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肋软骨骨折:创伤患者中一种常被漏诊的胸部损伤。

Costal cartilage fracture: A commonly missed thoracic injury in trauma patients.

作者信息

Meteb Moussa, Abou Shaar Bader, El-Karim Ghassan Awad, Almalki Youssef

机构信息

The Ottawa Hospital Research Institute, 501 Smyth Rd, Ottawa, ON, K1H 8L6, Canada.

Alfaisal University, College of Medicine, Riyadh, Saudi Arabia.

出版信息

Radiol Case Rep. 2021 Nov 1;17(1):95-98. doi: 10.1016/j.radcr.2021.10.008. eCollection 2022 Jan.

Abstract

In this report, we describe a case of a 43-year-old male who sustained a displaced mid chondral costal cartilage fracture along with multiple ipsilateral rib fractures following a jet ski collision. Costal cartilage fractures (CC) are commonly missed on imaging evaluation, and accordingly underreported in the literature. High-energy blunt chest trauma represents the most common mechanism for CC injuries. Computed Tomography (CT) is the modality of choice to diagnose CC fractures along with the associated cardiopulmonary and abdominal injuries in polytrauma patients. There is currently no consensus with respect to the management of CC fractures. Further research is required to explore the long-term impact of CC fractures on thoracic cage stability.

摘要

在本报告中,我们描述了一例43岁男性病例,该患者在一次水上摩托艇碰撞后,发生了一处移位的肋软骨中段骨折以及同侧多根肋骨骨折。肋软骨骨折(CC)在影像学评估中常被漏诊,因此在文献中报道较少。高能钝性胸部创伤是CC损伤最常见的机制。计算机断层扫描(CT)是诊断CC骨折以及多发伤患者相关心肺和腹部损伤的首选检查方式。目前对于CC骨折的治疗尚无共识。需要进一步研究来探讨CC骨折对胸廓稳定性的长期影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48cd/8571527/0c57248c97a6/gr1.jpg

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