Dec 30, 2024 · Rib fractures are a common consequence of trauma and can cause life-threatening complications. Rib fractures are often associated with other injuries and the greater the number of rib fractures the more likely are associated injuries 1,3: The 4th-10th ribs are the most commonly fractured 1.

Jan 14, 2025 · A definitive diagnosis of rib fractures can be made with advanced imaging (ie, computed tomography [CT] scan), but advanced imaging is often not necessary for isolated (one or two ribs) fractures once associated injury has been adequately excluded, typically with a chest radiograph (CXR).

Jun 14, 2024 · Rib fractures usually occur in multiples, so a complete evaluation of all ribs is performed when interpreting the chest CT. Sagittal and axial images can be helpful in seeing several sequential rib fractures as they often occur adjacent to …

Jul 23, 2012 · Bottom line: Rib fracture is a clinical diagnosis! CT scan of the chest for diagnosing rib fractures (or pneumothorax, or hemothorax for that matter) is basically not indicated. It delivers a lot of radiation (and IV contrast if you mistakenly order it), but does not change management.

Apr 1, 2022 · Most missed rib fractures are occult on early CT, which is attributable to the limitations of the CT technique. The number of displaced rib fractures on early CT is a more stable and reliable clinical indicator.

Classic clinical signs and symptoms of rib fracture in-clude point tenderness, focally referred pain with general chest compression, splinting, bony crepitus, and ecchy-mosis. In a patient with minor blunt trauma, when there is little suspicion of associated injury or complication, plain radiography is likely suficient.

Feb 10, 2017 · Rib injuries can be separated into specific morphologic fracture patterns that include stress, buckle, nondisplaced, displaced, segmental, and pathologic fractures. Specific attention is also required for flail chest and for fractures due to pediatric nonaccidental trauma.

Right sided pneumothorax with multiple rib fractures. Two broken ribs as seen on parasagittal CT. Coronal CT image showing multiple contiguous left rib fractures (arrows).

Rib fracture is the most common thoracic injury and is present in 10% of all traumatic injuries and in almost 40% of patients who sustain severe nonpenetrating trauma [1,2]. Rib fractures typically affect the fifth through ninth ribs.

2 days ago · Background Accurate detection and grading of fresh rib fractures are crucial for patient management but remain challenging due to the complexity of rib structures on CT images. Methods Chest CT images from 383 patients with rib fractures were retrospectively analyzed. The dataset was divided into a training set (n = 306) and an internal testing set (n = 77). An external testing set of 50 ...