[Treatment strategy for severe implosion injuries of the lateral chest wall].
Versorgungsstrategie bei schweren Implosionsverletzungen der lateralen Thoraxwand.
Blunt injuries
Chest wall instability
Clavicle fracture
Rib fractures
Shoulder girdle
Journal
Unfallchirurgie (Heidelberg, Germany)
ISSN: 2731-703X
Titre abrégé: Unfallchirurgie (Heidelb)
Pays: Germany
ID NLM: 9918384886306676
Informations de publication
Date de publication:
25 Jan 2024
25 Jan 2024
Historique:
accepted:
15
12
2023
medline:
26
1
2024
pubmed:
26
1
2024
entrez:
25
1
2024
Statut:
aheadofprint
Résumé
In the majority of cases implosion injuries to the thoracic wall are caused by blunt, massive force acting on the thorax. Basically, different regions and directions of the acting energy have to be taken into account. In common usage, the term implosion injury has become established, especially for the sequelae of lateral energy impact. Particular attention should be paid to the stability of the shoulder girdle, the underlying hemithorax and its intrathoracic organs. Implosionsverletzungen der Thoraxwand werden in der Mehrzahl der Fälle durch stumpfe, massive Gewalteinwirkung auf den Thorax verursacht. Grundsätzlich sind verschiedene Regionen und Richtungen der einwirkenden Energie zu berücksichtigen. Im Sprachgebrauch hat sich der Begriff der Implosionsverletzung insbesondere für Folgen der lateralen Energieeinwirkung etabliert. Besonderes Augenmerk ist auf die Stabilität des Schultergürtels, des darunterliegenden Hemithorax und dessen intrathorakalen Organe zu richten.
Autres résumés
Type: Publisher
(ger)
Implosionsverletzungen der Thoraxwand werden in der Mehrzahl der Fälle durch stumpfe, massive Gewalteinwirkung auf den Thorax verursacht. Grundsätzlich sind verschiedene Regionen und Richtungen der einwirkenden Energie zu berücksichtigen. Im Sprachgebrauch hat sich der Begriff der Implosionsverletzung insbesondere für Folgen der lateralen Energieeinwirkung etabliert. Besonderes Augenmerk ist auf die Stabilität des Schultergürtels, des darunterliegenden Hemithorax und dessen intrathorakalen Organe zu richten.
Identifiants
pubmed: 38273139
doi: 10.1007/s00113-023-01406-w
pii: 10.1007/s00113-023-01406-w
doi:
Types de publication
English Abstract
Journal Article
Review
Langues
ger
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
Références
Trunkey DD, Mayberry JC (2012) Chest wall stabilization. In: Vincent JL, Hall JB (Hrsg) Encyclopedia of intensive care medicine. Springer, Berlin, Heidelberg https://doi.org/10.1007/978-3-642-00418-6_388
doi: 10.1007/978-3-642-00418-6_388
Solberg BD, Moon CN, Nissim AA, Wilson MT, Margulies DR (2009) Treatment of chest wall implosion injuries without thoracotomy: technique and clinical outcomes. J Trauma 67(1):8–13. https://doi.org/10.1097/TA.0b013e3181a8b3be (discussion 13)
doi: 10.1097/TA.0b013e3181a8b3be
pubmed: 19590301
Thomas P, Cole PA (2022) The forequarter lateral implosion injury and the Ch-Sh (CHəSHā) classification system (CWISummit Scientific Presentation)
van Laarhoven JJEM, Hietbrink F, Ferree S, Gunning AC, Houwert RM, Verleisdonk EMM, Leenen LPH (2019) Associated thoracic injury in patients with a clavicle fracture: a retrospective analysis of 1461 polytrauma patients. Eur J Trauma Emerg Surg 45(1):59–63. https://doi.org/10.1007/s00068-016-0673-6
doi: 10.1007/s00068-016-0673-6
pubmed: 27106033
Horst K, Hildebrand F, Kobbe P, Pfeifer R, Lichte P, Andruszkow H, Lefering R, Pape HC (2015) Detecting severe injuries of the upper body in multiple trauma patients. J Surg Res 199(2):629–634. https://doi.org/10.1016/j.jss.2015.06.030
doi: 10.1016/j.jss.2015.06.030
pubmed: 26169033
Bakir MS, Carbon R, Ekkernkamp A, Schulz-Drost S (2021) Monopolar and bipolar combination injuries of the clavicle: retrospective incidence analysis and proposal of a new classification system. J Clin Med 10(24):5764. https://doi.org/10.3390/jcm10245764
doi: 10.3390/jcm10245764
pubmed: 34945058
pmcid: 8706334
Hayes N, White J, Lillie P, Bennetts JS, Tu CG, Bain GI (2020) Intrathoracic shoulder dislocation causing rupture of the right main bronchus. Arch Orthop Trauma Surg 140(4):443–447. https://doi.org/10.1007/s00402-019-03242-3
doi: 10.1007/s00402-019-03242-3
pubmed: 31385020
