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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
- Rib fracture: Displaced or non-displaced cortical break
- Flail chest: ≥ 3 segmental (≥ 2 fractures in same rib) or > 5 adjacent rib fractures
- Flail segment shows paradoxical motion with respiration
IMAGING
General Features
Radiographic Findings
CT Findings
Ultrasonographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Pieracci FM et al: A multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, nonflail fracture patterns (Chest Wall Injury Society NONFLAIL). J Trauma Acute Care Surg. 88(2):249-57, 2020
- Marini CP et al: Predictors of mortality in patients with rib fractures. Eur J Trauma Emerg Surg. ePub, 2019
- Kamath GS et al: Isolated cervical rib fracture. Ann Thorac Surg. 89(6):e41-2, 2010
- Peters S et al: Multidetector computed tomography-spectrum of blunt chest wall and lung injuries in polytraumatized patients. Clin Radiol. 65(4):333-8, 2010
- Levine BD et al: CT of rib lesions. AJR Am J Roentgenol. 193(1):5-13, 2009
- Hanak V et al: Cough-induced rib fractures. Mayo Clin Proc. 80(7):879-82, 2005
- Bulger EM et al: Epidural analgesia improves outcome after multiple rib fractures. Surgery. 136(2):426-30, 2004
- Hurley ME et al: Is ultrasound really helpful in the detection of rib fractures? Injury. 35(6):562-6, 2004
- Stawicki SP et al: Rib fractures in the elderly: a marker of injury severity. J Am Geriatr Soc. 52(5):805-8, 2004
- Holcomb JB et al: Morbidity from rib fractures increases after age 45. J Am Coll Surg. 196(4):549-55, 2003
- Sirmali M et al: A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardiothorac Surg. 24(1):133-8, 2003
- Barnea Y et al: Isolated rib fractures in elderly patients: mortality and morbidity. Can J Surg. 45(1):43-6, 2002
- Velmahos GC et al: Influence of flail chest on outcome among patients with severe thoracic cage trauma. Int Surg. 87(4):240-4, 2002
- Collins J: Chest wall trauma. J Thorac Imaging. 15(2):112-9, 2000
- Westcott J et al: Rib fractures. American College of Radiology. ACR Appropriateness Criteria. Radiology. 215 Suppl:637-9, 2000
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
- Rib fracture: Displaced or non-displaced cortical break
- Flail chest: ≥ 3 segmental (≥ 2 fractures in same rib) or > 5 adjacent rib fractures
- Flail segment shows paradoxical motion with respiration
IMAGING
General Features
Radiographic Findings
CT Findings
Ultrasonographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Pieracci FM et al: A multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, nonflail fracture patterns (Chest Wall Injury Society NONFLAIL). J Trauma Acute Care Surg. 88(2):249-57, 2020
- Marini CP et al: Predictors of mortality in patients with rib fractures. Eur J Trauma Emerg Surg. ePub, 2019
- Kamath GS et al: Isolated cervical rib fracture. Ann Thorac Surg. 89(6):e41-2, 2010
- Peters S et al: Multidetector computed tomography-spectrum of blunt chest wall and lung injuries in polytraumatized patients. Clin Radiol. 65(4):333-8, 2010
- Levine BD et al: CT of rib lesions. AJR Am J Roentgenol. 193(1):5-13, 2009
- Hanak V et al: Cough-induced rib fractures. Mayo Clin Proc. 80(7):879-82, 2005
- Bulger EM et al: Epidural analgesia improves outcome after multiple rib fractures. Surgery. 136(2):426-30, 2004
- Hurley ME et al: Is ultrasound really helpful in the detection of rib fractures? Injury. 35(6):562-6, 2004
- Stawicki SP et al: Rib fractures in the elderly: a marker of injury severity. J Am Geriatr Soc. 52(5):805-8, 2004
- Holcomb JB et al: Morbidity from rib fractures increases after age 45. J Am Coll Surg. 196(4):549-55, 2003
- Sirmali M et al: A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardiothorac Surg. 24(1):133-8, 2003
- Barnea Y et al: Isolated rib fractures in elderly patients: mortality and morbidity. Can J Surg. 45(1):43-6, 2002
- Velmahos GC et al: Influence of flail chest on outcome among patients with severe thoracic cage trauma. Int Surg. 87(4):240-4, 2002
- Collins J: Chest wall trauma. J Thorac Imaging. 15(2):112-9, 2000
- Westcott J et al: Rib fractures. American College of Radiology. ACR Appropriateness Criteria. Radiology. 215 Suppl:637-9, 2000
