Cargando…
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...
Autores principales: | , |
---|---|
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 |
_version_ | 1783659997871210496 |
---|---|
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. |
format | Online Article Text |
id | pubmed-7929885 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT prinsjonneth operativetreatmentofmultiplecostochondraldislocationsinapatientwithsevereribfracturesandaflailchestfollowingtrauma AT wijffelsmathieume operativetreatmentofmultiplecostochondraldislocationsinapatientwithsevereribfracturesandaflailchestfollowingtrauma |