Ultrasonography as a better diagnostic efficiency in rib fracture

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.

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  • 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.
Journal of Experimental and Clinical Medicine-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1980
  • Yayıncı: Ondokuz mayıs Üniversitesi Tıp Fakültesi
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