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Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma

A 73-year-old male patient underwent operative treatment for dislocation of multiple costochondral junctions alongside multiple bony rib fractures and a flail chest following high-energy trauma. During the operative fixation of the flail chest, the costochondral lesions were surgically stabilised wi...

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Detalles Bibliográficos
Autores principales: Prins, Jonne T H, Wijffels, Mathieu M E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7929885/
https://www.ncbi.nlm.nih.gov/pubmed/33653849
http://dx.doi.org/10.1136/bcr-2020-239511
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author Prins, Jonne T H
Wijffels, Mathieu M E
author_facet Prins, Jonne T H
Wijffels, Mathieu M E
author_sort Prins, Jonne T H
collection PubMed
description A 73-year-old male patient underwent operative treatment for dislocation of multiple costochondral junctions alongside multiple bony rib fractures and a flail chest following high-energy trauma. During the operative fixation of the flail chest, the costochondral lesions were surgically stabilised with plates and screws, which were fixated on the osseous anterior rib, sternum or the rib cartilage. The patient experienced no pulmonary complications during the primary admission. At 7 months after the trauma, the chest CT scan showed full consolidation of all fixated rib fractures, including the costochondral lesions, without hardware dislocation or complications. The patient did not require any pain medication and had no pain during daily activities, at rest or at night. Although being a biomechanically demanding region, which is often not defined in current rib fracture classification, operative treatment of costochondral lesions is feasible with outcome similar to the treatment of bony rib fractures.
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spelling pubmed-79298852021-03-19 Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma Prins, Jonne T H Wijffels, Mathieu M E BMJ Case Rep Case Report A 73-year-old male patient underwent operative treatment for dislocation of multiple costochondral junctions alongside multiple bony rib fractures and a flail chest following high-energy trauma. During the operative fixation of the flail chest, the costochondral lesions were surgically stabilised with plates and screws, which were fixated on the osseous anterior rib, sternum or the rib cartilage. The patient experienced no pulmonary complications during the primary admission. At 7 months after the trauma, the chest CT scan showed full consolidation of all fixated rib fractures, including the costochondral lesions, without hardware dislocation or complications. The patient did not require any pain medication and had no pain during daily activities, at rest or at night. Although being a biomechanically demanding region, which is often not defined in current rib fracture classification, operative treatment of costochondral lesions is feasible with outcome similar to the treatment of bony rib fractures. BMJ Publishing Group 2021-03-02 /pmc/articles/PMC7929885/ /pubmed/33653849 http://dx.doi.org/10.1136/bcr-2020-239511 Text en © BMJ Publishing Group Limited 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Prins, Jonne T H
Wijffels, Mathieu M E
Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma
title Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma
title_full Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma
title_fullStr Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma
title_full_unstemmed Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma
title_short Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma
title_sort operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7929885/
https://www.ncbi.nlm.nih.gov/pubmed/33653849
http://dx.doi.org/10.1136/bcr-2020-239511
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