Correlation between Rib Fractures and Intra-abdominal Organ Injuries after Blunt Chest Trauma.
AJTES Vol 4, No 2, July 2020
PDF Full Text

Keywords

rib fracture
Chest trauma
abdominal
blunt
injury organ

How to Cite

DOGJANI, A., HAXHIREXHA, K., KOLANI, H., SELMANI, E., GJATA, A., TODAJ, M., TODAJ, A., & BENDO, H. (2020). Correlation between Rib Fractures and Intra-abdominal Organ Injuries after Blunt Chest Trauma. Albanian Journal of Trauma and Emergency Surgery, 4(2), 671-677. https://doi.org/10.32391/ajtes.v4i2.145

Abstract

Introduction; The most common thoracic injuries were rib fractures (40%) and simple lung contusions (35%) and the abdominal organs most commonly injured were the spleen (35%), liver (25%), and kidney (20%). Mortality varies from 3-22%. the thoracic-abdominal injuries,

Purpose; Evidence of the role of thoracic trauma in intraabdominal injuries. Evaluation of correlation between rib fractures and intra-abdominal organ injuries after Blunt Chest Trauma;

Materials and methods;

The study has a retrospective character, conducted within the period of December 2017 - June 2019. In our study, 890 patients were included in the Emergency Department at University Hospital of Trauma, Tirana, Albania. The population sample was selected randomly without any study restrictions.

Results; Our study includes 890 patients; distribution of gender-based was: 196 (22%) females and 694 (78%) males. The distribution based on age: 116 (13 %); for <14 years old group; 347 (39%); for 14-40 years old; 427 (48%).for >40 years old.

Conclusions; In Blunt Chest trauma, the incidence of intraabdominal organ injuries is high as evidenced by our study. All patients with such injuries should be evaluated and evaluated until the possibility of such intra-abdominal damage is ruled out. Also, intra-abdominal injuries in multiple rib fractures patients with more than 6 fractures show high gravity, full inspection and observation must be achieved to prepare for possible emergency surgery or other treatment options.

https://doi.org/10.32391/ajtes.v4i2.145
PDF Full Text

References

Gabram SG, Schwartz RJ, Jacobs LM, et al. Clinical management of blunt trauma patients with unilateral rib fractures: a randomized trial. World J Surg 1995; 19: 388-93.

Shorr R, Crittenden M, Indeck M, Hartunian S, Rodriguez A. Blunt thoracic trauma. Analysis of 515 patients. Ann Surg. 1987; 206: 200–205. 10.1097/00000658-198708000-00013 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Narayanan R, Kumar S, Gupta A, Bansal V, Sagar S, Singhal M, et al. An Analysis of Presentation, Pattern and Outcome of Chest Trauma Patients at an Urban Level 1 Trauma Center. Indian J Surg. 2018; 80: 36–41. 10.1007/s12262-016-1554-2 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Ziegler D, Agarwal N. The morbidity and mortality of rib fractures. J Trauma. 1994; 37: 975–979. 10.1097/00005373-199412000-00018 [PubMed] [CrossRef] [Google Scholar]

Amponsah G, Gorleku P. Bony injuries in trauma patients diagnosed by radiological examination. Ghana Med J. 2015; 49: 97–101. 10.4314/gmj.v49i2.6 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Flagel B, Luchette F, Reed R, Esposito T, Davis K, Santaniello J, et al. Half-a-dozen ribs: The breakpoint for mortality. Surgery. 2005; 138: 717–723. 10.1016/j.surg.2005.07.022 [PubMed] [CrossRef] [Google Scholar]

Harris GJ, Soper RT. Pediatric first rib fractures. J Trauma 1990; 30: 343-5.

Sirmali M, Türüt H, Topçu S, Gülhan E, Yazici U, Kaya S, et al. A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardiothorac Surg. 2003; 24: 133–138. 10.1016/s1010-7940(03)00256-2 [PubMed] [CrossRef] [Google Scholar]

Karadayi S, Nadir A, Sahin E, Celik B, Arslan S, Kaptanoglu M. An analysis of 214 cases of rib fractures. Clinics. 2011; 66: 449–451. 10.1590/S1807-59322011000300015 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Dunham C, Hileman B, Ransom K, Malik R. Trauma patient adverse outcomes are independently associated with rib cage fracture burden and severity of lung, head, and abdominal injuries. Int J Burns Trauma. 2015; 5: 46–55. [PMC free article] [PubMed] [Google Scholar]

Shweiki E, Klena J, Wood G, Indeck M. Assessing the true risk of abdominal solid organ injury in hospitalized rib fracture patients. J Trauma. 2001; 50: 684–688. 10.1097/00005373-200104000-00015 [PubMed] [CrossRef] [Google Scholar]

Al-Hassani A, Abdulrahman H, Afifi I, Almadani A, Al-Den A, Al-Kuwari A, et al. Rib fracture patterns predict thoracic chest wall and abdominal solid organ injury. Am Surg. 2010; 76: 888–891. [PubMed] [Google Scholar]

Van Vledder M, Kwakernaak V, Hagenaars T, Van Lieshout E, Verhofstad M. Patterns of injury and outcomes in the elderly patient with rib fractures: a multicenter observational study. Eur J Trauma Emerg Surg. 2019; 45: 575–583. 10.1007/s00068-018-0969-9 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Wilson RF, Murray C, Antonenko DR. Nonpenetrating thoracic injuries. Surg Clin North Am 1977; 57: 17-36.

Kim JH, Do BS, Lee SB, Jung TE. The correlation of abdominal organ injury in rib fracture patients. J Korean Soc Emerg Med 2005; 16: 562-5.

Bergeron E, Lavoie A, Clas D, et al. Elderly trauma patients with rib fractures are at greater risk of death and pneumonia. J Trauma 2003; 54: 478-85

Eastridge BJ, Burgess AR. Pedestrian pelvic fractures: 5-year experience of a major urban trauma center. J Trauma 1997 Apr;42(4):695e700

Al-Hassani A, Abdulrahman H, Afifi I. Rib fracture patterns predict thoracic chest wall and abdominal solid organ injury. Am Surg 2010 August;76(8): 888e91 (4).

Lee J, Harris Jr JH, Duke Jr JH, Williams JS. Noncorrelation between thoracic skeletal injuries and acute traumatic aortic tear. J Trauma 1997;43(3):400e4.

Parreira JG, Coimbra R, Rasslan S, Oliveira A, Fregoneze M, Mercadante M. The role of associated injuries on outcome of blunt trauma patients sustaining pelvic fractures. Injury 2000; 31: 677e82.

Demetriades D, Karaiskakis M, Velmahos G, Alo K, Murray J, Chan L. Pelvic fractures in pediatric and adult trauma patients: are they different injuries? J Trauma-injury Infect Crit Care 2003 June;54(6):1146e51.

Paienda GS, Seitz H, Mousavi M, Vecsei V. Concomitant intra-abdominal injuries in pelvic trauma. Wien Klin Wochenschr 1998 Dec;110(23):834e40.

Lunsjo K, Tadros A, Hauggaard A, Blomgren R, Kopke J, Abu-Zidan A. Associated injuries and not fracture instability predict mortality in pelvic fractures: a prospective study of 100 patients. J Trauma 2007;62(3):687.

Bond SJ, Gotschall CS, Eichelberger MR. Predictors of abdominal injury in children with pelvic fractures. J Trauma 1991; 31: 1169e72.

Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L. Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg 2002 Jul;195(1):1e10.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.