Imaging of Blunt Thoracic Trauma

Sridhar, Sreevathsan; Raptis, Constantine A.; Bhalla, Sanjeev

doi:10.1053/j.ro.2015.12.002

Cited by 13 publications

(23 citation statements)

References 35 publications

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“…MDCT also allows an accurate evaluation of a costal cartilage fracture, usually missed at CR. 1,7,35 As noted earlier, it is particularly important to exclude the presence of more than one fracture, for each rib in multiple ribs may lead to a flail chest 36 (►Fig. 5).…”

Section: Computed Tomography Findingsmentioning

confidence: 99%

“…16 Sternal fractures are best seen on the lateral projection because they are a displacement or dislocation that occurs in the sagittal plane. 1,39,40 They usually involve the body or manubrium, 7 and in two thirds of patients are associated with soft tissues or spine injuries. They have a mortality of 25 to 45%.…”

Section: Sternal Fractures Radiographic Findingsmentioning

confidence: 99%

“…2 and 10). 1,3,42 Sternal fractures are associated with mediastinal hematoma 3,7 (►Fig. 10), hemopericardium, and/or myocardial injuries, especially if a significant displaced fragment is present.…”

Section: Sternal Fractures Radiographic Findingsmentioning

confidence: 99%

“…Clavicle fractures are common in blunt thoracic trauma but have little clinical significance 1,14,26 (►Fig. 12).…”

Section: Clavicle and Scapula Fractures Radiographic Findingsmentioning

confidence: 99%

“…Chest radiography can identify the presence of a fracture as well as associated injuries to the thorax or upper extremity, but these patients need to be assessed with MDCT with IV contrast to correctly diagnose or exclude associated vessels and soft tissue lesions. 1,7,9 CT Findings MDCT with MPR and 3D reconstructions is necessary if there is a displacement of the clavicle fragments (►Fig. 12) or a sternoclavicular dislocation to evaluate for brachial plexus, recurrent laryngeal nerve, and airway structures injuries.…”

Section: Clavicle and Scapula Fractures Radiographic Findingsmentioning

confidence: 99%

See 4 more Smart Citations

Imaging Assessment of Thoracic Cage Injuries

Iacobellis

Iadevito

Ierardi

et al. 2017

Semin Musculoskelet Radiol

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Thoracic injuries are the third most common traumatic injury. Approximately two thirds of thoracic injuries are due to motor vehicle collisions. They are associated with up to a 20% mortality rate. This is primarily due to the presence of several complex anatomical structures within the thoracic cage such as the heart, great vessels, esophagus, airways, lungs, mediastinum, bones, muscles, diaphragm, and pleura. A chest radiograph is the initial imaging modality in the evaluation of the chest. However, multidetector computer tomography (MDCT) with intravenous contrast is the imaging modality of choice in the assessment of acute thoracic injuries.Endovascular repair is less invasive and has a better outcome than traditional surgical repair. This review article discusses the indications, benefits, and findings of radiographs and MDCT in patients with thoracic injuries, especially with regard to the thoracic aorta.

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Section: Computed Tomography Findingsmentioning

confidence: 99%