2091535 Ultrasound in Revelation Chondral Rib Fracture And Bony Rib Fracture at an Outpatient Clinic Without Evidence of Rib Lesions On Chest X-Ray Film

Abstract

ObjectivesTo disclose chondral or bony rib fracture by ultrasound which are negative on X-ray film of minor blunt chest trauma patients.MethodsA total of 50 patients suffering from minor blunt chest trauma without evidence of a rib fracture on chest X-ray film, were examined with a 9L4 MHz or 7.5 MHz linear transducer of ultrasound system (Siemens, Aloka, Medison). Statistical analysis was done to outline the ultrasound findings of these rib fractures.ResultsThere were 50 patients showed chondral and bony rib lesions, whereas these 50 patients (100.0%) had no evidence of rib lesions on chest X-ray film. Fracture of the rib with a disruption of continuity of bony cortex near chrondral and bony rib junction was the most common finding in 45 (90%) patients. Chondral rib fractures were in five (10%) patients. Chondral rib fracture appeared as disruption of cortex, small echogenic lines in chondral rib, and bruised chondral rib was a small deformation of chondral cortex and echogenic area at trauma site which was painful site. Bony rib fractures significantly occurred in trauma patients, and the duration of pain in patients with chondral rib fractures was significantly longer than that of patients with bony rib fractures.ConclusionsUltrasonography is a useful imaging method in disclosing the rib fractures (chondral and bony rib fractures) which were negative on chest X-ray film in minor blunt chest trauma. However, chondral rib fractures significantly occur less than bony rib fractures and result in a longer duration of pain. ObjectivesTo disclose chondral or bony rib fracture by ultrasound which are negative on X-ray film of minor blunt chest trauma patients. To disclose chondral or bony rib fracture by ultrasound which are negative on X-ray film of minor blunt chest trauma patients. MethodsA total of 50 patients suffering from minor blunt chest trauma without evidence of a rib fracture on chest X-ray film, were examined with a 9L4 MHz or 7.5 MHz linear transducer of ultrasound system (Siemens, Aloka, Medison). Statistical analysis was done to outline the ultrasound findings of these rib fractures. A total of 50 patients suffering from minor blunt chest trauma without evidence of a rib fracture on chest X-ray film, were examined with a 9L4 MHz or 7.5 MHz linear transducer of ultrasound system (Siemens, Aloka, Medison). Statistical analysis was done to outline the ultrasound findings of these rib fractures. ResultsThere were 50 patients showed chondral and bony rib lesions, whereas these 50 patients (100.0%) had no evidence of rib lesions on chest X-ray film. Fracture of the rib with a disruption of continuity of bony cortex near chrondral and bony rib junction was the most common finding in 45 (90%) patients. Chondral rib fractures were in five (10%) patients. Chondral rib fracture appeared as disruption of cortex, small echogenic lines in chondral rib, and bruised chondral rib was a small deformation of chondral cortex and echogenic area at trauma site which was painful site. Bony rib fractures significantly occurred in trauma patients, and the duration of pain in patients with chondral rib fractures was significantly longer than that of patients with bony rib fractures. There were 50 patients showed chondral and bony rib lesions, whereas these 50 patients (100.0%) had no evidence of rib lesions on chest X-ray film. Fracture of the rib with a disruption of continuity of bony cortex near chrondral and bony rib junction was the most common finding in 45 (90%) patients. Chondral rib fractures were in five (10%) patients. Chondral rib fracture appeared as disruption of cortex, small echogenic lines in chondral rib, and bruised chondral rib was a small deformation of chondral cortex and echogenic area at trauma site which was painful site. Bony rib fractures significantly occurred in trauma patients, and the duration of pain in patients with chondral rib fractures was significantly longer than that of patients with bony rib fractures. ConclusionsUltrasonography is a useful imaging method in disclosing the rib fractures (chondral and bony rib fractures) which were negative on chest X-ray film in minor blunt chest trauma. However, chondral rib fractures significantly occur less than bony rib fractures and result in a longer duration of pain. Ultrasonography is a useful imaging method in disclosing the rib fractures (chondral and bony rib fractures) which were negative on chest X-ray film in minor blunt chest trauma. However, chondral rib fractures significantly occur less than bony rib fractures and result in a longer duration of pain.