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2017 ; 13
(ä): 1085-1089
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Radiologic findings of thoracic trauma
#MMPMID28894371
Akgul Ozmen C
; Onat S
; Aycicek D
Ther Clin Risk Manag
2017[]; 13
(ä): 1085-1089
PMID28894371
show ga
INTRODUCTION: Chest trauma may be blunt or penetrating and the chest is the third
most common trauma region. It is a significant cause of mortality. Multidetector
computed tomography (MDCT) has been an increasingly used method to evaluate chest
trauma because of its high success in detecting tissue and organ injuries.
Herein, we aimed to present MDCT findings in patients with blunt and penetrating
chest trauma admitted to our department. METHODS: A total of 240 patients
admitted to the emergency department of our hospital between April 2012 and July
2013 with a diagnosis of chest trauma who underwent MDCT evaluations were
included. Most of the patients were male (83.3%) and victims of a blunt chest
trauma. The images were analyzed with respect to the presence of fractures of
bony structures, hemothorax, pneumothorax, mediastinal organ injury, and
pulmonary and vascular injuries. RESULTS: MDCT images of the 240 patients yielded
a prevalence of 41.7% rib fractures, 11.2% scapular fractures, and 7.5% clavicle
fractures. The prevalence of thoracic vertebral fracture was 13.8% and that of
sternal fracture was 3.8%. The prevalence of hemothorax, pneumothorax,
pneumomediastinum, and subcutaneous emphysema was 34.6%, 62.1%, 9.6%, and 35.4%,
respectively. The prevalence of rib, clavicle, and thoracic vertebral fractures
and pulmonary contusion was higher in the blunt trauma group, whereas the
prevalence of hemothorax, subcutaneous emphysema, diaphragmatic injury, and other
vascular lacerations was significantly higher in the penetrating trauma group
than in the blunt trauma group (p<0.05). CONCLUSION: MDCT images may yield a high
prevalence of fracture of bony structures, soft tissue lacerations, and vascular
lesions, which should be well understood by radiologists dealing with trauma.