Thoracic hyperextension injury with complete “bony disruption” of the thoracic cage: Case report of a potentially life-threatening injury
<p>Abstract</p> <p>Background</p> <p>Severe chest wall injuries are potentially life-threatening injuries which require a standardized multidisciplinary management strategy for prevention of posttraumatic complications and adverse outcome.</p> <p>Case presen...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-05-01
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| Series: | World Journal of Emergency Surgery |
| Online Access: | http://www.wjes.org/content/7/1/14 |
| _version_ | 1818933803700191232 |
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| author | Bailey James VanderHeiden Todd Burlew Clay Pinski-Sibbel Sarah Jordan Janeen Moore Ernest E Stahel Philip F |
| author_facet | Bailey James VanderHeiden Todd Burlew Clay Pinski-Sibbel Sarah Jordan Janeen Moore Ernest E Stahel Philip F |
| author_sort | Bailey James |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Severe chest wall injuries are potentially life-threatening injuries which require a standardized multidisciplinary management strategy for prevention of posttraumatic complications and adverse outcome.</p> <p>Case presentation</p> <p>We report the successful management of a 55-year old man who sustained a complete “bony disruption” of the thoracic cage secondary to an “all-terrain vehicle” roll-over accident. The injury pattern consisted of a bilateral “flail chest” with serial segmental rib fractures, bilateral hemo-pneumothoraces and pulmonary contusions, bilateral midshaft clavicle fractures, a displaced transverse sternum fracture with significant diastasis, and an unstable T9 hyperextension injury. After initial life-saving procedures, the chest wall injuries were sequentially stabilized by surgical fixation of bilateral clavicle fractures, locked plating of the displaced sternal fracture, and a two-level anterior spine fixation of the T9 hyperextension injury. The patient had an excellent radiological and physiological outcome at 6 months post injury.</p> <p>Conclusion</p> <p>Severe chest wall trauma with a complete “bony disruption” of the thoracic cage represents a rare, but detrimental injury pattern. Multidisciplinary management with a staged timing for addressing each of the critical injuries, represents the ideal approach for an excellent long-term outcome.</p> |
| first_indexed | 2024-12-20T04:54:11Z |
| format | Article |
| id | doaj.art-67d14b66dbc2408f891c5474b9c99342 |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-12-20T04:54:11Z |
| publishDate | 2012-05-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-67d14b66dbc2408f891c5474b9c993422022-12-21T19:52:45ZengBMCWorld Journal of Emergency Surgery1749-79222012-05-01711410.1186/1749-7922-7-14Thoracic hyperextension injury with complete “bony disruption” of the thoracic cage: Case report of a potentially life-threatening injuryBailey JamesVanderHeiden ToddBurlew ClayPinski-Sibbel SarahJordan JaneenMoore Ernest EStahel Philip F<p>Abstract</p> <p>Background</p> <p>Severe chest wall injuries are potentially life-threatening injuries which require a standardized multidisciplinary management strategy for prevention of posttraumatic complications and adverse outcome.</p> <p>Case presentation</p> <p>We report the successful management of a 55-year old man who sustained a complete “bony disruption” of the thoracic cage secondary to an “all-terrain vehicle” roll-over accident. The injury pattern consisted of a bilateral “flail chest” with serial segmental rib fractures, bilateral hemo-pneumothoraces and pulmonary contusions, bilateral midshaft clavicle fractures, a displaced transverse sternum fracture with significant diastasis, and an unstable T9 hyperextension injury. After initial life-saving procedures, the chest wall injuries were sequentially stabilized by surgical fixation of bilateral clavicle fractures, locked plating of the displaced sternal fracture, and a two-level anterior spine fixation of the T9 hyperextension injury. The patient had an excellent radiological and physiological outcome at 6 months post injury.</p> <p>Conclusion</p> <p>Severe chest wall trauma with a complete “bony disruption” of the thoracic cage represents a rare, but detrimental injury pattern. Multidisciplinary management with a staged timing for addressing each of the critical injuries, represents the ideal approach for an excellent long-term outcome.</p>http://www.wjes.org/content/7/1/14 |
| spellingShingle | Bailey James VanderHeiden Todd Burlew Clay Pinski-Sibbel Sarah Jordan Janeen Moore Ernest E Stahel Philip F Thoracic hyperextension injury with complete “bony disruption” of the thoracic cage: Case report of a potentially life-threatening injury World Journal of Emergency Surgery |
| title | Thoracic hyperextension injury with complete “bony disruption” of the thoracic cage: Case report of a potentially life-threatening injury |
| title_full | Thoracic hyperextension injury with complete “bony disruption” of the thoracic cage: Case report of a potentially life-threatening injury |
| title_fullStr | Thoracic hyperextension injury with complete “bony disruption” of the thoracic cage: Case report of a potentially life-threatening injury |
| title_full_unstemmed | Thoracic hyperextension injury with complete “bony disruption” of the thoracic cage: Case report of a potentially life-threatening injury |
| title_short | Thoracic hyperextension injury with complete “bony disruption” of the thoracic cage: Case report of a potentially life-threatening injury |
| title_sort | thoracic hyperextension injury with complete bony disruption of the thoracic cage case report of a potentially life threatening injury |
| url | http://www.wjes.org/content/7/1/14 |
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