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The Annals of Thoracic Surgery, Vol 33, 614-618, Copyright © 1982 by The Society of Thoracic Surgeons
JE Albers, RK Rath, RS Glaser and PK Poddar
The benign condition of isolated first rib fracture is compared with the
severity of intrathoracic injuries resulting from first rib fracture
associated with multiple rib injuries. Seventy-five patients with 90 first
rib fractures were divided into two groups. Group 1 (n = 13) included those
with isolated first rib fractures and Group 2 (n = 62), those with
first-rib fractures associated with multiple rib injuries. In Group 1
patients, intrathoracic injuries were mild with no major vascular injuries.
Conversely, Group 2 patients sustained severe intrathoracic injury, 58% of
them with aortic injury. Stress is placed on early diagnosis, assigning of
priority to associated injuries, and early operative intervention.
ARTICLES
Severity of intrathoracic injuries associated with first rib fractures
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