. Radiology; 2013 Mar;266(3):971-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Rib fractures after percutaneous radiofrequency and microwave ablation of lung tumors: incidence and relevance.
  • PURPOSE: To retrospectively identify the incidence and probable risk factors for rib fractures after percutaneous radiofrequency ablation (RFA) and microwave ablation (MWA) of neoplasms in the lung and to identify complications related to these fractures.
  • Follow-up computed tomographic images of at least 3 months were retrospectively reviewed by board-certified radiologists to determine the presence of rib fractures.
  • Generalized estimating equations were performed to assess the effect that patient demographics, tumor characteristics, treatment parameters, and ablation zone characteristics had on development of rib fractures.
  • Kaplan-Meier curve was used to estimate patients' probability of rib fracture after ablation as a function of time.
  • Clinical parameters (ie, pain in ribs or chest, organ damage caused by fractured rib) were evaluated for patients with confirmed fracture.
  • RESULTS: Rib fractures in proximity to the ablation zone were found in 13.5% (22 of 163) of patients.
  • Estimated probability of fracture was 9% at 1 year and 22% at 3 years.
  • Women were more likely than were men to develop fracture after ablation (P = .041).
  • Patients with tumors closer to the chest wall were more likely to develop fracture (P = .0009), as were patients with ablation zones that involved visceral pleura (P = .039).
  • No patients with rib fractures that were apparently induced by RFA and MWA had organ injury or damage related to fracture, and 9.1% (2 of 22) of patients reported mild pain.
  • CONCLUSION: Rib fractures were present in 13.5% of patients after percutaneous RFA and MWA of lung neoplasms.
  • Patients who had ablations performed close to the chest wall should be monitored for rib fractures.
  • [MeSH-major] Catheter Ablation / statistics & numerical data. Diathermy / statistics & numerical data. Lung Neoplasms / epidemiology. Lung Neoplasms / surgery. Postoperative Complications / epidemiology. Rib Fractures / epidemiology


22. ||||||||.. 81%  Matshes EW, Lew EO: Two-handed cardiopulmonary resuscitation can cause rib fractures in infants. Am J Forensic Med Pathol; 2010 Dec;31(4):303-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Two-handed cardiopulmonary resuscitation can cause rib fractures in infants.
  • The discovery of acute rib fractures in deceased infants and young children can be unsettling.
  • In particular, it is considered exceptional for rib fractures to follow cardiopulmonary resuscitation (CPR) on an infant; thus, some pathologists will consider such a discovery to be evidence of abuse.
  • Five unrelated, nonsequential cases of infant death are reported where multiple acute anterolateral rib arc fractures followed 2-handed CPR delivered by trained medical personnel.
  • [MeSH-major] Cardiopulmonary Resuscitation / adverse effects. Cardiopulmonary Resuscitation / methods. Rib Fractures / etiology

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  • (PMID = 20551821.001).
  • [ISSN] 1533-404X
  • [Journal-full-title] The American journal of forensic medicine and pathology
  • [ISO-abbreviation] Am J Forensic Med Pathol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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23. ||||||||.. 81%  Truitt MS, Murry J, Amos J, Lorenzo M, Mangram A, Dunn E, Moore EE: Continuous intercostal nerve blockade for rib fractures: ready for primetime? J Trauma; 2011 Dec;71(6):1548-52; discussion 1552
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Continuous intercostal nerve blockade for rib fractures: ready for primetime?
  • BACKGROUND: Providing analgesia for patients with rib fractures continues to be a management challenge.
  • METHODS: Consecutive adult blunt trauma patients with three or more unilateral rib fractures were prospectively studied over 24 months.
  • Mean age was 69 (21-96) years, mean injury severity score was 14 (9-16), and the mean number of rib fractures was 5.8 (3-10).
  • CONCLUSION: Utilization of CINB significantly improved pulmonary function, pain control, and shortens LOS in patients with rib fractures.
  • [MeSH-major] Intercostal Nerves / drug effects. Nerve Block / methods. Rib Fractures / radiography. Rib Fractures / therapy
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Amides / therapeutic use. Anesthetics, Local / therapeutic use. Female. Flail Chest / radiography. Flail Chest / therapy. Follow-Up Studies. Humans. Injury Severity Score. Male. Middle Aged. Multiple Trauma / diagnosis. Multiple Trauma / therapy. Pain Management / methods. Pain Measurement. Prospective Studies. Thoracic Injuries / diagnosis. Thoracic Injuries / therapy. Time Factors. Trauma Centers. Treatment Outcome. Urban Population. Wounds, Nonpenetrating / diagnosis. Wounds, Nonpenetrating / therapy. Young Adult

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  • [CommentIn] J Trauma Acute Care Surg. 2012 Jul;73(1):293-4; author reply 294 [22743402.001]
  • (PMID = 22182865.001).
  • [ISSN] 1529-8809
  • [Journal-full-title] The Journal of trauma
  • [ISO-abbreviation] J Trauma
  • [Language] eng
  • [Publication-type] Controlled Clinical Trial; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Amides; 0 / Anesthetics, Local; 7IO5LYA57N / ropivacaine
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24. ||||||||.. 80%  Schulze C, Hoppe H, Schweitzer W, Schwendener N, Grabherr S, Jackowski C: Rib fractures at postmortem computed tomography (PMCT) validated against the autopsy. Forensic Sci Int; 2013 Dec 10;233(1-3):90-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Rib fractures at postmortem computed tomography (PMCT) validated against the autopsy.
  • To evaluate the sensitivity of postmortem computed tomography (PMCT) in rib fracture detection validated against autopsy.
  • Two image readers (radiologist and forensic pathologist) assessed high resolution CT data sets for rib fractures.
  • Correct recognition rates (CRR), sensitivity and specificity values were calculated over all observations as well as individually for every rib and region.
  • Additionally, for partial rib fractures the sensitivity of autopsy was calculated vice versa.
  • A total of 690 fractures (autopsy), 491 (PMCT and radiologist) and 559 (PMCT and forensic pathologist) were detected.
  • Sensitivity and specificity of PMCT for rib fracture detection were 0.63 (0.58 radiologist, 0.68 forensic pathologist) and 0.97 (both readers 0.97), respectively.
  • Low CRR and sensitivity values were obtained for antero-lateral fractures.
  • Partial rib fractures were better detected by PMCT.
  • PMCT has a rather low sensitivity for rib fracture detection when validated against autopsy and indicates that clinical CT may also demonstrate a reasonable number of false negatives.
  • Partial rib fractures often remain undetected at autopsy.

