PURPOSE Rib fractures are the most common skeletal thoracic injuries resulting from blunt chest trauma. Half of the rib fractures are not detected upon a precise physical evaluation and radiographs. Recently ultrasonography (USG) has been investigated to detect rib fractures. But based on literature the usefulness of USG varies widely. This study was conducted to investigate the role of USG in ...

To our knowledge, the clinical characteristics of traumatic vertebral fractures and concomitant fractures of the rib (TVF-RF) have not been described in previous studies.To investigate the clinical characteristics of patients managed for TVF-RF. A retrospective study of 3142 patients who presented with traumatic vertebral fractures was performed. Two hundred twenty-six patients (7.2%) suffered ...

First rib fractures are scarce due to their well-protected anatomic locations. Bilateral first rib fractures accompanying bilateral scapular fractures are very rare, although they may be together with scapular and clavicular fractures. According to our knowledge, no case of bilateral first rib fractures accompanying bilateral scapular fractures has been reported, so we herein discussed the diag...

BACKGROUND Traumatic rib fractures can cause chest complications that need further treatment and hospitalization. We hypothesized that an increase in the number of displaced rib fractures will be accompanied by an increase in chest complications. METHODS We retrospectively reviewed the trauma registry between January 2013 and May 2015 in a teaching hospital in northeastern Taiwan. Patients ad...

ACR Appropriateness Criteria 1 Rib Fractures American College of Radiology ACR Appropriateness Criteria Clinical Condition: Rib Fractures Variant 1: Adult. Suspected rib fractures from minor blunt trauma (injury confined to ribs). Radiologic Procedure Rating Comments RRL* X-ray chest 8 Obtain PA view. ☢ X-ray rib views 5 ☢ ☢ ☢ CT chest without contrast 3 ☢ ☢ ☢ Tc-99m bone scan whole body 2 ☢ ☢ ...

ACR Appropriateness Criteria 1 Rib Fractures American College of Radiology ACR Appropriateness Criteria Clinical Condition: Rib Fractures Variant 1: Adult. Suspected rib fractures from minor blunt trauma (injury confined to ribs). Radiologic Procedure Rating Comments RRL* X-ray chest 8 Obtain PA view. ☢ X-ray rib views 5 ☢ ☢ ☢ CT chest without IV contrast 3 ☢ ☢ ☢ Tc-99m bone scan whole body 2 ☢...

Ribs are primarily made of cortical bone and are necessary for chest expansion and ventilation. Rib fractures represent the most common type of non-traumatic fractures in the elderly yet few studies have focused on the biology of rib fragility. Here, we show that deletion of βcatenin in Col1a2 expressing osteoblasts of adult mice leads to aggressive osteoclastogenesis with increased serum level...

BACKGROUND Chest CT is more sensitive than a chest X-ray (CXR) in diagnosing rib fractures; however, the clinical significance of these fractures remains unclear. OBJECTIVES The purpose of this study was to determine the added diagnostic use of chest CT performed after CXR in patients with either known or suspected rib fractures secondary to blunt trauma. METHODS Retrospective cohort study ...

OBJECTIVE To evaluate the utility of oblique chest views in the diagnosis of rib fractures when used as a routine part of the skeletal survey performed for possible physical abuse. METHODS Oblique chest views have been part of the routine skeletal survey protocol at Primary Children's Medical Center since October 2002. Dictated radiology reports since that time were reviewed, and all cases wi...

Two older adults presented to the emergency department with rib fractures following minor trauma. Both were discharged on oral analgesics and died within 2 days. Rib fractures more often lead to adverse outcomes in older adults. Emergency physicians should consider admitting any such patient who presents with two or more rib fractures.