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At least 1,369 records · Page 76Linked to original sources
PubMed1983

[Resuscitation injuries].

This investigation is based on 140 autopsy protocols of unsuccessful resuscitation procedures (Resuscitation Center of the Army Hospital, Hamburg); injections and closed-chest cardiac massage had been performed in every case. - Most of the patients had collapsed because of cardiac shock; patients with thoracic or abdominal injury were excluded from this study. In individual cases only, the following severe complications originated from the resuscitation procedures: fracture of a chest vertebra, serial fractures of ribs resulting in an unstable thorax, bilateral haemothorax, tension pneumothorax, rupture of kidney and of spleen (but not of liver). In one case the lesions caused by the resuscitation measures must be considered as responsible for the lethal outcome. Fractures of ribs and/or sternum were found in 45.9% of all cases, the frequency increasing with age. The number of fractured ribs ranged up to 16, mainly 3-8 ribs were fractured. Fractures of rib No. 1 and 8-12 were very rare. The fractures were located between the parasternal and axillary lines.--In a comparative study the site of rib fractures after heavy blunt thoracic injuries was preferably found in the dorsal region.

Adult↗
PubMed1982

Fracture of the first and second rib: incidence of vascular injury relative to type of fracture.

Fractures of the first or second rib may be associated with underlying arterial injury in patients with blunt chest trauma. A total of 58 patients with fracture of the first of second rib was investigated; all patients subsequently underwent arteriography. The type of rib fracture (posterior, lateral), or anterior) was not found to be a useful predictor of underlying vascular injury. Also, the degree of displacement of the fracture fragments was of no value in predicting arterial injury.

Angiography↗
PubMed1992

[A case report of solitary bone cyst of rib detected from pathological fracture].

A case of solitary bone cyst of rib was reported. The patient was 28-year-old man who was admitted to our hospital complaining of chest pain caused by pathological fracture of the left 10th rib. Chest x-ray film revealed a solitary cystic lesion of the 10th rib. The tumor was removed by extrapleural rib partial resection and the histological examination confirmed the diagnosis of solitary bone cyst.

Adult↗
PubMed2004

Skeletal chest injuries secondary to cardiopulmonary resuscitation.

OBJECTIVE: To review the evidence on the incidence of rib and sternal fractures after conventional closed-chest compression in the treatment of cardiac arrest in adults and children, and after active compression-decompression cardiopulmonary resuscitation (ACD-CPR). METHODS: Medline search and additional review of the cited literature in the articles found. RESULTS: Reports on conventional CPR in adults suggest an incidence of rib fractures ranging from 13 to 97%, and of sternal fractures from 1 to 43%. Reports on CPR in children suggest an incidence of rib fractures of 0-2%, and no sternal fractures. ACD-CPR has been reported as causing rib fractures in 4-87%, and sternal fractures in 0-93% of cases. CONCLUSIONS: Sound methodological studies on thoracic fractures due to chest compression do not exist and the available studies cannot be compared one with another. In infants and toddlers, manual CPR rarely causes skeletal chest injuries. In adults, sternal fractures occur in at least one-fifth and rib fractures as well as rib and/or sternal fractures in at least one-third of the patients during conventional CPR. There is no compelling evidence to show that an increased complication rate is associated with ACD-CPR. Rib or sternal fractures are unlikely to increase mortality, as they rarely cause severe internal organ damage. Further prospective studies are desirable to assess complications by post-mortem examinations that explicitly address them. In particular, clinical evaluation of mechanical CPR devices should be accompanied by a thorough assessment of the associated complications because data specific to this modality are not available.

Adult↗
PubMed1989

Fracture of the upper ribs and injury to the great vessels.

Although individual reports have indicated that a fracture of the first or second rib is predictive of injury to the thoracic aorta and its major branches, the results of a careful review of the literature do not support this contention. In patients suffering blunt trauma, the risk of disruption of the aorta is not greater in patients with fracture of the upper two ribs, compared with victims of trauma with fracture of other ribs or those without fracture of ribs. Clinical manifestations are often absent in patients with disruption of the aorta or the innominate artery, but evidence of mediastinal hemorrhage is almost always present on roentgenograms of the chest. Widening of the mediastinum may not be apparent, but obliteration of the normal aortic contour is a sensitive finding in aortic transection. Injury to the subclavian or carotid artery nearly always produces clinical or roentgenographic signs, or both. After blunt trauma to the chest, patients with fracture of the first or second rib without clinical signs of vascular injury and evidence of mediastinal hemorrhage on thoracic roentgenograms (with the patient in an upright position when possible) do not need aortography to exclude occult vascular injury. A few patients with injury to the great vessels may have a normal thoracic roentgenogram on initial presentation to the hospital. After the correction of hypovolemia and stabilization of hemodynamic status, evidence of mediastinal bleeding should become apparent on subsequent thoracic roentgenograms. Repeat examinations must be performed and serial roentgenograms of the chest must be obtained for several days after injury to assess the possibility of unrecognized vascular trauma. If clinical or roentgenographic evidence of vascular injury is revealed, arteriography is mandatory. Thoracic CT scanning in patients with evidence of mediastinal hemorrhage on plain film may be of value in selecting patients for angiography, but additional experience must be obtained before such a protocol becomes an established policy.

Aorta, Thoracic↗
PubMed2001

[The man in the ice under special consideration of paleo-pathological evidence].

Dealing with archaeological findings, the physical condition of the 5000-year-old Man in the Ice will be discussed. Several research projects with autoscopical, radiological, computertomographical and laparoscopical methods present an overview of the state of health of the Tyrolean Iceman. The vascular network at the lower brain shows a slight hardening of the arteries. On the right side of the thorax the sixth and seventh ribs are fractured without callus formation. On the left side serial rib fractures can be seen which had healed well. The twelfth ribs are absent on both sides. The Iceman was suffering from arthrosis of the right hip of medium severity. Osteolysis of the little toe is indicative of frostbite. Some ecto- and endoparasites were found (Pulex irritans, Trichuris trichiura). The Iceman has a number of skin markings on various places. The location of these tattoos matches the X-ray findings of discrete to medium arthrotic changes in the corresponding joints. It seems reasonable to assume that the markings were applied for a therapeutic reason. The combination of thickening of the arteries, arthrosis of the joints, the healed fractures and frostbite lesions illustrates the hard life to be endured by the Man in the Ice and by Late Stone Age man in general.

Animals↗