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Correlation of rib fracture patterns with abdominal solid organ injury: A retrospective observational cohort study

Chinese Journal of Traumatology 2022年第1期25卷 45-48页

作者： Abdoulhossein Davoodabadi Noshin Mosavibioki Mohammad Mashayekhil Hamidreza Gilasi Esmail Abdorrahim Kashi Babak Haghpanah Department of Surgery Trauma Research CenterKashan University of Medical SciencesKashanIran General Surgery Department Trauma Research CenterKashan University of Medical SciencesKashanIran Department of Epidemiology&Biostatistics Kashan University of Medical SciencesKashanIran Department of Orthopedic Surgery Kashan University of Medical SciencesKashanIran

Purpose::Rib 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 ***::This 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 *** ethic committee approval,a retrospective chart review was designed and patients with a diagnosis of rib fractures were *** 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 *** correlation between ASOI and the sides,segments and number of rib fracture(s)was assessed by Pearson's correlation ***::Altogether 1056 patients with rib fracture(s)were *** mean age was(42.76±13.35)years and 85.4%were *** 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 ***::There is a significant relationship between middle zone rib fractures and ***-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.

关键词： Blunt trauma Liver injury Rib fractures Solid organ injury spleen injury

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