Late thoracic outlet syndrome is a rare complication of clavicle fractures and usually warrants surgical treatment though its cause of clavicle fractures are a common injury and in most cases are treated conservatively. We report a case of a clavicle fracture accompanying severe multiple trauma, which was necessarily treated conservatively because of the severe associated injuries of the patien...

PURPOSE The proposed the thoracolumbar injury classification system (TLICS) for thoracolumbar injury cites the integrity of the posterior ligamentous complex (PLC). However, no report has elucidated the severity of damage in thoracic and lumbar injury with classification schemes by presence of the PLC injury. The purpose of this study was to accurately assess the severity of damage in thoracic ...

Rib fractures are among the most common injuries found in a patient presenting from blunt trauma. They associated with significant morbidity and mortality, largely due to pulmonary complications. Open reduction internal fixation (ORIF) has been mainstay treatment for patients multiple rib fractures. In this report, we present case of that sustained thoracic trauma anterolateral fractures, inclu...

We report the first case of a combined bony and soft tissue Chance fracture in the thoracic spine, with late presenting displacement following conservative management. Chance fractures are flexion-distraction injuries to the spine. They consist of disruption and longitudinal separation of the posterior elements of the vertebra, with the fracture extending through the pedicles and into the verte...

Blunt impact to the anterior chest during frontal crash often causes sternum and rib fractures. In particular, several studies have reported that elderly people are susceptible to the complications following bony fractures mainly in the thoracic region, thereby, leading to high mortality and morbidity rates. These fractures are attributable to the reduced bone strength due to age-related osteop...

Twelve cases of sternal injury associated with spinal fractures have been reviewed. The sternum is regularly buckled or fractured in patients with high thoracic spinal fractures. Our review suggests that sternal injuries may also be associated with spinal fractures outside this region, and with types of fracture other than crushing of vertebral bodies. Injury to the sternum, when due to indirec...

Scapulo-thoracic dissociation is an infrequent injury resulting from high energy trauma which is often associated with severe neurological and vascular injuries which may be unrecognised at the time of presentation. A 24 year-old female presented with bilateral rib fractures, pneumothorax, liver and kidney injuries following a road traffic accident. She also sustained fractures of her right sca...

This case deals with thoracic compression fractures in a young adult following a snowboarding accident. These fractures are generally considered stable and are treated conservatively. Assessment, diagnosis, radiographic appearances, passive and active treatment protocols and prognosis are reviewed. Whenever significant trauma is involved, the chiropractor must suspect a fracture as a differenti...

BACKGROUND In clinical practice lateral images of the chest are performed for various reasons. As these lateral chest X rays show the vertebrae of the thoracic and thoraco-lumbar region, we wondered if these X-rays can be used for evaluation of vertebral fractures instead of separate thoracic spine X-rays. METHODS To evaluate the agreement and intraobserver reliability of the semi-quantitativ...

Introduction. Sternal fractures often occur together with serious and life-threatening additional injuries. This retrospective study was designed to assess concomitant injuries and develop a correlation between fracture location and the severity of injury. Methods. All patients (n = 58) diagnosed with a fracture of the sternum by means of a CT scan were analysed with respect to accident circums...