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  • [Copyright] Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.
  • (PMID = 24314506.001).
  • [ISSN] 1872-6283
  • [Journal-full-title] Forensic science international
  • [ISO-abbreviation] Forensic Sci. Int.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Ireland
  • [Keywords] NOTNLM ; Forensic radiology / Postmortem CT / Rib fracture
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25. ||||||||.. 79%  Helzel I, Long W, Fitzpatrick D, Madey S, Bottlang M: Evaluation of intramedullary rib splints for less-invasive stabilisation of rib fractures. Injury; 2009 Oct;40(10):1104-10
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Evaluation of intramedullary rib splints for less-invasive stabilisation of rib fractures.
  • BACKGROUND: Intramedullary fixation of rib fractures with generic Kirschner wires has been practiced for over 50 years.
  • This biomechanical study evaluated a novel rib splint designed to replicate the less-invasive fixation approach of Kirschner wires while mitigating their associated complications.
  • METHODS: The durability, strength, and failure mode of rib fracture fixation with intramedullary rib splints were evaluated in 27 cadaveric ribs.
  • First, intact ribs were loaded to failure to determine their strength and to induce realistic rib fractures.
  • Subsequently, fractures were stabilised with a novel rib splint made of titanium alloy with a rectangular cross-section that was secured with a locking screw.
  • RESULTS: Native ribs had a strength of 9.7+/-5.0 N m, with a range of 3.5-19.6 N m.
  • Fracture fixation with rib splints was uneventful.
  • Constructs failed by splint bending in 44% of specimens and by developing fracture lines along the superior and inferior cortices in 56% of specimens.
  • Regardless of the failure mode, all rib splint constructs recoiled elastically after failure and retained functional reduction and fixation.
  • CONCLUSIONS: Rib splints can provide sufficient stability to support respiratory loading throughout the healing phase, but they cannot restore the full strength of native ribs.
  • Most importantly, rib splints mitigated the complications reported for rib fracture fixation with generic Kirschner wires, namely implant cut-out and migration through the lateral cortex.
  • Therefore, rib splints may provide an advanced alternative to the original Kirschner wire technique for less-invasive fixation of rib fractures.
  • [MeSH-major] Fracture Fixation, Intramedullary / instrumentation. Rib Fractures / surgery. Splints

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  • (PMID = 19573871.001).
  • [ISSN] 1879-0267
  • [Journal-full-title] Injury
  • [ISO-abbreviation] Injury
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Netherlands
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26. ||||||||.. 77%  Agrifoglio M, Zoli S, Gennari M, Annoni A, Polvani G: Expanding extrapleural hematoma from rib fractures after cardiac surgery. Asian Cardiovasc Thorac Ann; 2013 Jun;21(3):366-8
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  • [Title] Expanding extrapleural hematoma from rib fractures after cardiac surgery.
  • A chest computed tomography showed a huge extrapleural hematoma caused by rib fractures.

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  • (PMID = 24570512.001).
  • [ISSN] 1816-5370
  • [Journal-full-title] Asian cardiovascular & thoracic annals
  • [ISO-abbreviation] Asian Cardiovasc Thorac Ann
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Aortic aneurysm / coronary artery bypass / hematoma / postoperative complications / rib fractures
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27. ||||||||.. 76%  Winters BA: Older adults with traumatic rib fractures: an evidence-based approach to their care. J Trauma Nurs; 2009 Apr-Jun;16(2):93-7
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  • [Title] Older adults with traumatic rib fractures: an evidence-based approach to their care.
  • This article provides a clinical guideline for the assessment and management of pain in older adults with traumatic rib fractures, and an approach for pain assessment, which includes the use of the numeric rating scale as well as incentive spirometry.
  • [MeSH-major] Aged. Analgesia / methods. Pain / prevention & control. Practice Guidelines as Topic. Rib Fractures / complications. Thoracic Injuries / complications

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  • (PMID = 19543018.001).
  • [ISSN] 1078-7496
  • [Journal-full-title] Journal of trauma nursing : the official journal of the Society of Trauma Nurses
  • [ISO-abbreviation] J Trauma Nurs
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 22
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28. ||||||||.. 75%  Majercik S, Cannon Q, Granger SR, VanBoerum DH, White TW: Long-term patient outcomes after surgical stabilization of rib fractures. Am J Surg; 2014 Jul;208(1):88-92
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  • [Title] Long-term patient outcomes after surgical stabilization of rib fractures.
  • BACKGROUND: Rib fractures are common, and can be disabling.
  • Recently, there has been increased interest in surgical stabilization of rib fractures (SSRF).
  • Indications for SSRF included flail chest, displaced fractures, pain, and inability to wean from mechanical ventilation.
  • A prospective study using modern rib fixation technology is needed to further define benefits.

