Canis ISSN: 2398-2942

Thoracic wall trauma

Introduction

  • Cause: rib fracture due to trauma.
    In all cases of traumatic injury warn owner of potential complications at time of injury.
  • Signs: solitary fracture rarely serious; multiple and segmental fractures → severe instability → flail chest.
  • Diagnosis: clinical signs and radiography.
  • Treatment: stabilize flail segment.
  • Prognosis: always guarded as acute deterioration is likely.

Pathogenesis

Etiology

  • Trauma → rib fracture.

Pathophysiology

  • Multiple/segmental rib fracture → severe instability → 'paradoxical' movement, thoracic wall sucked in on inspiration and blown out on expiration ('flail chest') → hypoxia, hypercapnia.

Timecourse

  • Acute following trauma.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers


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