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Chest wall injury: relation between anatomy and consequence of injury mechanism

Chest wall injury: relation between anatomy and consequence of injury mechanism

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Chest wall injury: relation between anatomy and consequence of injury...
Surgical osteosynthesis for broken ribs
Management of Flail Chest
Chapter
Full-text available
  • May 2014
Optimal treatment of flail chest (FC), a serial and multilocular fracture of three or more adjacent ribs (+/− sternum) is challenged by changes in major trauma profiles. Pneumatic stabilization is the gold standard, while surgical interventions challenge the status quo. A review was performed of 2008–2013 Medline and PubMed data pool. The quality o...
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Context 1
... wounds Blunt trauma may cause skin abrasions, ecchymoses, and hematomas deep in the chest wall layers ( Table 1). 16,27 Penetrating and tangential injuries may induce punctures and lacerations of trivial significance if the force of chest wall injury is small. ...

Citations

Thoracic Trauma
Article
  • Feb 2017
  • Thorac Surg Clin
Clinical suspicion of hemo/pneumothorax: when in doubt, drain the chest. Stable chest trauma with hemo/pneumothorax: drain and wait. Unstable patient with dislocated trachea must be approached with drain in hand and scalpel ready. Massive hemo/pneumothorax may be controlled by drainage alone. The surgeon should not hesitate to open the chest if too much blood drains over a short period. The chest drainage procedure does not end with the last stitch; the second half of the match is still ahead. The drained patient is in need of physiotherapy and proper pain relief with an extended pleural space: control the suction system.
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