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  • [Copyright] Copyright © 2014 Elsevier Inc. All rights reserved.
  • (PMID = 24507379.001).
  • [ISSN] 1879-1883
  • [Journal-full-title] American journal of surgery
  • [ISO-abbreviation] Am. J. Surg.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Keywords] NOTNLM ; Chest trauma / Flail chest / Outcomes / Rib fracture / Surgical stabilization of rib fractures
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29. |||||||... 74%  Chan SS: Emergency bedside ultrasound for the diagnosis of rib fractures. Am J Emerg Med; 2009 Jun;27(5):617-20
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  • [Title] Emergency bedside ultrasound for the diagnosis of rib fractures.
  • One of the relatively newer applications is its use in the detection of rib fractures.
  • The author discusses the technique, applicability, limitations, and role of emergency ultrasound in the diagnosis of rib fractures.
  • [MeSH-major] Emergency Service, Hospital. Point-of-Care Systems. Rib Fractures / ultrasonography

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  • (PMID = 19497469.001).
  • [ISSN] 1532-8171
  • [Journal-full-title] The American journal of emergency medicine
  • [ISO-abbreviation] Am J Emerg Med
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 20
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30. |||||||... 74%  Melville JD, Lukefahr JL, Clarke EA: First rib fractures in abused infants: a report of three cases. Clin Pediatr (Phila); 2012 May;51(5):426-30
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  • [Title] First rib fractures in abused infants: a report of three cases.
  • The authors describe 4 first rib fractures in 3 infants, highlighting the difficulty in detecting first rib fractures on skeletal survey.
  • All 4 fractures were the result of physical abuse.
  • A literature search does not find a case of first rib fracture in a healthy infant that is not the result of child abuse.
  • The diagnosis of first rib fracture in an infant should prompt a thorough medical and social evaluation for child abuse.
  • [MeSH-major] Child Abuse / diagnosis. Rib Fractures / diagnosis
  • [MeSH-minor] Delayed Diagnosis. Humans. Infant. Male

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  • (PMID = 22157420.001).
  • [ISSN] 1938-2707
  • [Journal-full-title] Clinical pediatrics
  • [ISO-abbreviation] Clin Pediatr (Phila)
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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31. |||||||... 73%  Khosla A, Ocel J, Rad AE, Kallmes DF: Correlating first- and second-rib fractures noted on spine computed tomography with major vessel injury. Emerg Radiol; 2010 Nov;17(6):461-4
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  • [Title] Correlating first- and second-rib fractures noted on spine computed tomography with major vessel injury.
  • First- and second-rib fractures diagnosed on plain radiographs have been associated with traumatic aortic injury.
  • We examined whether such fractures diagnosed on computed tomography (CT), which is of greater sensitivity than plain radiograms for rib fractures, are associated with traumatic vascular injury.
  • The patients were divided into two groups: patients with first- and/or second-rib fractures and those without.
  • Information regarding displacement of the fracture, location of the fracture, detection upon plain film, and gender of the patients was also evaluated and correlated with incidence of major vessel injury.
  • Incidence of major vessel injury was similar between patients with and without first- and/or second-rib fractures (7% vs. 9%, respectively; p = 0.59).
  • No subset of type of rib fracture was associated with greater incidence of aortic injury.
  • First- and second-fractures are not associated with greater incidence of aortic injury.
  • Thus, the previous axiom that first- and second-rib fractures should result in increased examination for aortic injury may not hold true.
  • [MeSH-major] Aorta, Thoracic / injuries. Rib Fractures / radiography. Tomography, X-Ray Computed. Vascular System Injuries / radiography. Wounds, Nonpenetrating / radiography


32. |||||||... 71%  Okutani D, Moriyama S, Ootsuka T, Niman E, Kashima H, Kuroda M, Yoshitomi S, Yamano T, Takagi S, Ikeda E, Hirai R, Tsuji H: [Assessment of traumatic rib fractures caused by traffic accident]. Kyobu Geka; 2014 May;67(5):362-5
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  • [Title] [Assessment of traumatic rib fractures caused by traffic accident].
  • We reviewed 66 cases of traumatic rib fracture by traffic accident between January 2009 and December 2011.
  • The average number of fractured ribs was 4.1±3.2.Multiple rib fractures were observed in 75.8% of patients.
  • Injuries other than rib fractures were involved in all patients who suffered over 7 rib fractures.
  • About 80 % of the patients with rib fractures were hospitalized.
  • As traffic accidents could cause any type of injuries including rib fractures, it is important to examine the whole body when patients were transported to a hospital.

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  • (PMID = 24917279.001).
  • [ISSN] 0021-5252
  • [Journal-full-title] Kyobu geka. The Japanese journal of thoracic surgery
  • [ISO-abbreviation] Kyobu Geka
  • [Language] jpn
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Japan
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33. |||||||... 71%  Barrett-Connor E, Nielson CM, Orwoll E, Bauer DC, Cauley JA, Osteoporotic Fractures in Men Study Group: Epidemiology of rib fractures in older men: Osteoporotic Fractures in Men (MrOS) prospective cohort study. BMJ; 2010;340:c1069
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  • [Title] Epidemiology of rib fractures in older men: Osteoporotic Fractures in Men (MrOS) prospective cohort study.
  • OBJECTIVE: To study the causes and consequences of radiologically confirmed rib fractures (seldom considered in the context of osteoporosis) in community dwelling older men.
  • DESIGN: Prospective cohort study (Osteoporotic Fractures in Men (MrOS) Study).
  • SETTING AND PARTICIPANTS: 5995 men aged 65 or over recruited in 2000-2 from six US sites; 99% answered mailed questionnaires about falls and fractures every four months for a mean 6.2 (SD 1.3) year follow-up.
  • MAIN OUTCOME MEASURES: New fractures validated by radiology reports; multivariate Cox proportional hazard ratios were used to evaluate factors independently associated with time to incident rib fracture; associations between baseline rib fracture and incident hip and wrist fracture were also evaluated.
  • RESULTS: The incidence of rib fracture was 3.5/1000 person years, and 24% (126/522) of all incident non-spine fractures were rib fractures.
  • Nearly half of new rib fractures (48%; n=61) followed falling from standing height or lower.
  • Independent risk factors for an incident rib fracture were age 80 or above, low bone density, difficulty with instrumental activities of daily living, and a baseline history of rib/chest fracture.
  • Men with a history of rib/chest fracture had at least a twofold increased risk of an incident rib fracture (adjusted hazard ratio 2.71, 95% confidence interval 1.86 to 3.95), hip fracture (2.05, 1.33 to 3.15), and wrist fracture (2.06, 1.14 to 3.70).
  • Only 14/82 of men reported being treated with bone specific drugs after their incident rib fracture.
  • CONCLUSIONS: Rib fracture, the most common incident clinical fracture in men, was associated with classic risk markers for osteoporosis, including old age, low hip bone mineral density, and history of fracture.
  • A history of rib fracture predicted a more than twofold increased risk of future fracture of the rib, hip, or wrist, independent of bone density and other covariates.
  • Rib fractures should be considered to be osteoporotic fractures in the evaluation of older men for treatment to prevent future fracture.
  • [MeSH-major] Osteoporosis / epidemiology. Rib Fractures / epidemiology


