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Article
July 1978

Severe Chest TraumaMorbidity Implication of First and Second Rib Fracture in 120 Patients

Author Affiliations

From the Departments of Surgery (Drs Wilson, Thomas, and Lewis) and Radiology (Dr Goodman), University of California at San Francisco General Hospital.

Arch Surg. 1978;113(7):846-849. doi:10.1001/archsurg.1978.01370190068011
Abstract

• Patients who sustain fracture of either the first or second rib have severe injuries usually involving multiple systems. In comparing 71 patients with first rib fractures and 49 patients with second rib fractures, we found morbidity and mortality to be similar. A multidisciplinary approach to management of these patients is described and vigorous diagnostic and therapeutic measures are warranted to promptly determine the extent of injury and minimize the frequency of missed diagnosis.

(Arch Surg 113:846-849, 1978)

References
1.
Breslin FJ:  Fractures of the first rib unassociated with fractures of other ribs . Am J Surg 38:384-389, 1937.Article
2.
Alderson BR:  Further observation on fracture of the first rib . Br J Radiol 20:345-359, 1947.Article
3.
Bassett JS, Gibson RD, Wilson RF:  Blunt injuries to the chest . J Trauma 8:418-429, 1968.Article
4.
Cohen AG:  Isolated fracture of the first rib . NY State J Med 43:448-449, 1943.
5.
Conn JH, Hardy JD, Fain WR, et al:  Thoracic trauma: Analysis of 1,022 cases . J Trauma 3:22-40, 1963.Article
6.
Fisher RD, Rienhoff WF:  Subslavian artery laceration resulting from fractured first rib . J Trauma 6:579-581, 1966.Article
7.
Galbraith NF, Urschel HC, Wood RE, et al:  Fracture of first rib associated with laceration of subclavian artery . J Thorac Cardiovasc Surg 65:649-652, 1973.
8.
Holmes TW, Netterville RE:  Complications of first rib fracture including one case each of tracheoesophageal fistula and aortic arch aneurysm . J Thorac Surg 32:74-91, 1956.
9.
Joshi SG, Fanday SR, Parulkar GB, et al:  Bilateral fracture of the first rib: Report of two cases . J Bone Joint Surg 47B:283-285, 1965.
10.
Kulowski J, Ryan JH:  Isolated bilateral fracture of the first rib . S Med J 33:1149-1152, 1939.Article
11.
Pierce GE, Maxwell JA, Boggan MD:  Special hazards of first rib fractures . J Trauma 15:264-267, 1975.Article
12.
Richardson JD, McElvein RB, Trinkle JK:  First rib fracture: A hallmark of severe trauma . Ann Surg 181:251-254, 1975.Article
13.
Sturm JT, Strate RG, Mowlem A, et al:  Blunt trauma to the subslavian artery . Surg Gynecol Obstet 138:915-918, 1974.
14.
Weiner DS, O'Dell HW:  Fractures of the first rib associated with injuries to the clavicle . J Trauma 9:412-422, 1969.Article
15.
Harrison WH, Gray AR, Couves CM, et al:  Severe nonpenetrating injuries to the chest: Clinical results in the management of 216 patients . Am J Surg 100:715-722, 1960.Article
16.
Castagna J, Nelson RJ: Blunt injuries to branches of the aortic arch Surg 69:521-533, 1975.
17.
Marsh DG, Strum JT:  Traumatic aortic rupture: Roentgenographic indications for angiography . Ann Thorac Surg 21:337-338, 1976.Article
18.
Pickard LR, Mattox KL, Espada R, et al:  Transection of the descending thoracic aorta secondary to blunt trauma . J Trauma 17:749-753, 1977.Article
19.
Kirsh MM, Behrendt DM, Orringer MB, et al:  The treatment of acute traumatic rupture of the aorta . Ann Surg 184:308-316, 1976.Article
20.
Bodily K, Perry JF, Strate RG, et al:  The salvageability of patients with post-traumatic rupture of the descending thoracic aorta in a primary trauma center . J Trauma 17:754-760, 1977.Article
21.
Blair E, Topuzlu C, Davis JH:  Delayed or missed diagnosis in blunt chest trauma . J Trauma 11:129-145, 1971.Article
22.
Gertner HR, Baker SP, Rutherford RB, et al:  Evaluation of management of vehicular fatalities secondary to abdominal injury . J Trauma 12:425-431, 1972.Article
23.
Mulder DS, Greenwood FAH, Brooks CE:  Post-traumatic thoracic outlet syndrome . J Trauma 13:706-715, 1973.Article
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