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Ultrasonography as a better diagnostic efficiency in rib fracture

Year 2013, Volume: 30 Issue: 2, 133 - 135, 31.07.2013
https://doi.org/10.5835/jecm.omu.30.02.009

Abstract

In this study, our aim was to demonstrate the need of use of ultrasonography in rib fractures in order not to face medicolegal problems. One hundred patients admitted to our emergency service with mild to moderate blunt thorax trauma were included in our study prospectively. The inclusion criteria were pain upon palpation of ribs, deep inspiration, coughing but no any other pathologies like a pneumothorax, hemothorax. All patients are evaluated with ultrasonography (USG) and direct X-rays. X-ray revealed rib fracture diagnosis in 45 of 100 patients. Rib fracture is determined with using USG in 47 of 55 patients who are agreed on lack of rib fracture with direct X-rays. USG evaluation performed by an experienced radiologist is necessary in rib fractures for early diagnosis, arranging the treatment, documentation and preventing medicolegal problems.

References

  • Bansidhar, B.J., Lagares-garcia, J.A., Miller, S.L., 2002. Clinical rib fractures: Are follow-up chest x-rays a waste of resources? Am. Surg. 68, 449-4
  • Bhavnagri, S.J., Mohammed, T.L., 2009. When and how to image suspected broken rib. Cleve Clin. J. Med. 76, 309-314. doi: 10.3949/ ccjm.76a.08026
  • Chan, S.S., 2009. Emergency bedside ultrasound for the diagnosis of rib fractures. Am. J. Emerg. Med. 27, 617-620.
  • Davidson, R.S., Markowitz, R.I., Domans, J., Drummond, D.S., 1994. Ultrasonographic evalution of the elbow in infants and young children after suspected trauma. J. Bone Joint. Surg. Am. 76, 1804-1813.
  • De Maseneer, M., De Mey, J., Lenchik, L., Everaert, H., Osteaux, M., 2004. Helical CT of Rib Lesions: A Pattern-Based Approach. Am. J. Roentgenol. 182, 173-179.
  • Dubinsky, I., Low, A., 1997. Non-life threatening blunt chest trauma: Appropriate investigation and treatment. Am. J. Emerg. Med. 15, 240-243. Griffith, J.F., Rainer, T.H., Ching, A.S.C., Law, K.L., Cocks, R.A., Metreweli, C., 1999. Sonography compared with radiography in revealing acute rib fracture. Am. J. Roentgenol. 173, 1603-1609.
  • Holcomb, J.B., McMullin, N.R., Kozar, R.A., Lygas, M.H., Moore, F.A., 2003. Morbidity from rib fractures increases after age 45. J. Am. Coll. Surg. 96, 549-555.
  • Hurley, M.E., Keye, G.D., Hamilton, S., 2004. Is ultrasound really helpful in the detection of rib fractures? Injury.35, 562-566.
  • Kara, M., Dikmen, E., Erdal, H.H., Simsir, I., Kara, S.A., 2003. Disclosure of unnoticed rib fractures with the use of ultrasonogtaphy in minor blunt chest trauma. Eur. J. Cardiothorac. Surg. 24, 608-613.
  • Lamb, C.R., Parry, A.T., Baines, E.A., Chang, Y.M., 2011. Does changing the orientation of a thoracic radiograph aid diagnosis of rib fractures? Vet. Radiol. Ultrasound. 52, 75-78.
  • Malghem, J., Vande Berg, B., Lecouvet, F., Maldague, B., 2001. Costal cartilage fractures as revealed on CT and sonog-raphy. AJR Am J Roentgenol. 176, 429-432.
  • Markowitz, R.I., Davidson, R.S., Harty, M.P., Bellah, R.D., Hubbard, A.M., Rosenberg, H.K., 1992. Sonography of the elbow in infants and children. Am. J. Roentgenol. 159, 829-833.
  • Mathis, G., 1997. Thoraxsonography-Part 1: Chest wall and pleura. Ultrasound. Med. Biol. 23, 1131-1139.
  • Niitsu, M., Takeda, T., 2003. Solitary hot spots in the ribs on bone scan: Value of thin-section reformatted computed tomography to exclude radiography-negative fractures. J. Comput. Assist. Tomogr. 27, 469-474.
  • Stawicki, S.P., Grossman, M.D., Hoey, B.A., Miller, D.L., Reed, J.F. 3rd., 2004. Rib fractures in the elderly: A marker of injury severity. J. Am. Geriatr. Soc. 52, 805-808.
  • Traub, M., Stevenson, M, McEvoy, S., Briggs, G., Lo, S.K., Leibman, S., Joseph, T., 2007. The use of chest computed tomography versus chest x-ray in patients with major blunt trauma. Injury. 38, 43-47.
  • Trupka, A., Waydhas, C., Hallfeldt, K.K., Nast-Kolb, D., Pfeifer, K.J., Schweiberer, L., 1997. Value of thoracic computed tomography in the first assessment of severely injured patients with blunt chest trauma: Results of a prospective study. J. Trauma. 43, 405-412.
  • Turk, F., Kurt, A.B., Sağlam, S., 2010. Evaluation by ultrasound of traumatic rib fractures missed by radiography. Emerg. Radiol. 17, 473-477.
Year 2013, Volume: 30 Issue: 2, 133 - 135, 31.07.2013
https://doi.org/10.5835/jecm.omu.30.02.009