34. |||||||... 71%  Bottlang M, Helzel I, Long W, Fitzpatrick D, Madey S: Less-invasive stabilization of rib fractures by intramedullary fixation: a biomechanical evaluation. J Trauma; 2010 May;68(5):1218-24
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  • [Title] Less-invasive stabilization of rib fractures by intramedullary fixation: a biomechanical evaluation.
  • BACKGROUND: This study evaluated intramedullary fixation of rib fractures with Kirschner wires and novel ribs splints.
  • We hypothesized that rib splints can provide equivalent fixation strength while avoiding complications associated with Kirschner wires, namely wire migration and cutout.
  • METHODS: The durability, strength, and failure modes of rib fracture fixation with Kirschner wires and rib splints were evaluated in 22 paired human ribs.
  • First, intact ribs were loaded to failure to determine their strength.
  • After fracture fixation with Kirschner wires and rib splints, fixation constructs were dynamically loaded to 360,000 cycles at five times the respiratory load to determine their durability.
  • Dynamic loading caused three times more subsidence in Kirschner wire constructs (1.2 mm +/- 1.4 mm) than in rib splint constructs (0.4 mm +/- 0.2 mm, p = 0.09).
  • After dynamic loading, rib splint constructs remained 48% stronger than Kirschner wire constructs (p = 0.001).
  • Rib splint constructs failed by development of fracture lines along the superior and interior cortices.
  • CONCLUSIONS: Because of their superior strength and absence of catastrophic failure mode, rib splints can serve as an attractive alternative to Kirschner wires for intramedullary stabilization of rib fractures, especially in the case of posterior rib fractures where access for plating is limited.
  • [MeSH-major] Bone Wires. Fracture Fixation, Intramedullary / instrumentation. Rib Fractures / surgery
  • [MeSH-minor] Aged. Biomechanical Phenomena. Elasticity. Equipment Design. Equipment Failure Analysis. Female. Foreign-Body Migration / etiology. Fracture Healing. Humans. Male. Materials Testing. Rotation. Splints / adverse effects. Splints / standards. Tensile Strength. Weight-Bearing

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  • (PMID = 20068479.001).
  • [ISSN] 1529-8809
  • [Journal-full-title] The Journal of trauma
  • [ISO-abbreviation] J Trauma
  • [Language] eng
  • [Publication-type] Comparative Study; Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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35. |||||||... 71%  Szucs-Farkas Z, Lautenschlager K, Flach PM, Ott D, Strautz T, Vock P, Ruder TD: Bone images from dual-energy subtraction chest radiography in the detection of rib fractures. Eur J Radiol; 2011 Aug;79(2):e28-32
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  • [Title] Bone images from dual-energy subtraction chest radiography in the detection of rib fractures.
  • OBJECTIVE: To assess the sensitivity and image quality of chest radiography (CXR) with or without dual-energy subtracted (ES) bone images in the detection of rib fractures.
  • MATERIALS AND METHODS: In this retrospective study, 39 patients with 204 rib fractures and 24 subjects with no fractures were examined with a single exposure dual-energy subtraction digital radiography system.
  • The locations of rib fractures were registered with confidence levels on a 3-grade scale.
  • Marks by readers were compared with fracture localizations in CT as a standard of reference.
  • RESULTS: The sensivity for fracture detection using both methods was very similar (34.3% with standard CXR and 33.5% with ES-CXR, p=0.92).
  • At the patient level, both sensitivity (71.8%) and specificity (92.9%) with or without ES were identical.
  • Diagnostic confidence was not significantly different (2.61 with CXR and 2.75 with ES-CXR, p=0.063).
  • Image quality with ES was rated higher than that on standard CXR (4.08 vs. 3.74, p<0.001).
  • CONCLUSIONS: Despite a better image quality, adding ES bone images to standard radiographs of the chest does not provide better sensitivity or improved diagnostic confidence in the detection of rib fractures.
  • [MeSH-major] Radiography, Dual-Energy Scanned Projection / methods. Radiography, Thoracic / methods. Rib Fractures / radiography

