Rib fracture: Difference between revisions

(Created page with "==Background== *kids <2y w/ >2 rib fx have almost 50% mort b/c ribs in kids rarely break & fx= xtreme force! *elderly have 2 X mortality w/ rib fx as younger pts ==Diagnos...")
 
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==Background==
==Background==
 
*Peds
 
**<2yrs with >2 rib fx = 50% mortality
*kids <2y w/ >2 rib fx have almost 50% mort b/c ribs in kids rarely break & fx= xtreme force!
***Ribs more flexible in kids so fx requires extreme force
 
*Elderly
*elderly have 2 X mortality w/ rib fx as younger pts
**Have 2x the mortality with rib fx compared to younger pts


   
   
==Diagnosis==
==Diagnosis==
*CXR
**1st & 2nd Rib fx = severe chest trauma


*PA CXR highest yield for rib fx, but clinical dx
*1st & 2nd Rib Fx hallmark of severe chest trauma, can injure brach plexus, great vessels & lung, ONLY nd angio if evidence of neurological or vascular injury, studies have shown no incr risk if nv intact & fx pattern & amt of displacement does NOT predict vascular inj
*costochondral seperation have nl cxr w/ similar s/s of rib fx, takes wks to mos to heal d/t decr vasc


==See Also==
==See Also==


==Source==


(Burbulys 2004/Trauma Reports 4/04 /A-Digest 7/04) -by Lampe
*Trauma Reports 4/04
 
 
 




[[Category:Trauma]]
[[Category:Trauma]]

Revision as of 07:39, 5 April 2011

Background

  • Peds
    • <2yrs with >2 rib fx = 50% mortality
      • Ribs more flexible in kids so fx requires extreme force
  • Elderly
    • Have 2x the mortality with rib fx compared to younger pts


Diagnosis

  • CXR
    • 1st & 2nd Rib fx = severe chest trauma


See Also

Source

  • Trauma Reports 4/04
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