@article{article_1774569, title={The role of computed tomography in the evaluation of intrapulmonary complications in rib fractures according to their sites and types}, journal={Journal of Contemporary Medicine}, volume={15}, pages={208–215}, year={2025}, DOI={10.16899/jcm.1774569}, author={Keskin, Zeynep and Yeşildağ, Mihrican and Özberk, Ömer and Ödev, Kemal}, keywords={Bilgisayarlı tomografi, kırık, intrapulmoner komplikasyon, kot}, abstract={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 <0.001). It was also found that the frequency of displaced fractures was significantly higher in those with advanced age (p=0.22), and the frequency of intrapulmonary complications was significantly higher (p <0.001). Rib fractures were most frequently seen in the posterior plane in the axial plane, and most frequently in the midplane in the coronal plane. However, in the Kruskal-Wallis test, the development of complications was found to be significantly higher in these localizations, compared to other regions (p <0.001). Discussion: CT plays a critical role in those with rib fractures, both in determining the location of the fracture and in detecting fracture-related complications. Our study findings reveal that CT should be included in clinical decision-making processes in the management of rib fractures.}, number={5}, publisher={Rabia YILMAZ}, organization={Bu araştırma kamu, ticari veya kâr amacı gütmeyen sektörlerdeki herhangi bir fon kuruluşundan özel bir hibe almamıştır.}