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  • [Copyright] Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
  • (PMID = 20171819.001).
  • [ISSN] 1872-7727
  • [Journal-full-title] European journal of radiology
  • [ISO-abbreviation] Eur J Radiol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Ireland
  • [Chemical-registry-number] 0 / Contrast Media; 182ECH14UH / iobitridol; 4419T9MX03 / Iohexol
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36. |||||||... 70%  Hong TS, Reyes JA, Moineddin R, Chiasson DA, Berdon WE, Babyn PS: Value of postmortem thoracic CT over radiography in imaging of pediatric rib fractures. Pediatr Radiol; 2011 Jun;41(6):736-48
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  • [Title] Value of postmortem thoracic CT over radiography in imaging of pediatric rib fractures.
  • BACKGROUND: Studies have reported that thoracic CT may provide greater sensitivity compared with radiography in detection of pediatric rib fractures and fracture healing.
  • OBJECTIVE: To determine the additional value of postmortem thoracic CT compared with radiography in detecting pediatric rib fractures, and fracture healing, using autopsy findings as a gold standard.
  • RESULTS: Primary interpretation: Fractures were recognized on radiography in 5/12 patients who had fractures found at autopsy, and on CT in 8/12 patients.
  • In total, 29% (24/83) of fractures were reported on radiography, and 51% (52/101) of fractures were reported on CT.
  • Study radiologist: Fractures were recognized on radiography in 7/12 patients who had fractures found at autopsy, and on CT in 11/12 patients.
  • In total, 46% (38/83) of fractures were reported on radiography, and 85% (86/101) of fractures were reported on CT.
  • CONCLUSION: Postmortem thoracic CT provides greater sensitivity than radiography in detecting pediatric rib fractures, most notably in anterior and posterior fractures.
  • [MeSH-major] Battered Child Syndrome / radiography. Child Abuse / diagnosis. Radiography, Thoracic / methods. Rib Fractures / radiography. Tomography, X-Ray Computed / methods. X-Ray Film


37. |||||||... 70%  Ingalls NK, Horton ZA, Bettendorf M, Frye I, Rodriguez C: Randomized, double-blind, placebo-controlled trial using lidocaine patch 5% in traumatic rib fractures. J Am Coll Surg; 2010 Feb;210(2):205-9
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  • [Title] Randomized, double-blind, placebo-controlled trial using lidocaine patch 5% in traumatic rib fractures.
  • Anecdotal experience at our institution suggests the lidocaine patch 5% decreases narcotic usage in patients with traumatic rib fractures.
  • STUDY DESIGN: Patients with rib fractures admitted to the trauma service at our Level I trauma center were enrolled and randomized in a 1 to 1 double-blind manner to receive a lidocaine patch 5% or placebo patch.
  • There were no significant differences in age, number of rib fractures, gender, trauma mechanism, preinjury lung disease, smoking history, percent of current smokers, and need for placement of chest tube between the lidocaine patch 5% and placebo groups.
  • CONCLUSIONS: The lidocaine patch 5% does not significantly improve pain control in polytrauma patients with traumatic rib fractures.
  • [MeSH-major] Anesthetics, Local / administration & dosage. Lidocaine / administration & dosage. Pain / drug therapy. Rib Fractures / complications
  • [MeSH-minor] Administration, Cutaneous. Adult. Double-Blind Method. Female. Humans. Length of Stay. Male. Middle Aged. Multiple Trauma / complications. Multiple Trauma / diagnosis. Multiple Trauma / therapy. Narcotics / administration & dosage. Pain Measurement. Treatment Outcome

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  • (PMID = 20113941.001).
  • [ISSN] 1879-1190
  • [Journal-full-title] Journal of the American College of Surgeons
  • [ISO-abbreviation] J. Am. Coll. Surg.
  • [Language] eng
  • [Publication-type] Journal Article; Randomized Controlled Trial
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Anesthetics, Local; 0 / Narcotics; 98PI200987 / Lidocaine
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38. |||||||... 70%  Chai X, Lin Q, Ruan Z, Zheng J, Zhou J, Zhang J: The clinical application of absorbable intramedullary nail and claw plate on treating multiple rib fractures. Minerva Chir; 2013 Aug;68(4):415-20
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  • [Title] The clinical application of absorbable intramedullary nail and claw plate on treating multiple rib fractures.
  • AIM: The absorption intramedullary nail and claw plate indications and efficacy were investigated in the treatment of a life-threatening multiple rib fractures.
  • METHODS: A retrospective analysis of 248 surgically treated rib fracture patients was performed who admitted to our hospital from March 2007 to December 2012.
  • Routine follow-up was from 1 to 2 years, displaced fractures were in 2 cases, and there were 11 cases of internal fixation and extraction.
  • CONCLUSION: Internal fixation is a simple and reliable method for the treatment of multiple rib fractures.
  • [MeSH-major] Absorbable Implants. Bone Nails. Bone Plates. Fracture Fixation, Internal. Multiple Trauma / surgery. Rib Fractures / surgery

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  • (PMID = 23764613.001).
  • [ISSN] 0026-4733
  • [Journal-full-title] Minerva chirurgica
  • [ISO-abbreviation] Minerva Chir
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Italy
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39. |||||||... 69%  Henriques AC, Malena CR, Freitas AC, Waisberg J, Pires AC: [Transdiaphragmatic intercostal hernia after spontaneous rib fractures secondary to coughing fit]. Rev Col Bras Cir; 2010 Feb;37(1):78-80
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  • [Title] [Transdiaphragmatic intercostal hernia after spontaneous rib fractures secondary to coughing fit].
  • [Transliterated title] Hérnia intercostal transdiafragmática após fratura espontânea de costelas secundária à crise de tosse.
  • One case of transdiafragmatic intercostal hernia after intense coughing fit followed by rib fractures in patient with history of pneumonia is presented.
  • Image exams confirmed the diagnosis.
  • The sooner the disease is diagnosed and treated the better the prognoses will be since it will prevent hernia from strangulation and incarceration.
  • [MeSH-major] Cough / complications. Fractures, Spontaneous / complications. Hernia, Diaphragmatic / etiology. Rib Fractures / complications
  • [MeSH-minor] Aged. Humans. Male. Ribs

