隐匿性肋骨及肋软骨骨折的超声检查：病例系列
Sonography of occult rib and costal cartilage fractures: a case series.
作者信息
Mattox Ross, Reckelhoff Kenneth E, Welk Aaron B, Kettner Norman W
机构信息
Diagnostic Imaging Resident, Department of Radiology, Logan University, Chesterfield, MO.
Diagnostic Imaging Fellow, Department of Radiology, Logan University, Chesterfield, MO.
出版信息
J Chiropr Med. 2014 Jun;13(2):139-43. doi: 10.1016/j.jcm.2014.06.008.
OBJECTIVE
The purpose of this case series is to describe the use of diagnostic ultrasound (US) in the detection of occult rib and costal cartilage fractures presenting as chest wall pain to a chiropractic clinic.
CLINICAL FEATURES
Three patients presented with chest wall pain and tenderness. Two of the patients presented with acute chest wall injury and 1 carried a previous diagnosis of rib fracture after trivial trauma 2 months earlier.
INTERVENTION AND OUTCOMES
Diagnostic US was selected as a non-ionizing imaging tool for these patients after negative digital radiography studies. All fractures were considered isolated as there was no associated injury, such as pneumothorax. Both of the acute cases were followed up to complete healing (evidence of osseous union) using US. All patients eventually achieved pain-free status.
CONCLUSION
In these cases, US was more sensitive than radiography for diagnosing these cases of acute rib and costal cartilage fractures. Early recognition of rib injury could avoid potential complications from local manipulative therapy.
目的
本病例系列的目的是描述诊断性超声（US）在检测以胸壁疼痛就诊于整脊诊所的隐匿性肋骨和肋软骨骨折中的应用。
临床特征
三名患者出现胸壁疼痛和压痛。其中两名患者有急性胸壁损伤，一名患者在两个月前轻微外伤后曾被诊断为肋骨骨折。
干预措施及结果
在数字X线摄影检查结果为阴性后，选择诊断性超声作为这些患者的非电离成像工具。所有骨折均被认为是孤立性的，因为没有诸如气胸等相关损伤。对两例急性病例采用超声进行随访直至完全愈合（骨愈合证据）。所有患者最终均达到无痛状态。
结论
在这些病例中，超声在诊断这些急性肋骨和肋软骨骨折方面比X线摄影更敏感。早期识别肋骨损伤可避免局部手法治疗的潜在并发症。
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