Disclosure of unnoticed rib fractures with the use of ultrasonography in minor blunt chest trauma

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dc.contributor.authorKara, M.
dc.contributor.authorDikmen, E
dc.contributor.authorErdal, H.H.
dc.contributor.authorSimsir, I.
dc.contributor.authorKara, S.A.
dc.date.accessioned2020-06-25T17:35:17Z
dc.date.available2020-06-25T17:35:17Z
dc.date.issued2003
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective: Rib fractures are the most common injuries resulting from blunt chest trauma. The sensitivity of chest X-rays in showing the rib fractures is limited particularly in those involving the cartilage part of the rib. We investigated the possible rib fractures, those overlooked on chest X-rays, with the use of ultrasonography in minor blunt chest trauma. Methods: A total of 37 patients, with minor blunt chest trauma showing no evidence of a rib fracture on chest X-rays, were examined with ultrasonography performed with a 7.5-MHz linear transducer. Logistic regression analysis was done to outline the clinical predictors of these insidious rib fractures. Results: A total of 15 (40.5%) patients showed rib lesions, whereas 22 (59.5%) patients had no evidence of rib lesions. Fracture of the rib associated with a subperiosteal hematoma was the most common finding in ten (66.7%) patients followed by the fracture of the rib alone in four (26.7%) patients, and subperiosteal hematoma alone in one (6.7%) patient. A total of eight (53.3%) patients had bony rib fractures, whereas seven (46.7%) patients had chondral rib fractures. Age (P = 0.617), gender (P = 0.552), type of etiology (P = 0.954), duration of pain (P = 0.234) and site of trauma (P = 0.740) did not appear as significant predictors for these rib fractures. However, the involved part of the rib showed a significant correlation with either age (P = 0.042) or duration of pain (P = 0.033). Bony rib fractures significantly occurred in elderly patients, and the duration of pain in patients with bony rib fractures was significantly longer than that of patients with chondral rib fractures. Conclusions: Ultrasonography is a useful imaging method in showing the rib fractures those overlooked on chest X-rays in minor blunt chest trauma, and no significant clinical feature exists as a predictor for these insidious fractures. However, bony rib fractures significantly Occur in elderly patients and result in a longer duration of pain. (C) 2003 Elsevier B.V. All rights reserved.en_US
dc.identifier.citationKara, M., Dikmen, E., Erdal, H. H., Simsir, İ., Altan Kara, S.(2003). Disclosure of unnoticed rib fractures with the use of ultrasonography in minor blunt chest trauma, European Journal of Cardio-Thoracic Surgery, 24(4), October, 608–613, https://doi.org/10.1016/S1010-7940(03)00383-Xen_US
dc.identifier.doi10.1016/S1010-7940(03)00383-X
dc.identifier.endpage613en_US
dc.identifier.issn1010-7940
dc.identifier.issue4en_US
dc.identifier.pmid14500082
dc.identifier.scopus2-s2.0-0141850161
dc.identifier.scopusqualityQ1
dc.identifier.startpage608en_US
dc.identifier.urihttps://doi.org/10.1016/S1010-7940(03)00383-X
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3079
dc.identifier.volume24en_US
dc.identifier.wosWOS:000185807800026
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Bven_US
dc.relation.ispartofEuropean Journal Of Cardio-Thoracic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectchest traumasen_US
dc.subjectrib fractureen_US
dc.subjectultrasonographyen_US
dc.titleDisclosure of unnoticed rib fractures with the use of ultrasonography in minor blunt chest traumaen_US
dc.typeArticle

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