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  • (PMID = 20414582.001).
  • [ISSN] 1809-4546
  • [Journal-full-title] Revista do Colégio Brasileiro de Cirurgiões
  • [ISO-abbreviation] Rev Col Bras Cir
  • [Language] por
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Brazil
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40. |||||||... 69%  Gamer LW, Cox K, Carlo JM, Rosen V: Overexpression of BMP3 in the developing skeleton alters endochondral bone formation resulting in spontaneous rib fractures. Dev Dyn; 2009 Sep;238(9):2374-81
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  • [Title] Overexpression of BMP3 in the developing skeleton alters endochondral bone formation resulting in spontaneous rib fractures.
  • BMP3 transgenic mice displayed spontaneous rib fractures that were first detected at E17.0.
  • The fractures were due to defects in differentiation of the periosteum and late hypertrophic chondrocytes resulting in thinner cortical bone with decreased mineralization.
  • As BMP3 modulates BMP and activin signaling through ActRIIB, we examined the ribs of ActRIIB receptor knockout mice and found they had defects in late chondrogenesis and mineralization similar to BMP3 transgenic mice.
  • [MeSH-major] Bone Morphogenetic Protein 3 / physiology. Fractures, Spontaneous / genetics. Rib Fractures / genetics

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  • (NIF). Mouse Genome Informatics Transgenes: Data: Gene Expression .
  • KOMP Repository. gene/protein/disease-specific - KOMP Repository (subscription/membership/fee required).
  • Mouse Genome Informatics (MGI). Mouse Genome Informatics (MGI) .
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  • [Copyright] 2009 Wiley-Liss, Inc.
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  • (PMID = 19653325.001).
  • [ISSN] 1097-0177
  • [Journal-full-title] Developmental dynamics : an official publication of the American Association of Anatomists
  • [ISO-abbreviation] Dev. Dyn.
  • [Language] eng
  • [Grant] United States / NIAMS NIH HHS / AR / AR50174; United States / NIAMS NIH HHS / AR / R01 AR050174-01A1; United States / NIAMS NIH HHS / AR / R01 AR055904
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Bone Morphogenetic Protein 3; EC 2.7.11.30 / Activin Receptors, Type II; EC 2.7.11.30 / activin receptor type II-B
  • [Other-IDs] NLM/ NIHMS188967; NLM/ PMC3523674
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41. |||||||... 69%  Liu J, Li K, He J: [Internal fixation treatment of multiple rib fractures with absorbable rib-connecting-pins]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2011 Jan;25(1):100-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Internal fixation treatment of multiple rib fractures with absorbable rib-connecting-pins].
  • OBJECTIVE: To study the indications, methods, and therapeutic effect of absorbable rib-connecting-pins fixation in the treatment of multiple rib fractures.
  • METHODS: Between March 2007 and September 2009, 40 patients with multiple rib fractures received internal fixation with absorbable rib-connecting-pins, including 8 one-side flail chest and 1 two-side flail chest.
  • Preoperatively, imaging data of the chest X-ray or spiral CT three-dimensional (3D) examination showed that all patients had multiple ribs fractures and displacement.
  • The number of fractured ribs was 4-10 (median, 6), and the fracture location ranged from the 2nd to the 10th ribs.
  • RESULTS: The median fixation rib number was 5 (range, 3-8).
  • The chest X-ray films or spiral CT 3D indicated that fracture of rib healed within 3-6 months (mean, 4.5 months) after operation.
  • CONCLUSION: Severe collapsed chest wall or flail chest caused by fracture of multiple ribs should be treated by absorbable rib-connecting-pins, which is a simple, firm, and effective method.
  • [MeSH-major] Fracture Fixation, Internal / instrumentation. Fracture Fixation, Internal / methods. Rib Fractures / surgery

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  • (PMID = 21351621.001).
  • [ISSN] 1002-1892
  • [Journal-full-title] Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
  • [ISO-abbreviation] Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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42. |||||||... 69%  Kouritas VK, Baloyiannis I, Desimonas N, Daponte A, Kouvaraki M, Hatzitheofilou K: Rib fractures with heamothorax after labor: a case report. Cases J; 2009;2:8950
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Rib fractures with heamothorax after labor: a case report.
  • Small right-sided haemothorax and rib fractures bilaterally were diagnosed and she was admitted to hospital.

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  • (PMID = 20184704.001).
  • [ISSN] 1757-1626
  • [Journal-full-title] Cases journal
  • [ISO-abbreviation] Cases J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC2827118
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43. |||||||... 67%  Franke I, Pingen A, Schiffmann H, Vogel M, Vlajnic D, Ganschow R, Born M, for Arbeitsgemeinschaft Kinderschutz in der Medizin: Cardiopulmonary resuscitation (CPR)-related posterior rib fractures in neonates and infants following recommended changes in CPR techniques. Child Abuse Negl; 2014 Jul;38(7):1267-74
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Cardiopulmonary resuscitation (CPR)-related posterior rib fractures in neonates and infants following recommended changes in CPR techniques.
  • Posterior rib fractures are highly indicative of non-accidental trauma (NAT) in infants.
  • Is it possible that posterior rib fractures in newborns and infants could be caused by the "two-thumbs" technique?
  • No rib fracture was visible on any chest X-ray.
  • The results of this study suggest rib fracture after the use of the "two-thumbs" CPR technique is uncommon.
  • Thus, there should be careful consideration of abuse when these fractures are identified, regardless of whether CPR was performed and what technique used.
  • The discovery of rib fractures in an infant who has undergone CPR without underlying bone disease or major trauma warrants a full child protection investigation.

