多发性肋骨骨折影像学诊断的临床运用价值一例资料.pdf

A patient with multiple rib fractures: Imaging modalities and clinical significance Alvin J. Garcia MS III Core Radiology Clerkship Agenda Presentation of patient Basic anatomy of ribs Menu of radiological tests When to image the ribs and their significance Causes of rib fractures and associated complications Our Patient A 34 year old female pedestrian presents to the ED after being hit by moving vehicle on her left side at a speed of 30mph while crossing street, and landed on the hood of car. She had no loss of consciousness. She was brought to ED by ambulance. Patient was hemodynamically stable with good ventilation. Vital signs were within normal limits and she was AOx3. Physical exam was normal except for left sided chest wall pain and a left elbow laceration. Her lab work was unremarkable. Agenda Presentation of patient Basic anatomy of ribs Menu of radiological tests When to image the ribs and their significance Causes of rib fractures Rib Anatomy Thorax consists of the12 ribs, sternum [with manubrium (M), sternum (S), xiphoid (X)] and clavicle (C). Scapula is located posteriorly. First 7 ribs are connected with the vertebral column, posteriorly, and with the sternum,anteriorly, by means o