Evidence map›Paper›PMID 39190059›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Do we have to redefine type B-fractures of the rib cartilage?

Johannes Groh, Florian Kern, Mario Perl, Stefan Schulz-Drost

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Traumatic fractures of the sternum - typical distribution and need for subgroups within AO and OTA classification system?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  2. 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 · 2025
    Article
  3. 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 · 2025
    Article
  4. Costal fracture assessment for relief and enhancement of quality of life-CARE study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Johannes GrohFaculty of Medicine, Department of Orthopedic and Trauma Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Florian KernFaculty of Medicine, Department of Anesthesiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Mario PerlFaculty of Medicine, Department of Orthopedic and Trauma Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Stefan Schulz-DrostFaculty of Medicine, Department of Orthopedic and Trauma Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany. stefan.schulz-drost@helios-gesundheit.de.ORCID http://orcid.org/0000-0002-0945-8523

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAim of this work was the evaluation and validation of the AO/OTA classification of the anterior chest wall, here especially for the rib cartilage.

methodsStudy design was a retrospective analysis of patients who were hospitalized with fractures of the thoracic wall in the years 2010-2016. This resulted in a collective of n = 124 patients. All fractures of the anterior chest wall were classified according to their location, dislocation and fracture type according to the AO classification. An analysis of possible subtypes was carried out.

results29.0% (36) of the patients had fractures of the rib cartilage. 23 of the 36 (64%) patients had multiple fractures, the total number of single fractures amounted to 94. 53.2% (50) of these fractures were in the right hemithorax, 46.8% (44) in the left hemithorax. 95.7% (90) of the fractures were A-fractures, 4.3% (4) were C-fractures. There were no B fractures. The C fractures also consisted exclusively of A fractures (AA fractures). 59.6% (56) of the fractures showed a dislocation. 30.9% (29) were avulsion fractures of either the osteochondral (22.3% (21)) or the sternocostal junction (8.5% (8)). DISCUSSION AND

conclusionThe costal cartilage obviously does not show typical B fractures as we know them from shaft fractures of long bones. We have compiled a structured analysis in the attached manuscript and validated the classification proposal. In conclusion, we propose an adaptation of the classification proposal based on our data with redefining type B fractures as fractures of the osteochondral joints.

Indexed as

Rib FracturesAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesThoracic WallAnterior ribAO/OTA classificationCostal cartilageCostochondralRib cartilageRib fractureSternocostal

Identifiers

PMID39190059

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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.