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  • [Copyright] Copyright © 2014 Elsevier Ltd. All rights reserved.
  • (PMID = 24636360.001).
  • [ISSN] 1873-7757
  • [Journal-full-title] Child abuse & neglect
  • [ISO-abbreviation] Child Abuse Negl
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Abusive head trauma / CPR in infants / Chest radiographs / Child abuse / Posterior rib fractures / “two-thumbs” technique
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44. |||||||... 67%  Bixby SD, Abo A, Kleinman PK: High-impact trauma causing multiple posteromedial rib fractures in a child. Pediatr Emerg Care; 2011 Mar;27(3):218-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] High-impact trauma causing multiple posteromedial rib fractures in a child.
  • Rib fractures in infants and young children are highly associated with abuse.
  • Fractures near the costovertebral junction carry a high specificity for abuse because they result from excessive anteroposterior chest compression, which may occur when a child is gripped around the chest by an assailant.
  • This results in excessive levering of the posterior ribs over the vertebral transverse processes, resulting in fracture near the rib head or neck.
  • We describe a young child involved in a motor vehicle collision who sustained multiple posteromedial and lateral rib fractures in identical locations to those found in victims of abuse.
  • In this patient, the presumed mechanism of injury was consistent with the compressive forces that cause rib fractures in abused infants and young children.
  • This case illustrates how a high-impact traumatic event may cause rib fractures that would otherwise point strongly to abuse.
  • [MeSH-major] Accidents, Traffic. Multiple Trauma / complications. Rib Fractures / etiology

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  • (PMID = 21378526.001).
  • [ISSN] 1535-1815
  • [Journal-full-title] Pediatric emergency care
  • [ISO-abbreviation] Pediatr Emerg Care
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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45. |||||||... 67%  Campbell N, Conaglen P, Martin K, Antippa P: Surgical stabilization of rib fractures using Inion OTPS wraps--techniques and quality of life follow-up. J Trauma; 2009 Sep;67(3):596-601
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Surgical stabilization of rib fractures using Inion OTPS wraps--techniques and quality of life follow-up.
  • BACKGROUND: A variety of operative techniques have been described in the past for the surgical stabilization of fractured ribs.
  • METHODS: From February 2004 to November 2008, consecutive patients who underwent open reduction and internal fixation of traumatic fractured ribs during their index admission using the Inion orthopedic trauma plating system (OTPS) at a Level I trauma center were retrospectively analyzed.
  • Demographics, Injury Severity Scores, number and site of rib fractures, operative details, and complications were recorded.
  • Median number of ribs fixed was 3 (IQR, 2-4), while median number of fractures was 9 (IQR, 6-13).
  • Wound infection occurred in 19%, with nonunion of a fixed fracture in one patient.
  • The Inion OTPS system has several advantages including gradual transference of stress loads to bone, micromotion across the fracture site, and easy wrapping of comminuted fractures.
  • This technique allows excellent stabilization of fractured ribs, with good clinical results in ambulant and ventilated patients, both with initial and with midterm follow-up.
  • [MeSH-major] Bone Plates. Fracture Fixation, Internal / instrumentation. Quality of Life. Rib Fractures / surgery
  • [MeSH-minor] Adult. Cohort Studies. Female. Fracture Healing. Humans. Male. Middle Aged. Patient Satisfaction. Retrospective Studies. Treatment Outcome

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  • (PMID = 19741406.001).
  • [ISSN] 1529-8809
  • [Journal-full-title] The Journal of trauma
  • [ISO-abbreviation] J Trauma
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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46. |||||||... 67%  Smurthwaite D, Wright NB, Russell S, Emmerson AJ, Mughal MZ: How common are rib fractures in extremely low birth weight preterm infants? Arch Dis Child Fetal Neonatal Ed; 2009 Mar;94(2):F138-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] How common are rib fractures in extremely low birth weight preterm infants?
  • BACKGROUND: This study was prompted by incidental finding of healing rib fractures on chest radiographs of ex-preterm born infants, who were admitted to hospital with acute respiratory illnesses within a few weeks of discharge from the neonatal intensive care unit (NICU).
  • Rib fractures in infants, particularly those situated posteriorly, are considered to be specific for non-accidental injury (NAI).
  • RESULTS: Five out of 72 (7%) infants studied had radiologically apparent rib fractures.
  • None involved posterior rib shafts.
  • All infants with rib fractures died on the NICU.
  • CONCLUSIONS: The possibility of NAI should be considered in ex-ELBW infants found to have rib fractures.
  • [MeSH-major] Infant, Extremely Low Birth Weight. Rib Fractures / radiography
  • [MeSH-minor] Female. Fracture Healing / physiology. Gestational Age. Humans. Incidence. Infant, Newborn. Intensive Care Units, Neonatal. Male. Retrospective Studies

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  • (PMID = 18684749.001).
  • [ISSN] 1468-2052
  • [Journal-full-title] Archives of disease in childhood. Fetal and neonatal edition
  • [ISO-abbreviation] Arch. Dis. Child. Fetal Neonatal Ed.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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47. |||||||... 67%  Bottlang M, Helzel I, Long WB, Madey S: Anatomically contoured plates for fixation of rib fractures. J Trauma; 2010 Mar;68(3):611-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Anatomically contoured plates for fixation of rib fractures.
  • This study implemented for the first time biometric parameters to derive anatomically contoured rib plates.
  • These plates were tested on a range of cadaveric ribs to quantify plate fit and to extract a best-fit plating configuration.
  • METHODS: : Three left and three right rib plates were designed, which accounted for anatomic parameters required when conforming a plate to the rib surface.
  • The length lP over which each plate could trace the rib surface was evaluated on 109 cadaveric ribs.
  • For each rib level 3-9, the plate design with the highest lP value was extracted to determine a best-fit plating configuration.
  • Furthermore, the characteristic twist of rib surfaces was measured on 49 ribs to determine the surface congruency of anatomic plates with a constant twist.
  • RESULTS: : The tracing length lP of the best-fit plating configuration ranged from 12.5 cm to 14.7 cm for ribs 3-9.
  • The average twist of ribs over 8-cm, 12-cm, and 16-cm segments was 8.3 degrees, 20.6 degrees, and 32.7 degrees, respectively.
  • The constant twist of anatomic rib plates was not significantly different from the average rib twist.
  • CONCLUSIONS: : A small set of anatomic rib plates can minimize the need for intraoperative plate contouring for fixation of ribs 3-9.
  • Anatomic rib plates can therefore reduce the time and complexity of flail chest stabilization and facilitate spanning of flail segments with long plates.
  • [MeSH-major] Bone Plates. Flail Chest / surgery. Fracture Fixation, Internal / instrumentation. Prosthesis Design. Rib Fractures / surgery

