Schunk K, Werner M, Strunk H, Schild H
Institut für Klinische Strahlenkunde, Johannes Gutenberg-Universität Mainz.
Aktuelle Radiol. 1993 Mar;3(2):75-83.
Injuries of the thoracic skeleton are an important indicator of other, relevant traumatic changes after a polytrauma. Most fractures occur in the ribs, followed by fractures of the clavicle, the scapula and the sternum. Because of their high kinetic energy, car accidents are the main reason for thoracic fractures. The basic radiologic tool is the a.p. projection of the thorax in supine position; in addition, other conventional x-ray examinations or computed tomography are performed. Most thoracic fractures are treated conservatively, only in few cases (instability of the thorax, risk of pseudoarthrosis, incongruence of joint surfaces) surgical procedures are used.
胸部骨骼损伤是多发伤后其他相关创伤性改变的重要指标。大多数骨折发生在肋骨，其次是锁骨、肩胛骨和胸骨骨折。由于其高动能，车祸是胸部骨折的主要原因。基本的放射学检查方法是胸部仰卧前后位投照；此外，还会进行其他传统的X线检查或计算机断层扫描。大多数胸部骨折采用保守治疗，仅在少数情况下（胸部不稳定、假关节形成风险、关节面不平整）采用手术治疗。
