İzole Bilateral Birinci Kosta Kırığı

Abstract

Giriş: Bilateral birinci kosta kırığı son derece nadirdir ve genellikle birden fazla kosta kırığı veya ciddi travmatik yaralanmalarla birliktedir. Birçok vakada birinci kosta kırığı intratorasik ciddi yaralanmalarla, ciddi nörovasküler yaralanmaları içeren baş ve sevikal vertebra travmalarıyla ilişkilidir. Biz yaklaşık 3 metre yüksekten düşen ve izole olarak bilateral birinci kostası kırılan bir olgu sunuyoruz. Olgu Sunumu: Elli iki yaşında kadın, acile gelmeden 2 saat önce düşmüş, glasgow koma skoru 15’di. Hastanın vital bulguları stabildi. Akciğer, kalp sesleri, bilateral üst ekstremite ve karotis arter nabız muayenelerinde bir anormallik tespit edilmedi. Servikal vertebra radyografik olarak intaktı, ancak direkt radyografi ve torakal bilgisayarlı tomografide bilateral birinci kosta kırığı mevcuttu. Hastada başka herhangi bir patolojik bulguya rastlanılmadı. Sonuç: Birinci kosta derin yerleşimlidir, omuz kuşağı ve kaslar tarafından korunur, kırılması tüm kosta kırıkları içerisinde nadirdir. Biliyoruz ki birinci kosta kırığı hayatı tehdit eden yaralanmalarla beraberdir, bu yüzden bilateral kosta kırığı olan vakalarda potansiyel riskin yüksek olduğunu düşünüyoruz. Bizim hastamız şanslıydı.

Keywords

• Bilateral rib fractures, isolated fracture of the first rib

Isolated Bilateral First-Rib Fractures

Abstract

Introduction: Bilateral fractures of the first rib are extremely rare and usually associated with either multiple rib fractures or serious traumatic injuries. In many cases, first rib fracture is related to serious trauma of the intrathoracic, head, and cervical spine, including neurovascular injuries. We present a case report of isolated bilateral first rib resulting from fracture following falling down from approximately 3 meters in height.Case Report: A 52-year-old woman, with Glasgow coma scale score 15, fell down 2 hours ago and was admitted to the emergency department. Patient’s vital signs were stable. Breath and heart sounds and pulse examinations in the bilateral carotid arteries and upper extremities were not determined to be aberrant. The cervical spine radiographic figures were obtained as intact; however, the bilateral first ribs were fractured by direct radiography and thoracal computerized tomography. There were no other pathological findings related to the patient. Conclusion: The first rib is deeply placed and protected by the shoulder girdle and muscles, the fracture of which remains the rarest of all rib fractures. We know that potential life-threatening injuries occur with only first-rib fracture; so, we think that the potential risk of that trauma is too high in the case of bilateral firstrib fractures. Our patient was fortunate

Keywords

• Bilateral rib fractures, isolated fracture of the first rib

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