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Costal cartilage fracture: A commonly missed thoracic injury in trauma patients
Authors:Moussa Meteb  Bader Abou Shaar  Ghassan Awad El-Karim  Youssef Almalki
Affiliation:aThe Ottawa Hospital Research Institute, 501 Smyth Rd, Ottawa, ON, K1H 8L6, Canada;bAlfaisal University, College of Medicine, Riyadh, Saudi Arabia;cUniversity of Toronto, Faculty of Medicine, Toronto, ON, Canada;dDepartment of Diagnostic Imaging, Bluewater Health, Sarnia ON, Canada
Abstract:In this report, we describe a case of a 43-year-old male who sustained a displaced mid chondral costal cartilage fracture along with multiple ipsilateral rib fractures following a jet ski collision. Costal cartilage fractures (CC) are commonly missed on imaging evaluation, and accordingly underreported in the literature. High-energy blunt chest trauma represents the most common mechanism for CC injuries. Computed Tomography (CT) is the modality of choice to diagnose CC fractures along with the associated cardiopulmonary and abdominal injuries in polytrauma patients. There is currently no consensus with respect to the management of CC fractures. Further research is required to explore the long-term impact of CC fractures on thoracic cage stability.
Keywords:Costal Cartilage Fracture   Costochondral Injury   Blunt Chest Trauma   Rib Injury   Emergency Radiology
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