BACKGROUND Fracture represents the single most important clinical event in patients with osteoporosis, yet remains under-predicted. As few premonitory symptoms for fracture exist, it is of critical importance that physicians effectively and efficiently identify individuals at increased fracture risk. METHODS Of 3426 postmenopausal women in CANDOO, 40, 158, 99, and 64 women developed a new hip...

Clavicle fractures are common in adults. Recent studies have shown that operative treatment of clavicle fractures has benefits in many situations. However, there is controversy about the indications. Data on social outcomes are limited. A total of 434 patients with 436 clavicle fractures treated both operatively and nonoperatively at a level 1 trauma center were identified. Narcotic use was rec...

A finite element model of the 50 percentile male was developed based on geometrical surface generated from medical images. First, an interactive multi-block meshing approach was used to generate high quality quadrilateral and hexahedral meshes of the thorax anatomical structures. Second, a methodology based on the mesh blocks was developed to assign cortical thickness data taken from a micro-CT...

A 47 year old woman presented with invasive pulmonary aspergillosis complicated by subclavian artery occlusion and rib fracture due to fungal osteomyelitis. This followed persistent pancytopenia resulting from autologous bone marrow transplantation for metastatic breast cancer.

Jidabokuippo is a traditional Japanese medicine used for contusion-induced swelling and pain. This open multicenter randomized study was designed to compare the efficacies of jidabokuippo and nonsteroidal anti-inflammatory drugs (NSAIDs) in patients with rib fracture by analyzing the treatment duration. Our study involved 170 rib fracture patients capable of oral ingestion divided randomly into...

1010-7940/$ — see front matter # 2010 European Association for Cardio-Thoracic S doi:10.1016/j.ejcts.2010.04.016 A 43-year-old female sustained blunt trauma after amotor vehicle collision. Computed tomography (CT) angiogram revealed a displaced left fifth rib fragment impinging on the descending thoracic aorta (Figs. 1 and 2). On hospital day 3, she underwent surgery with excision of the rib fr...

PURPOSE The purpose of this quantitative study is to investigate the differences of the injury mechanism caused by two different types of seatbelt loads on the occupant's chest. METHODS The finite element analysis is employed to compare the different responses of the human body model, including comparison of kinematics, chest accelerations, seatbelt forces and chest injury outcomes regarding ...

PURPOSE Massive earthquakes are harmful to humankind. This study of a historical cohort aimed to investigate the difference between earthquake-related crush thoracic traumas and thoracic traumas unrelated to earthquakes using a multi-detector Computed Tomography (CT). METHODS We retrospectively compared an earthquake-exposed cohort of 215 thoracic trauma crush victims of the Sichuan earthquak...

The objective of this study was to assess the etiology, diagnosis, treatment methods, surgical findings, postoperative results and necropsy findings of seventeencases of thoracic traumaby evaluating medical records. A car accident, falling down, stabbing and bites were identified asthe causes of trauma. Diagnosed pathologies in the cases included pneumothorax, hemothorax, pulmonary contusion, l...