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Rib fractures usually occur from a direct blow to the chest such as during a motor vehicle collision or from a crush injury. [2] [1] Coughing or metastatic cancer may also result in a broken rib. [1] The middle ribs are most commonly fractured. [5] [1] Fractures of the first or second ribs are more likely to be associated with complications. [6]
Pipkin fracture-dislocation: G. Pipkin: posterior dislocation of hip with avulsion fracture of fragment of femoral head by the ligamentum teres: impact to the knee with the hip flexed (dashboard injury) Type II-V: Posterior Fracture Dislocations at Wheeless' Textbook of Orthopaedics online Pott's fracture [4] Percival Pott: bimalleolar fracture ...
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.
Flail chest typically occurs when three or more adjacent ribs are fractured in two or more places, allowing that segment of the thoracic wall to displace and move independently of the rest of the chest wall. Flail chest can also occur when ribs are fractured proximally in conjunction with disarticulation of costal cartilages distally. For the ...
Video-assisted thoracoscopic surgery (VATS) is a type of minimally invasive thoracic surgery performed using a small video camera mounted to a fiberoptic thoracoscope (either 5 mm or 10 mm caliber), with or without angulated visualization, which allows the surgeon to see inside the chest by viewing the video images relayed onto a television screen, and perform procedures using elongated ...
Early surgery is important, as diaphragmatic atrophy and adhesions occur over time. Sutures are used in the repair. [12] Other injuries, such as hemothorax, may present a more immediate threat and may need to be treated first if they accompany diaphragmatic rupture. [6] Video-assisted thoracoscopy may be used. [4]
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.