Non‐traumatic fracture of the first rib

Steele, Donna; Bergman, Jack

doi:10.1111/j.1442-2026.1998.tb00675.x

Cited by 3 publications

(3 citation statements)

References 11 publications

(52 reference statements)

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“…Most of these patients are associated with motor vehicle accidents (3). More recently fractures of the first rib are associated with stress injury, bony fatigue, Horner's syndrome and thoracic outlet syndrome in the literature (4)(5)(6). Formerly, arteriography was the standard diagnostic method in all patients with first rib fractures because of the subclavian artery and aortic injuries, but recently, computed tomography is preferred due to lowermorbidity (2).…”

Section: Introductionmentioning

confidence: 99%

Traumatic First Rib Fractures

Yazkan¹

2012

JAEM

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Objective: Traumatic first rib fracture is associated with multisystem injuries, morbidity and mortality. We wish to report thoracic and extrathoracic injuries related with traumatic first rib fracture in this study. Material and Methods: Due to rib fractures, 162 cases were hospitalized between June 2008-April 2011, 11 (6.8%) of these cases were accompanied by first rib fracture. The first rib fracture patients were evaluated according to gender, age, etiologies of trauma, thoracic and extrathoracic injuries, diagnostic and treatment modalities, morbidity and mortality. All patients were evaluated by a multidisciplinary trauma team in the emergency department. Results: Eight cases (72.7%) were male and 3 (27.3%) were female, ages ranged from 27 to 67 age, the average was 36.7. All of the cases were blunt trauma. 10 (90.9%) cases included thoracic injuries, 3 (27.3%) cases had no extrathoracic injuries. There was no any vascular, neurological injuries and mortality. Conclusion:The first rib fracture is associated with serious thoracic and extrathoracic injuries, but not always with vascular, neurological injuries and mortality. The trauma team must know the potential severity of the first rib fracture. A multidisciplinary approach, early diagnosis, appropriate treatment and observation in the intensive care unit may be prevent morbidity and/or mortality. (JAEM 2012; 11: 27-30)

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Section: Introductionmentioning

confidence: 99%

Traumatic First Rib Fractures

Yazkan¹

2012

JAEM

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“…7 In our study, 11.3% of cases with first rib fracture had isolated rib fracture without any thoracic injuries and 88.6% of cases with first rib fracture had other thoracic injuries: the most common injury was a pulmonary contusion (58.5%), similar to the result of other studies, followed by associated pneumothorax (32.1%), hemopneumothorax (20.7%), surgical emphysema (20.7%), and hemothorax (15.1%) in our study. 13,14 Only 3.7% of cases had flail chest, hemopericardium, and hemomediastinum, and none of the cases had associated diaphragmatic injuries. Thus, their presence should alert the clinician to necessitate long-term follow-up for late-developing squeal.…”

Section: Discussionmentioning

confidence: 99%

First rib fractures as indicators of serious intra and extra-thoracic injury in polytrauma and their impact on the morbidity and mortality

Al-Mourgi

2019

Int Surg J

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Background: First-rib fractures are relatively rare compared with fractures of other ribs because of the broad structure deeply placed and protected location of the first rib. A high amount of energy is needed to cause a first-rib fracture; violent trauma, such as that involving motor vehicle accident, is a frequent cause of these fractures, as well as other serious intra-thoracic, head, cervical spine, and intra-abdominal injuries. First-rib fractures have traditionally been considered indicators of increased injury severity and mortality in major trauma patients. The aim was to study the significance of first-rib fractures as indicators of serious intra-thoracic and extra-thoracic injury in polytrauma and their impact on the morbidity and mortality in a high-altitude area in Al-Taif, Saudi Arabia.Methods: This is a retrospective study conducted in King Abdul-Aziz Specialist Hospital (KASH), Taif City, KSA. Patients with chest injuries who presented to the emergency department and were admitted to the hospital between November 2013 and March 2016 were included in the study. Data regarding first-rib fracture were collected, and the relationship between first-rib injuries and associated intra-thoracic and extra-thoracic injuries was analyzed.Results: There was a high incidence of first-rib fracture (23.45%), and 35.8% were bilateral. The most common associated chest injury was a pulmonary contusion (58.5%), followed by pneumothorax (32.1%), hemopneumothorax (20.7%), and surgical emphysema (20.7%). The most common associated extra-thoracic injuries in our study were skeletal injuries (47.4%), cervical spine injuries (11.3%), and head trauma (24.5%).Conclusions: Fractures of the first-rib are associated with serious thoracic and extra-thoracic injuries; they are associated only with increased morbidity in patients with polytrauma and have no independent impact on mortality.

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“…Most such injuries are caused by motor vehicle accidents. Recently, reports of fractures of the first rib associated with stress injury, bony fatigue, Horner's syndrome and thoracic outlet syndrome have been published. To better guide the diagnostic workup, we sought to define the true incidence and clinical characteristics of traumatic first rib fractures in patients who had sustained traumatic vertebral fractures.…”

Section: Introductionmentioning

confidence: 99%