Abstract

References

  • Bansidhar, B.J., Lagares-garcia, J.A., Miller, S.L., 2002. Clinical rib fractures: Are follow-up chest x-rays a waste of resources? Am. Surg. 68, 449-4
  • Bhavnagri, S.J., Mohammed, T.L., 2009. When and how to image suspected broken rib. Cleve Clin. J. Med. 76, 309-314. doi: 10.3949/ ccjm.76a.08026
  • Chan, S.S., 2009. Emergency bedside ultrasound for the diagnosis of rib fractures. Am. J. Emerg. Med. 27, 617-620.
  • Davidson, R.S., Markowitz, R.I., Domans, J., Drummond, D.S., 1994. Ultrasonographic evalution of the elbow in infants and young children after suspected trauma. J. Bone Joint. Surg. Am. 76, 1804-1813.
  • De Maseneer, M., De Mey, J., Lenchik, L., Everaert, H., Osteaux, M., 2004. Helical CT of Rib Lesions: A Pattern-Based Approach. Am. J. Roentgenol. 182, 173-179.
  • Dubinsky, I., Low, A., 1997. Non-life threatening blunt chest trauma: Appropriate investigation and treatment. Am. J. Emerg. Med. 15, 240-243. Griffith, J.F., Rainer, T.H., Ching, A.S.C., Law, K.L., Cocks, R.A., Metreweli, C., 1999. Sonography compared with radiography in revealing acute rib fracture. Am. J. Roentgenol. 173, 1603-1609.
  • Holcomb, J.B., McMullin, N.R., Kozar, R.A., Lygas, M.H., Moore, F.A., 2003. Morbidity from rib fractures increases after age 45. J. Am. Coll. Surg. 96, 549-555.
  • Hurley, M.E., Keye, G.D., Hamilton, S., 2004. Is ultrasound really helpful in the detection of rib fractures? Injury.35, 562-566.
  • Kara, M., Dikmen, E., Erdal, H.H., Simsir, I., Kara, S.A., 2003. Disclosure of unnoticed rib fractures with the use of ultrasonogtaphy in minor blunt chest trauma. Eur. J. Cardiothorac. Surg. 24, 608-613.
  • Lamb, C.R., Parry, A.T., Baines, E.A., Chang, Y.M., 2011. Does changing the orientation of a thoracic radiograph aid diagnosis of rib fractures? Vet. Radiol. Ultrasound. 52, 75-78.
  • Malghem, J., Vande Berg, B., Lecouvet, F., Maldague, B., 2001. Costal cartilage fractures as revealed on CT and sonog-raphy. AJR Am J Roentgenol. 176, 429-432.
  • Markowitz, R.I., Davidson, R.S., Harty, M.P., Bellah, R.D., Hubbard, A.M., Rosenberg, H.K., 1992. Sonography of the elbow in infants and children. Am. J. Roentgenol. 159, 829-833.
  • Mathis, G., 1997. Thoraxsonography-Part 1: Chest wall and pleura. Ultrasound. Med. Biol. 23, 1131-1139.
  • Niitsu, M., Takeda, T., 2003. Solitary hot spots in the ribs on bone scan: Value of thin-section reformatted computed tomography to exclude radiography-negative fractures. J. Comput. Assist. Tomogr. 27, 469-474.
  • Stawicki, S.P., Grossman, M.D., Hoey, B.A., Miller, D.L., Reed, J.F. 3rd., 2004. Rib fractures in the elderly: A marker of injury severity. J. Am. Geriatr. Soc. 52, 805-808.
  • Traub, M., Stevenson, M, McEvoy, S., Briggs, G., Lo, S.K., Leibman, S., Joseph, T., 2007. The use of chest computed tomography versus chest x-ray in patients with major blunt trauma. Injury. 38, 43-47.
  • Trupka, A., Waydhas, C., Hallfeldt, K.K., Nast-Kolb, D., Pfeifer, K.J., Schweiberer, L., 1997. Value of thoracic computed tomography in the first assessment of severely injured patients with blunt chest trauma: Results of a prospective study. J. Trauma. 43, 405-412.
  • Turk, F., Kurt, A.B., Sağlam, S., 2010. Evaluation by ultrasound of traumatic rib fractures missed by radiography. Emerg. Radiol. 17, 473-477.
There are 18 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Surgery Medical Sciences
Authors