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  • (PMID = 19935113.001).
  • [ISSN] 1529-8809
  • [Journal-full-title] The Journal of trauma
  • [ISO-abbreviation] J Trauma
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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48. |||||||... 67%  Sheng GG, Duwayri YM, Emery VB, Wittenberg AM, Moriarty CT, Thompson RW: Costochondral calcification, osteophytic degeneration, and occult first rib fractures in patients with venous thoracic outlet syndrome. J Vasc Surg; 2012 May;55(5):1363-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Costochondral calcification, osteophytic degeneration, and occult first rib fractures in patients with venous thoracic outlet syndrome.
  • OBJECTIVE: Subclavian vein (SCV) compression in venous thoracic outlet syndrome (TOS) has been attributed to various anatomic factors, but a potential role for costochondral degeneration in the underlying first rib has not been previously examined.
  • The purpose of this study was to examine the frequency of costochondral calcification (CC), osteophytic degeneration (OD), and occult first rib fractures (FRFx) in patients with venous TOS.
  • All patients underwent paraclavicular thoracic outlet decompression with complete resection of the first rib to the sternum, with 20 (54%) having concomitant SCV reconstruction.
  • The presence or absence of CC, OD, and FRFx was determined by direct visual examination of the rib at operation and following debridement of the excised specimen.
  • RESULTS: One patient had a cervical rib but there were none with radiographic first rib abnormalities.
  • All FRFx were small, nondisplaced, linear lesions located within an area of CC in the anterior rib, typically in association with OD and perivenous soft tissue thickening.
  • The mean age of patients with FRFx was higher than those with a normal first rib (38.1 ± 1.5 years vs 25.0 ± 2.3 years; P < .0001), and FRFx were present in 16 of 21 (76%) patients ≥ 30 years of age but in no patients younger than 30 (P < .0001).
  • These lesions occur in the cartilaginous anterior rib where they are clinically occult and undetected by standard radiographic imaging.
  • [MeSH-major] Calcinosis / etiology. Osteophyte / etiology. Rib Fractures / etiology. Ribs / injuries. Subclavian Vein / pathology. Thoracic Outlet Syndrome / complications


49. |||||||... 66%  Liu J, Li K, Ju Z, Bai Y: [Internal fixation treatment of multiple rib fractures with absorbable rib-connecting-pins under epidural anesthesia]. Zhongguo Yi Liao Qi Xie Za Zhi; 2011 Mar;35(2):147-8, 151
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Internal fixation treatment of multiple rib fractures with absorbable rib-connecting-pins under epidural anesthesia].
  • OBJECTIVE: To study the indications, methods and experience of absorbable rib-connecting-pins fixation in the treatment of multiple rib fractures.
  • METHOD: 52 cases with multiple rib fractures were performed internal fixation with absorbable rib-connecting-pins under epidural anesthesia.
  • All fractures were achieved healing in 3 to 6 months after the operation and were not found chest wall deformity.
  • CONCLUSIONS: Absorbable rib-connecting-pins fixation is a simple and effective method and worthies recommending to perform operation for the appropriate cases with multiple rib fractures.
  • [MeSH-major] Absorbable Implants. Fracture Fixation, Internal / instrumentation. Multiple Trauma / surgery. Rib Fractures / surgery

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  • (PMID = 21706805.001).
  • [ISSN] 1671-7104
  • [Journal-full-title] Zhongguo yi liao qi xie za zhi = Chinese journal of medical instrumentation
  • [ISO-abbreviation] Zhongguo Yi Liao Qi Xie Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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50. ||||||.... 65%  Kim YJ, Cho HM, Yoon CS, Lee CK, Lee TY, Seok JP: Thoracic Epidural Anesthesia and Analgesia (TEA) in Patients with Rib Fractures. Korean J Thorac Cardiovasc Surg; 2011 Apr;44(2):178-82
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Thoracic Epidural Anesthesia and Analgesia (TEA) in Patients with Rib Fractures.
  • BACKGROUND: We analyzed the results of surgical reduction and fixation of ribs under thoracic epidural anesthesia and analgesia (TEA) in patients who had no more than 3 consecutive rib fractures with severe displacement to examine the clinical usefulness of this method.
  • MATERIALS AND METHODS: From May 2008 to March 2010, 35 patients underwent surgical reduction and fixation of ribs under TEA.
  • We reviewed the indications for this technique, number of fixed ribs, combined surgical procedures for thoracic trauma, intraoperative cardiopulmonary events, postoperative complications, reestablishment of enteral nutrition, and ambulation.
  • RESULTS: The indications of TEA were malunion or nonunion of fractured ribs in 29 (82.9%; first operation) and incompletely ribs under previous general anesthesia in 6 (17.1%; second operation).
  • The average number of fixed ribs per patient was 1.7 (range: 1~3).

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  • (PMID = 22263147.001).
  • [ISSN] 2093-6516
  • [Journal-full-title] The Korean journal of thoracic and cardiovascular surgery
  • [ISO-abbreviation] Korean J Thorac Cardiovasc Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC3249296
  • [Keywords] NOTNLM ; Anesthesia / Ribs / Trauma, blunt
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