Sonography compared with radiography in revealing acute rib fracture.

Griffith, James F.; Rainer, Timothy; Ching, A. S. C.; Law, Karen; Cocks, Robert A.; Metreweli, Constantine

doi:10.2214/ajr.173.6.10584808

Cited by 202 publications

(133 citation statements)

References 11 publications

Supporting

Mentioning

121

Contrasting

Unclassified

Order By: Relevance

“…At US, rib injuries may display a disruption of the normally continuous echogenic cortex of the rib, disruption of the costochondral junction, or fracture of the costal cartilage. 3 In a study by Griffith et al US detected 10 times as many fractures in 6 times as many patients as radiography and 11% of those fractures were located in the costal cartilage or at the costochondral junction. 3 Turk et al diagnosed rib fractures by US in 18/20 patients who had negative radiography, but continuing pain.…”

Section: Discussionmentioning

confidence: 96%

“…3 In a study by Griffith et al US detected 10 times as many fractures in 6 times as many patients as radiography and 11% of those fractures were located in the costal cartilage or at the costochondral junction. 3 Turk et al diagnosed rib fractures by US in 18/20 patients who had negative radiography, but continuing pain. Their study showed that US had a sensitivity of 78% compared to 12% for radiography in the detection of rib fractures, including costal cartilage fractures.…”

Section: Discussionmentioning

confidence: 96%

“…Studies have shown US to be superior to radiography in the detection of acute rib 3,6,7 and costal cartilage 8 fractures. At US, rib injuries may display a disruption of the normally continuous echogenic cortex of the rib, disruption of the costochondral junction, or fracture of the costal cartilage.…”

Section: Discussionmentioning

confidence: 99%

“…2 Previous studies have shown diagnostic ultrasound (US) is more sensitive than radiography for the detection of acute rib fractures. 3 Although displaced acute rib fractures, healing fractures with callus formation, or those associated with other injuries may be readily identified with radiography, costal cartilage is not visible unless it undergoes physiologic calcification. 4 Isolated rib fractures are defined as having no associated injury, regardless of the number of ribs fractured.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Sonography of Occult Rib and Costal Cartilage Fractures: A Case Series

Mattox

Reckelhoff

Welk

et al. 2014

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

Objective: The purpose of this case series is to describe the use of diagnostic ultrasound (US) in the detection of occult rib and costal cartilage fractures presenting as chest wall pain to a chiropractic clinic. Clinical features: Three patients presented with chest wall pain and tenderness. Two of the patients presented with acute chest wall injury and 1 carried a previous diagnosis of rib fracture after trivial trauma 2 months earlier.Intervention and outcomes: Diagnostic US was selected as a non-ionizing imaging tool for these patients after negative digital radiography studies. All fractures were considered isolated as there was no associated injury, such as pneumothorax. Both of the acute cases were followed up to complete healing (evidence of osseous union) using US. All patients eventually achieved pain-free status. Conclusion: In these cases, US was more sensitive than radiography for diagnosing these cases of acute rib and costal cartilage fractures. Early recognition of rib injury could avoid potential complications from local manipulative therapy.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sonography of Occult Rib and Costal Cartilage Fractures: A Case Series

Mattox

Reckelhoff

Welk

et al. 2014

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

show abstract

“…Griffith et al revealed in their study of 50 patients a sensitivity of 90 % for the detection of rib fractures, while radiography showed only a sensitivity of 15 %. The specificity of both modalities was 100 % [14]. On the other hand, ultrasonography has known limitations such as high examiner and patient dependence, and missing standards to perform and document the examinations.…”

Section: Abb 1 64-jähriger Patient Mit Frakturen Der Rippen Vu-ix (☆mentioning

confidence: 99%

Clinical Significance of Conventional Rib Series in Patients with Minor Thoracic Trauma

Hoffstetter

Dornia

Wagner

et al. 2014

Fortschr Röntgenstr

View full text Add to dashboard Cite

Hintergrund: Hemithoraxaufnahmen (HT) sind eine spezielle radiografische Technik zur Darstellung der knöchernen Anteile der Thoraxwand. Die Technik findet häufig Anwendung in der Evaluation von Bagatelltraumen des Thorax, oft in Kombination mit Thoraxübersichtsaufnah-men (THÜ Background: Conventional rib series (RS) represent a dedicated radiographic technique to visualize the bony parts of the chest wall. The method is commonly used to evaluate minor thoracic trauma, frequently in combination with chest radiographs (CRs). The aim of this study is to asses the clinical relevance of rib fractures diagnosed by RS in minor thoracic trauma. Methods: Retrospective study of 669 patients who received RS for the evaluation of minor thoracic trauma. 405 of the 669 patients received an additional CR. Radiological reports were classified into fracture versus no fracture. Patients were divided into four groups depending on the clinical follow-up. The findings of RS and CR were analyzed using the McNemar test. The statistical significance between the results of the radiographic examinations and the clinical follow-up was analyzed by the Chi-Square test and the Kruskal-Wallis test. Results: We included 669 patients (61.4 % men, 38.6 % women, median age: 51 years, range: 13 -92 years). Analyzing the reports of 669 patients who received RS, 157 (23.5 %) patients were diagnosed with at least one fractured rib while no fracture was found in 512 (76.5 %) patients. Considering the 157 patients with fractured ribs, 73 (46.8 %) had a single fracture, 38 (24.4 %) and two fractures and 45 (28.8 %) had more than two fractures. When assessing the 405 CRs, we detected 69 (17 %) fractures while the corresponding RS of the same patients revealed 87 (21.5 %) fractures (p < 0.05). Concerning all patients with rib fractures, 63.1 % received medical therapy, while 64.5 % of those patients without a radiologically documented fracture also received therapy (p = 0.25). Conclusion: Our results suggest a limited clinical value of detected rib fractures based on RS. Despite being superior compared to CR in diagnosThis document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

show abstract

Sonographic detection of an isolated cuboid bone fracture not visualized on plain radiographs

Enns

Pavlidis

Stahl

et al. 2004

J of Clinical Ultrasound

View full text Add to dashboard Cite

We report the case of an isolated cuboid bone fracture in a child that was missed on radiography but was diagnosed on sonography. Plain radiographs of the patient's right foot showed no fracture, whereas sonograms demonstrated a fracture of the cuboid bone that appeared as a steplike discontinuity in the cortical bone. The diagnosis was confirmed on MRI. The fracture was treated with cast immobilization and no weight bearing for 4 weeks. In 8 weeks, the patient had no symptoms and good motor and sensory function of her right foot. Other imaging modalities are usually advocated for diagnosing fractures that are missed by radiography. Over the last decade, sonography has been increasingly used for diagnosing occult fractures. Although its use in such cases is not yet fully established, we believe that in the future, the sonographic detection of an injury that corresponds to the site of the reported pain will be adequate for initiating treatment of many types of fractures.

show abstract

Sonography compared with radiography in revealing acute rib fracture.

Cited by 202 publications

References 11 publications

Sonography of Occult Rib and Costal Cartilage Fractures: A Case Series

Sonography of Occult Rib and Costal Cartilage Fractures: A Case Series

Clinical Significance of Conventional Rib Series in Patients with Minor Thoracic Trauma

Sonographic detection of an isolated cuboid bone fracture not visualized on plain radiographs

Contact Info

Product

Resources

About