Fractures of first and second ribs: predictive value for arterial and bronchial injury

AJR. American Journal of Roentgenology
J H WoodringE P Todd

Abstract

Fractures of the first and second ribs had a very low association with ruptured bronchus (2%) and ruptured aorta or brachiocephalic vessel (8%) in a series of 50 patients. Radiographic abnormalities indicative of ruptured bronchus include massive pneumothorax, pneumomediastinum, subcutaneous emphysema, and lobar or whole lung collapse which may fall to the dependent part of the thorax on erect views. Abnormalities pointing to a laceration of the aorta or one of the brachiocephalic vessels include widening of the superior mediastinum, shift of the trachea or nasogastric tube to the right, enlargement or indistinctness of the aortic knob, and widening of the right paraspinal line. One or more of these abnormalities indicates the need for thoracic aortography. In the absence of these abnormalities, aortography is not indicated solely by the presence of a first or second rib fracture on the chest radiograph.

Citations

Mar 8, 2011·Irish Journal of Medical Science·K J BreenD C Winter
Oct 1, 1995·Injury·A BegleyJ Shaw
Jul 1, 1992·Seminars in Roentgenology·S O Pais
Jan 8, 2014·Journal of Orthopaedics·Raju KaruppalSandhya Somasundaran
Jan 1, 1983·Seminars in Roentgenology·J F Wiot
Feb 1, 1997·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·A GuptaJ R Rubin
Sep 1, 1987·Thorax·J C Roxburgh
Sep 17, 1999·Radiographics : a Review Publication of the Radiological Society of North America, Inc·A R Guttentag, J K Salwen
Mar 1, 1997·The American Journal of Emergency Medicine·Y L WanH F Wong
Apr 1, 1996·Seminars in Ultrasound, CT, and MR·E Y Kang, N L Müller
Feb 1, 1984·The Annals of Thoracic Surgery·J H Woodring, M L Dillon
Mar 1, 1983·Annals of Emergency Medicine·A D SacchettiS D Morse
Apr 2, 1999·Emergency Medicine Clinics of North America·M D Greenberg, C L Rosen
Jun 10, 2003·Emergency Medicine Clinics of North America·Edward A UllmanWilliam J Brady
Apr 1, 1985·The Annals of Thoracic Surgery·J H WoodringE P Todd
Nov 1, 1988·The American Journal of Sports Medicine·G R BarrettJ W Miles
Mar 1, 1986·Annals of Emergency Medicine·B M ThompsonH Stueven
Jul 1, 1985·The American Journal of Sports Medicine·R GurtlerJ S Torg
Jul 21, 2004·The American Journal of Sports Medicine·Angelo J ColosimoHeather Wyatt
Apr 1, 1997·The Journal of Trauma·J V Marco, J S Gregory
Aug 1, 1996·European Journal of Radiology·O Chan, M Hiorns

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

AJR. American Journal of Roentgenology
R G FisherT C Flynn
Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
A GuptaJ R Rubin
AJR. American Journal of Roentgenology
S E SeltzerJ A DeWeese
Acta Orthopaedica Scandinavica
J E Lorentzen, M Movin
© 2021 Meta ULC. All rights reserved