Injuries to the Chest Wall: Diagnosis and Management by Michael D. McKee, Emil H. Schemitsch

By Michael D. McKee, Emil H. Schemitsch

Up-to-date and multidisciplinary, this article brings jointly the entire most recent examine and scientific remedy recommendations for the administration of accidents to the chest wall and rib cage. The administration of trauma to the chest wall, specially “flail chest” accidents, has been particularly stagnant for a few years. Non-operative therapy has been the traditional of care, and regardless of a few advances, has reached the purpose the place there's little new to supply a significantly traumatized sufferer. even though, lately, there was a dramatic raise within the curiosity in surgical fixation of volatile chest wall accidents. particularly, plate or intramedullary nail fixation of a number of rib fractures has swiftly develop into the state of the art in lots of trauma facilities, and there have a number of examine papers, studies, new fixation units, and tutorial classes at nationwide point conferences in this subject. This ebook assembles a various team of specialists within the field—orthopedic surgeons, trauma surgeons, anesthetists, easy technology researchers—to produce the definitive paintings in this subject that may attract a wide selection of scientific practitioners.

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Chest wall trauma. J Thorac Imaging. 2000;15:112–9. 21. Bailey P. Surfer’s rib: isolated first rib fracture secondary to indirect trauma. Ann Emerg Med. 1985; 14:346–9. 22. Sadaba JR, Oswal D, Munsch CM. Management of isolated sternal fractures: determining the risk of blunt cardiac injury. Ann R Coll Surg Engl. 2000;82: 162–6. 23. Berg EE. The sternal-rib complex. A possible fourth column in thoracic spine fractures. Spine (Phila Pa 1976). 1993;18:1916–9. 24. Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries.

Ahmed Z, Mohyuddin Z. Management of flail chest injury: internal fixation versus endotracheal intubation and ventilation. J Thorac Cardiovasc Surg. 1995;110(6):1676–80. Available from: http://www. gov/pubmed/8523879. Tanaka H, Yukioka T, Yamaguti Y, et al. Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients. J Trauma. 2002;52(4):727–32. discussion 732.

1 The normal mechanics of respiration. As the (intact) chest wall expands outward under the influence of the respiratory muscles (including the intercostal muscles), the diaphragm contracts and lowers, creating a negative intrathoracic pressure, and in response air enters through the upper respiratory system. In expiration, the process is reversed 22 A. Tiwari et al. Fig. 2 Illustration of a flail chest injury—three or greater adjacent ribs with segmental fractures is a generally accepted definition (see also Chap.

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