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For the condition to occur, generally there must be a significant force applied over a large surface of the thorax to create the multiple anterior and posterior rib fractures. Rollover and crushing injuries most commonly break ribs at only one point, whereas for flail chest to occur a significant impact is required, breaking the ribs in two or ...
[5] [1] Fractures of the first or second ribs are more likely to be associated with complications. [6] Diagnosis can be made based on symptoms and supported by medical imaging. [3] Pain control is an important part of treatment. [7] This may include the use of paracetamol (acetaminophen), NSAIDs, or opioids. [2] A nerve block may be another ...
Management is a mixture of medical (eg pain relief, respiratory support, chest drainage and antibiotics), non-medical (physiotherapy and rehabilitation) and surgical (fixation of rib fractures if appropriate and operative treatment of cardiac, lung, airway, diaphragm and oesophageal injuries).
A sternal fracture is a fracture of the sternum (the breastbone), located in the center of the chest.The injury, which occurs in 5–8% of people who experience significant blunt chest trauma, may occur in vehicle accidents, when the still-moving chest strikes a steering wheel or dashboard [1] or is injured by a seatbelt.
DISH has no indication of a genetic link, is primarily thoracic and does not affect organs other than the lungs, and only indirectly due to the fusion of the rib cage. [10] Long-term treatment of acne with vitamin derived retinoids, such as etretinate [11] and acitretin, [12] have been associated with extraspinal hyperostosis.
[7] [6] The most common area affected is the lower thoracic and upper lumbar spine. [6] A CT scan is recommended as part of the diagnostic work-up to detect any potential abdominal injuries. [5] The fracture is often unstable. [1] Treatment may be conservative with the use of a brace or via surgery. [1] The fracture is currently rare. [7]
It is mainly diagnosed by ultrasound. Treatment involves supportive care, correction of the underlying cause, and occasionally drainage. The prognosis is variable. Hemothorax is usually caused by trauma to the thorax. [41] It can result from any injury that involves the pleural, intercostal, intervertebral, cardiac, [38] or thoracic wall muscle ...
Rapid diagnosis and treatment are important in the care of TBI; [6] if the injury is not diagnosed shortly after the injury, the risk of complications is higher. [11] Bronchoscopy is the most effective method to diagnose, locate, and determine the severity of TBI, [6] [10] and it is usually the only method that allows a definitive diagnosis. [23]
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