PMID: 9422183Mar 1, 1995Paper

Bilateral first rib fractures associated with driver's air bag inflation: case report and implications for surgery

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
M D Stoneham

Abstract

A case of bilateral fractures of the first rib occurring in an otherwise fit road traffic accident victim is described. The only other injuries sustained were of the peripheral limbs. The driver's air bag was inflated during the crash, leading to speculation as to whether this may have contributed to the mechanism of injury. The patient was well oxygenated and cardiovascularly stable with no evidence of neurovascular damage to the thoracic aorta or its branches. Aortic arch aortography was not performed before internal fixation of the peripheral fractures was undertaken under general anaesthesia. A review of the indications for angiography in such patients follows. The policy that patients with fractures of the upper first ribs do not require angiography unless there is other evidence of neurovascular damage is supported.

Citations

Feb 28, 2001·Burns : Journal of the International Society for Burn Injuries·D UlrichN Pallua
Aug 15, 2002·Forensic Science International : Synergy·Yasunori SatoToshikazu Kondo
Nov 8, 2002·Emergency Medicine Journal : EMJ·L A Wallis, I Greaves
Nov 24, 2004·American Journal of Clinical Dermatology·Monica CorazzaAnnarosa Virgili
Apr 1, 2014·The Canadian Journal of Cardiology·Rami N KhouzamAdam Mizeracki
Jan 27, 2011·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·David C Viano
Sep 26, 2014·Case Reports in Orthopedics·Makoto TakeuchiKoichi Sairyo

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