TY - JOUR T1 - The role of computed tomography in the evaluation of intrapulmonary complications in rib fractures according to their sites and types TT - Kot kırıklarının farklı yerleşim yerleri ve tiplerine göre komplikasyon risklerini değerlendirmek ve bilgisayarlı tomografinin rolünü vurgulamak. AU - Keskin, Zeynep AU - Yeşildağ, Mihrican AU - Özberk, Ömer AU - Ödev, Kemal PY - 2025 DA - September Y2 - 2025 DO - 10.16899/jcm.1774569 JF - Journal of Contemporary Medicine JO - J Contemp Med PB - Rabia YILMAZ WT - DergiPark SN - 2667-7180 SP - 208 EP - 215 VL - 15 IS - 5 LA - en AB - Abstract Objective: To evaluate the complication risks by different locations and types of rib fractures and to emphasize the role of computed tomography (CT).Material and Method: Patients’ findings undergoing thoracic CT due to blunt chest trauma in the emergency department of our hospital between 1st September 2021 and 31st December 2023 were retrospectively evaluated, and 560 patients with rib fractures were included in the study. Such factors as age, gender, axial (anterior, posterior, lateral, and multiple) and coronal plane (upper, middle, and lower) fracture status, and the incidence of intrapulmonary complications of all patients were evaluated through CT. It was investigated whether there were statistical differences between the study findings.Results: In the Mann-Whitney U test, the mean age of females was seen to be significantly higher than in males (p KW - Computed tomography KW - fracture KW - intrapulmonary complication KW - rib N2 - ÖZETAmaç: Kot kırıklarının farklı yerleşim yerleri ve tiplerine göre komplikasyon risklerini değerlendirmek ve bilgisayarlı tomografinin (BT) rolünü vurgulamak.Gereç ve Yöntem: 1 Eylül 2021 ile 31 Aralık 2023 tarihleri arasında hastanemiz acil servisinde künt toraks travması nedeniyle toraks BT’si yapılan hastaların verileri geriye dönük olarak değerlendirildi ve kot kırığı saptanan 560 hasta çalışmaya dahil edildi. Hastaların yaşı, cinsiyeti, aksiyel (anterior, posterior, lateral ve çoklu) ve koronal düzlemdeki (üst, orta ve alt) kırık durumları ile intrapulmoner komplikasyon görülme sıklıkları BT ile değerlendirildi. Elde edilen bulgular arasında istatistiksel fark olup olmadığı araştırıldı.Bulgular: Mann-Whitney U testi sonucunda kadınların yaş ortalamasının erkeklere göre anlamlı derecede yüksek olduğu görüldü (p CR - 1. Martin TJ, Eltorai AS, Dunn R, et al. Clinical management of rib fractures and methods for prevention of pulmonary complications: a review. Injury. 2019;50(6):1159–1165. CR - 2. Ziegler DW, Agarwal NN. The morbidity and mortality of rib fractures. J Trauma. 1994;37(6):975-979. CR - 3. Trupka A, Waydhas C, Hallfeldt K et al. Value of thoracic computed tomography in the first assessment of severely injured patients with blunt chest trauma: results of a prospective study. J Trauma 1997;6(2): 405−443. CR - 4. Zinck SE, Primack SL. Radiographic and CT findings in blunt chest trauma. Journal of Thoracic Imaging. 2000;15(2):87–96. CR - 5. Flagel BT, Luchette FA, Reed RL, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery. 2005;138(4):717-725. 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Chest computed tomography scan alters the management plan in multiple trauma patients with a prior chest X-ray. Chin J Acad Radiol. 2023;6:82-88. UR - https://doi.org/10.16899/jcm.1774569 L1 - https://dergipark.org.tr/en/download/article-file/5197666 ER -