Observational studyChinese journal of traumatology = Zhonghua chuang shang za zhi2022
Correlation of rib fracture patterns with abdominal solid organ injury: A retrospective observational cohort study.
Observational study in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 13 citations in OpenAlex.
- Impact of Pre-Interventional Observational Management Duration on Outcomes of Embolization for Splenic Injuries: Experience from Two Centers.International journal of general medicine · 2025Article
- Low-Energy Trauma: Severe Liver Injury in an Elderly Patient from a Seated Fall.The American journal of case reports · 2024Article
- Rib Fractures in Trauma Patients: Prevalence, Associated Injuries, and Mortality Trends.Cureus · 2024Article
- Chest wall injury fracture patterns are associated with different mechanisms of injury: a retrospective review study in the United States.Journal of trauma and injury · 2024Article
- Unexpected Foreign Body-Induced Small Bowel adenocarcinoma: A Case Report.Journal of inflammation research · 2024Article
- A rare case of delayed splenic rupture following initial negative CT scan imaging: A case report and review of the literature.International journal of surgery case reports · 2022Article
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Abstract
purposeRib fractures are one of the most common causes of morbidity and mortality and are associated with abdominal solid organ injury (ASOI). The purpose of this study was to investigate the correlation of ASOI with the number, location, and involved segments of rib fracture(s) in blunt chest trauma.
methodsThis retrospective cohort study was conducted on patients with blunt chest trauma over the age of 15 years, who were hospitalized with the diagnosis of rib fractures from July 2015 to September 2020. After ethic committee approval, a retrospective chart review was designed and patients with a diagnosis of rib fractures were selected. Patients who had chest and abdominopelvic CT scan were included in the study and additional data including age, gender, injury severity score, trauma mechanism, number and sides of the fractured ribs (left/right/bilateral), rib fracture segments (upper, middle, lower zone) and results of chest and abdominal spiral CT scan were recorded. The correlation between ASOI and the sides, segments and number of rib fracture(s) was assessed by Pearson's correlation coefficient.
resultsAltogether 1056 patients with rib fracture(s) were included. The mean age was (42.76 ± 13.35) years and 85.4% were male. The most common mechanism of trauma was car accident (34.6%). Most fractures occurred in the middle rib zone (60.44%) and the most commonly involved ribs were the 6th and 7th ones (15.7% and 16.4%, respectively). Concurrent abdominal injuries were observed in 103 patients (34.91%) and were significantly associated with middle zone rib fractures.
conclusionThere is a significant relationship between middle zone rib fractures and ASOI. Intra-abdominal injuries are not restricted to fractures of the lower ribs and thus should always be kept in mind during management of blunt trauma patients with rib fractures.
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