Lesions of the subclavian vessels due to closed chest injury are rare. Berga et all, reported during a five year period a 0.2 per cent incidence of lesions of the subclavian artery, in patients with closed chest injury. Pain and swelling were consistent findings in patients with traumatic lesions of the subclavian artery. Absence of peripheral pulsations or murmurs were occasionally found. In s...

BACKGROUND We initiated a multidisciplinary clinical pathway targeting patients greater than 45 years of age with more than 4 rib fractures. The purpose of the current study was to evaluate the effect of this pathway on infectious morbidity and mortality. METHODS This was a prospective cohort study. Data evaluated included patient demographics, injury characteristics, pain management details,...

Introduction Lung herniation is a rare condition defined as a protrusion of the pleural-covered lung parenchyma through an abnormal defect or weakness in the thoracic wall. Postoperative lung herniation is reported to result from a preceding operation with inadequate closure of the chest wall. Presentation of case A 77-year-old woman was admitted to our hospital for treatment of hemoptysis an...

' 2005 CMA Media Inc. A 45-year-old man came to a primary centre with brief but progressive right-costal pain that followed heavy coughing secondary to pneumonia. The pain was pleuritic in nature but was also increased by direct palpation. Rest relieved it; acetaminophen had little effect. He reported right 6th–7th rib fractures a year previously. His other medical conditions included multiple ...

Delayed hemothorax after blunt torso injury is rare, but might be associated with significant morbidity and mortality. We present a case of delayed hemothorax bleeding from phrenic artery injury in a 24-year-old woman. The patient suffered from multiple rib fractures on the right side, a right hemopneumothorax, thoracic vertebral injury and a pelvic bone fracture after a fall from a fourth floo...

Abstract Introduction In April 2017, The Royal Sussex County Hospital introduced rib fracture scoring to help guide the management of fractures. Rib score = (number fractures x number sides) + age score1 this study, we audit our adherence system and compare chest trauma before after its implementation. Method All admissions with between 1/10/2016- 28/02/2017 (N 35) 1/10/2019- 31/01/2020 41) wer...

The primary goal of this study is to advance our current understanding of infant rib injuries in the setting of child abuse. To this end, we employed finite element model simulations to determine the sensitivity of an infant rib's stress response to varying material properties and under varying degrees of anterior-posterior chest compression. Using high-resolution chest CT images obtained from ...

OBJECTIVE The purpose of this study was to determine the efficacy of the Lidopat(®) 5% skin patch in relieving rib fracture pain. SUBJECTS AND METHODS From June 2009 to May 2011, 44 trauma patients with isolated rib fractures were enrolled in this study and randomized in a double-blind method into 2 groups. The experimental group (group E: 27 patients) used a Lidopat(®) 5% skin patch at the t...

BACKGROUND The most commonly observed pathology in chest traumas is rib fracture, and the most important clinical symptom is severe pain. AIMS To investigate the effectiveness of intramuscular opioid (IMO), intravenous patient-controlled analgesia (IVPCA) and the Fentanyl transdermal therapeutic system (TTS) in the management of rib fracture pain. STUDY DESIGN Prospective randomized clinica...

BACKGROUND A pseudohernia is an abdominal wall bulge that may be mistaken for a hernia but that lacks the disruption of the abdominal wall that characterizes a hernia. Thus, the natural history and treatment of this condition differ from those of a hernia. This is the first report of a pseudohernia due to cough-associated rib fracture. CASE PRESENTATION A case of pseudohernia due to fractures...