Chest injuries in children: An analysis of 100 cases of blunt chest trauma from motor vehicle accidents

Roux, P. L. M. Le; Fisher, Regina M.

doi:10.1016/0022-3468(92)90443-b

Cited by 96 publications

(56 citation statements)

References 14 publications

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“…2,9 There is little comment in the literature about the special aspects of chest injuries in childhood. 5 Children are most likely to be involved in this type of injury, as they exhibit little caution in dangerous situations. Road layout, poor driving and poor child care may be placing children at high risk of injuries as pedestrians.…”

Section: Discussionmentioning

confidence: 99%

“…Road layout, poor driving and poor child care may be placing children at high risk of injuries as pedestrians. 5,7 Penetrating injuries are also increasing. While shooting and stabbing are considered adult phenomena, a significant proportion of these incidents involve adolescent males, 8 a trend also observed in our present series, which included 15 patients (20%).…”

Section: Discussionmentioning

confidence: 99%

“…4 The lung is the most commonly injured intrathoracic structure, and the relative compressibility of the child's thorax accounts for the severe intrathoracic injuries without rib fracture following a crushing force. 5,9,10 Rib fractures are less common in the flexible rib cage of children than in adults, and their presence indicates the severity of impact and trauma. Fractured ribs were seen in 33% of our cases, which is lower than was reported by Smyth (47.8%), 2 and the 62% by Roux and Fisher.…”

Section: Discussionmentioning

confidence: 99%

“…Fractured ribs were seen in 33% of our cases, which is lower than was reported by Smyth (47.8%), 2 and the 62% by Roux and Fisher. 5 The risk of mortality increases with the number of rib fractures, with four fractures increasing the incidence of multisystem injury. 11,12 Undisplaced fresh rib fracture in infants may be difficult or impossible to see on initial x-ray, and these fractures are often missed if a chest radiograph is not repeated.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5] Mortality arising from injury to the chest alone has been estimated at 4%-12%, 3,4 and increases with injury to other organ systems. The present study was undertaken to examine our experience in dealing with chest trauma in children.…”

mentioning

confidence: 99%

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Chest Trauma in Children: A Local Experience

1999

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Background: Chest trauma in childhood is relatively uncommon in clinical practice, and has been the subject of few reports in the literature. This study was undertaken to examine our experience in dealing with chest trauma in children. Patients and Methods:This was a retrospective study of 74 children who sustained chest trauma, and were referred to King Fahad Hospital in Medina over a two-year period. The age, cause of injury, severity of injury, associated extrathoracic injuries, treatment and outcome were analyzed. Results: The median age of the patients was nine years. Fifty-nine of them (80%) sustained blunt trauma, and 15 (20%) were victims of penetrating injuries. Road traffic accident was the cause of chest trauma in 62% of the children, gun shot wounds were seen in five, and stab wounds in 10 children. Head injury was the most common injury associated with thoracic trauma, and was seen in 14 patients (19%), and associated intraabdominal injuries were seen in nine patients. Chest x-ray of the blunt trauma patients revealed fractured ribs in 24 children, pneumothorax in six, hemothorax in four, hemopneumothorax in three, and pulmonary contusions in 22 patients. Fifty-one percent of children were managed conservatively, 37% required tube thoracostomy, 8% were mechanically ventilated, and 4% underwent thoracotomy. Conclusion:The prevalence of chest trauma in children due to road traffic accidents is high in Saudi Arabia. Head injury is thought to be the most common associated extrathoracic injuries, however, most of these patients can be managed conservatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%