Metin Uzun

Burak Beksaç This is me

Adnan Karataş This is me

Fatih Küçükdurmaz This is me

Bahar Kırcalı This is me

Cihangir Tetik This is me

Publication Date July 31, 2013
Submission Date May 5, 2013
Published in Issue Year 2013 Volume: 30 Issue: 2

Cite

APA Uzun, M., Beksaç, B., Karataş, A., Küçükdurmaz, F., et al. (2013). Ultrasonography as a better diagnostic efficiency in rib fracture. Journal of Experimental and Clinical Medicine, 30(2), 133-135. https://doi.org/10.5835/jecm.omu.30.02.009
AMA Uzun M, Beksaç B, Karataş A, Küçükdurmaz F, Kırcalı B, Tetik C. Ultrasonography as a better diagnostic efficiency in rib fracture. J. Exp. Clin. Med. July 2013;30(2):133-135. doi:10.5835/jecm.omu.30.02.009
Chicago Uzun, Metin, Burak Beksaç, Adnan Karataş, Fatih Küçükdurmaz, Bahar Kırcalı, and Cihangir Tetik. “Ultrasonography As a Better Diagnostic Efficiency in Rib Fracture”. Journal of Experimental and Clinical Medicine 30, no. 2 (July 2013): 133-35. https://doi.org/10.5835/jecm.omu.30.02.009.
EndNote Uzun M, Beksaç B, Karataş A, Küçükdurmaz F, Kırcalı B, Tetik C (July 1, 2013) Ultrasonography as a better diagnostic efficiency in rib fracture. Journal of Experimental and Clinical Medicine 30 2 133–135.
IEEE M. Uzun, B. Beksaç, A. Karataş, F. Küçükdurmaz, B. Kırcalı, and C. Tetik, “Ultrasonography as a better diagnostic efficiency in rib fracture”, J. Exp. Clin. Med., vol. 30, no. 2, pp. 133–135, 2013, doi: 10.5835/jecm.omu.30.02.009.
ISNAD Uzun, Metin et al. “Ultrasonography As a Better Diagnostic Efficiency in Rib Fracture”. Journal of Experimental and Clinical Medicine 30/2 (July 2013), 133-135. https://doi.org/10.5835/jecm.omu.30.02.009.
JAMA Uzun M, Beksaç B, Karataş A, Küçükdurmaz F, Kırcalı B, Tetik C. Ultrasonography as a better diagnostic efficiency in rib fracture. J. Exp. Clin. Med. 2013;30:133–135.
MLA Uzun, Metin et al. “Ultrasonography As a Better Diagnostic Efficiency in Rib Fracture”. Journal of Experimental and Clinical Medicine, vol. 30, no. 2, 2013, pp. 133-5, doi:10.5835/jecm.omu.30.02.009.
Vancouver Uzun M, Beksaç B, Karataş A, Küçükdurmaz F, Kırcalı B, Tetik C. Ultrasonography as a better diagnostic efficiency in rib fracture. J. Exp. Clin. Med. 2013;30(2):133-5.