Isolated first rib fractures are uncommon. They are usually associated with severe blunt trauma, although other mechanisms have been suggested, these being (a) indirect trauma, (b) sudden contraction of the neck muscles, and (c) stress or fatigue fractures attributable to repeated pull of muscles. Two cases are reported of stress fracture of the first rib, who presented to the accident and emer...

Despite biliary drainage, she had significant cholestasis, ascites, malnutrition, and transient melena. Subsequently she was evaluated for a liver transplantation. A chest X-ray and an abdominal CT scan were obtained with an incidental finding of healing right sixth and seventh lateral rib fractures with callus formation and healing left seventh lateral rib fracture with callus formation (Figur...

INTRODUCTION Rib plating is becoming increasingly common as a method for stabilizing a flail chest resulting from multiple rib fractures. Recent guidelines recommend surgical stabilization of a flail chest based on consistent evidence of its efficacy and lack of major safety concerns. But complications of this procedure can occur and are wide ranging. PRESENTATION OF CASE We report an interes...

BACKGROUND Surgical management of fractured ribs with internal fixation is an increasingly accepted therapy. Concurrently, specific rib fixation prostheses are being developed which should improve results and minimise hardware and rib/splint construct failures. The Synthes titanium intramedullary splint lends itself to difficult to access areas such as posterior rib fractures and fractures unde...

The aim here was to present an unusual case of segmental clavicle fracture associated with ipsilateral rib fracture. Although the clavicle is very superficial, undetected cases of both types of fracture may occur, because these patients usually suffer multiple trauma. The case of a patient with a fracture of the diaphysis and lateral extremity of the clavicle is described: the patient was treat...

Thoracic trauma can involve serious injuries of both the rib cage and thoracic organs. The leading cause of thoracic trauma is motor vehicle crashes (MVCs). Rib fractures are often associated with injuries to the underlying organs. This paper investigates the situations in which lung, liver, and spleen injuries occur with associated rib fractures. Side impacts were found to have corresponding o...

Among the many patients who present to chest clinics and casualty departments with thoracic pain of obscure origin there are a few in whom the cause is immediately apparent from the initial chest radiograph. We present two examples in young women, who were found to have sustained a stress fracture of the first rib during the course of fairly mild but unaccustomed exertion. Case reports Case 1 A...

OBJECTIVE To determine the occurrence of bruising near the site of fracture in a group of children with inflicted fractures. DESIGN Case series. SETTING Two children's hospitals. PARTICIPANTS Suspected child abuse victims with fractures. MAIN OUTCOME MEASURE The presence of bruising and fracture in a single body region or appendage. RESULTS The study included 192 children with inflict...

BACKGROUND AND PURPOSE We have previously shown that early fracture callus of rat rib has viscoelastic and contractile properties resembling those of smooth muscle. The cells responsible for this contractility have been hypothesized to be myofibroblast-like in nature. In soft-tissue healing, force generated by contraction of myofibroblasts promotes healing. Accordingly, we tried to identify myo...

INTRODUCTION Rib fracture is one of the common causes of trauma disabilities in many events and the outcome of these patients are very extensive from temporary pain management to long-term significant disability. Control and management of the pain in such patients is one of the most important challenges in emergency departments. Thus, the aim of the present study was assessing the efficacy of I...