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Flail chest and first rib fractures are high-energy injuries and should prompt investigation of damage to underlying viscera (e.g., lung contusion) or remotely (e.g., cervical spine injury). Spontaneous fractures in athletes generally require a cessation of the cause, e.g., time off rowing, while maintaining cardiovascular fitness.
Flail chest is a life-threatening medical condition that occurs when a segment of the rib cage breaks due to trauma and becomes detached from the rest of the chest wall.Two of the symptoms of flail chest are chest pain and shortness of breath.
Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting ...
A sternal fracture is a fracture of the sternum (the breastbone), located in the center of the chest.The injury, which occurs in 5–8% of people who experience significant blunt chest trauma, may occur in vehicle accidents, when the still-moving chest strikes a steering wheel or dashboard [1] or is injured by a seatbelt.
Trauma surgery is a surgical specialty that utilizes both operative and non-operative management to treat traumatic injuries, typically in an acute setting. Trauma surgeons generally complete residency training in general surgery [1] [2] and often fellowship training in trauma or surgical critical care.
The injury usually becomes larger with time if not repaired. [2] The main goals of surgery are to repair any injuries to the diaphragm and to move any herniated abdominal organs back to their original place. [12] This is done by debriding nonviable tissue and closing the rupture. [3] Most of the time, the injury is repaired during laparotomy. [9]
The diagnosis is generally made when there is no healing between two sets of medical imaging, such as X-ray or CT scan. This is generally after 6–8 months. [1] Nonunion is a serious complication of a fracture and may occur when the fracture moves too much, has a poor blood supply or gets infected. Patients who smoke have a higher incidence of ...
No treatment is known to speed the healing of a pulmonary contusion; the main care is supportive. [39] Attempts are made to discover injuries accompanying the contusion, [ 20 ] to prevent additional injury, and to provide supportive care while waiting for the contusion to heal. [ 39 ]