Rib fracture

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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


Diagnosis

  • 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

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

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