ArticlePloS one2019
Patterns of serial rib fractures after blunt chest trauma: An analysis of 380 cases.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04548466 (Effect of Positive Expiratory Pressure on the Management of Chest Trauma), which is not on this map. Cited by 27 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of Positive Expiratory Pressure on the Management of Chest Trauma: a Randomized Controlled Trial
Who cites it
27 citing papers in PubMed, 61 citations in OpenAlex.
- Biomechanics of chest wall injury: implications for surgical stabilization and failure prevention.Frontiers in surgery · 2026Review
- Surgical Stabilization of Rib Fractures: Current Evidence and Considerations for Posterior Rib Fractures.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2026Review
- Thoracic CT findings and patient demographics associated with traumatic pneumothorax: recommendations for the emergency department.European journal of medical research · 2025Article
- Multivariate analysis of the effectiveness of the surgical treatment of the non-flail chest type of multiple rib fractures.Experimental and therapeutic medicine · 2025Article
- Long-term outcomes after removal of rib stabilization hardware in patients with blunt chest trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Investigating skeletal fracture patterns in truck occupants involved in fatal motor vehicle incidents.International journal of legal medicine · 2025Article
- Risk factors affecting pulmonary complications in elderly patients with isolated rib fractures.Journal of thoracic disease · 2025Article
- The distribution of lateral rib fractures: a validation and further development of the AO/OTA classification system in patients with fractures at the rib shaft.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Biomechanics of flail chest injuries: tidal volume and respiratory work changes in multiple segmental rib fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- CPR related injuries of the chest wall: direct and indirect fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Rib fracture characteristics increasing the risk of hemothorax: a multicenter study.Scientific reports · 2024Article
- Fracture Mapping in High-Energy Chest Trauma.Journal of clinical medicine · 2024Article
- [Surgical reconstruction of chest wall instability : Indications, contraindications and timing of surgery].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- [Biomechanics of thoracic wall instability].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- The use of whole body computed tomography does not lead to increased 24-h mortality in severely injured patients in circulatory shock.Scientific reports · 2024Observational
- Door to door in 24: factors that allow surgical stabilization of rib fractures within 24 hours of admission.Journal of thoracic disease · 2023Article
- Article
- Imaging patterns of thoracic injuries in survivors of intimate partner violence (IPV).Emergency radiology · 2023Article
- Tailored Surgical Stabilization of Rib Fractures Matters More Than the Number of Fractured Ribs.Journal of personalized medicine · 2022Article
- Rib fracture management: A review of surgical stabilization, regional analgesia, and intercostal nerve cryoablation.Surgery in practice and science · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Rib fractures represent the most common bone fracture, occurring in 10-20% of all blunt trauma patients and leading to concomitant injuries of the inner organs in severe cases. The purpose of this study was to identify specific serial rib fracture patterns after blunt chest trauma. 380 serial rib fracture cases were investigated. Fractures were assigned to five different locations within the transverse plane. Rib level, fracture type, and dislocation grades were recorded and related to the cause of accident. In total, 3735 rib fractures were identified (9.8 per patient). 54% of the rib fractures were detected on the left thorax. Rib fracture distribution exhibited a hotspot at rib levels 4 to 7 in the lateral and posterolateral segments. On average, most rib fractures occurred in crush/burying injuries (15.8, n = 13) and pedestrian accidents (12.8, n = 13), least in car/truck accidents (8.9, n = 75). In the car/truck accident group, 47% of all rib fractures were in the lateral segment, in case of frontal collision (n = 24) even 60%. Fall injuries (n = 141) entailed mostly posterolateral rib fractures (35%). In case of falls >3 m (n = 45), 48% more rib fractures were detected on the left thorax. In cardiopulmonary resuscitation related serial rib fractures (n = 33), 70% of all rib fractures were located anterolaterally. Infractions were the most observed fracture type (44%), followed by oblique (25%) and transverse (18%) fractures, while 46% of all rib fractures were dislocated (15% ≥ rib width). Serial rib fractures showed distinct fracture patterns depending on the cause of accident. When developing a serial rib fracture classification system, data regarding patterns, fracture types, dislocation grades, and associated fractures should be included.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.