Schulz-Drost S, Oppel P, Grupp S, Krinner S, Langenbach A, Lefering R, Mauerer A (2016) Knöcherne Verletzung der Brustwand beim Polytrauma : Inzidenz, Begleitverletzungen, Verlauf und Outcome. Unfallchirurg 119(12):1023–1030. https://doi.org/10.1007/s00113-015-0026-7
doi: 10.1007/s00113-015-0026-7
pubmed: 26070732
Ten Duis K, IJpma FF (2017) Surgical treatment of snapping scapula syndrome due to malunion of rib fractures. Ann Thorac Surg 103(2):e143–e144. https://doi.org/10.1016/j.athoracsur.2016.07.061
doi: 10.1016/j.athoracsur.2016.07.061
pubmed: 28109374
Bakir MS, Langenbach A, Pinther M, Lefering R, Krinner S, Grosso M, Ekkernkamp A, Schulz-Drost S, TraumaRegister DGU (2022) The significance of a concomitant clavicle fracture in flail chest patients: incidence, concomitant injuries, and outcome of 12,348 polytraumata from the TraumaRegister DGU. Eur J Trauma Emerg Surg 48(5):3623–3634. https://doi.org/10.1007/s00068-021-01819-5
doi: 10.1007/s00068-021-01819-5
pubmed: 34739544
Schipper P, Mithhran S, Mayberry JC (2008) Pertinent surgical anatomy of the thorax and mediastinum. In: Asensio JA, Trunkey DD (Hrsg) Current therapy of trauma and surgical critical care. Elsevier Mosby, https://doi.org/10.1016/B978-0-323-04418-9.X5001-2 . ISBN 978-0-323-04418‑9
doi: 10.1016/B978-0-323-04418-9.X5001-2
Langenbach A, Krinner S, Hennig FF, Ekkernkamp A, Schulz-Drost S (2018) Verletzungen der posterioren und lateralen Brustwand – Bedeutung einer zusätzlichen Klavikulafraktur. Unfallchirurg 121(8):615–623. https://doi.org/10.1007/s00113-018-0528-1
doi: 10.1007/s00113-018-0528-1
pubmed: 30043074
Cole PA, Gauger EM, Herrera DA, Anavian J, Tarkin IS (2012) Radiographic follow-up of 84 operatively treated scapula neck and body fractures. Injury 43(3):327–333. https://doi.org/10.1016/j.injury.2011.09.029
doi: 10.1016/j.injury.2011.09.029
pubmed: 22036452
Thomas CN, Lindquist TJ, Paull TZ, Tatro JM, Schroder LK, Cole PA (2021) Mapping of common rib fracture patterns and the subscapular flail chest associated with operative scapula fractures. J Trauma Acute Care Surg 91(6):940–946. https://doi.org/10.1097/TA.0000000000003382
doi: 10.1097/TA.0000000000003382
pubmed: 34417408
Schmitt KU, Niederer PF, Muser MH, Walz F (2010) Thoraxverletzungen In: Trauma-Biomechanik. Verletzungen in Straßenverkehr und Sport. Springer, Berlin, Heidelberg, S157–182
Matti H (1931) Die Frakturen des Brustkorbes. Knochenbrüche und ihre Behandlung. Springer, Berlin, S 494–515
Porte AN, Wirtzfeld DA, Mann C (2009) Intrathoracic scapular impaction: an unusual complication of scapular fractures. Can J Surg 52(3):E62–3
pubmed: 19503650
pmcid: 2689731
van Schie-van der Weert EM, van Laanen JH, Kraan GA, de Vries MR (2012) Intrathoracic displacement of a scapular fracture: a case report. J Bone Joint Surg Am 94(3):e16. https://doi.org/10.2106/JBJS.K.00141
doi: 10.2106/JBJS.K.00141
pubmed: 22298062
Park HY, Jang HJ, Sur YJ (2017) Scapular body fracture and concomitant inferior angle apophyseal separation with intrathoracic displacement: a case report. J Pediatr Orthop B 26(5):429–432. https://doi.org/10.1097/BPB.0000000000000404
doi: 10.1097/BPB.0000000000000404
pubmed: 27846037
Takahara K, Uchiyama S, Nakagawa H, Kamimura M, Ohashi M, Miyasaka T (2004) Snapping scapula syndrome due to malunion of rib fractures: a case report. J Shoulder Elbow Surg 13(1):95–98. https://doi.org/10.1016/s1058-2746(03)00055-7
doi: 10.1016/s1058-2746(03)00055-7
pubmed: 14735082
Schulz-Drost S, Matthes G, Ekkernkamp A (2016) Erstversorgung des Patienten mit schwerem Thoraxtrauma. Weiterbildung Notfallmedizin. Springer, Berlin, Heidelberg https://doi.org/10.1007/978-3-662-49554-4_5
doi: 10.1007/978-3-662-49554-4_5
Schreyer C, Schulz-Drost S, Struck M, Berk T, Trentzsch H, Neudecker J, Thiel B, Breuing J, Prediger B, Waydhas C S3-Leitlinie: Polytrauma/Schwerverletzten-Behandlung (AWMF Register-Nr.: 187-023)
Pines G, Gotler Y, Lazar LO, Lin G (2020) Clinical significance of rib fractures’ anatomical patterns. Injury 51(8):1812–1816. https://doi.org/10.1016/j.injury.2020.05.023
doi: 10.1016/j.injury.2020.05.023
pubmed: 32482430
Bauman ZM, Grams B, Yanala U, Shostrom V, Waibel B, Evans CH, Cemaj S, Schlitzkus LL (2021) Rib fracture displacement worsens over time. Eur J Trauma Emerg Surg 47(6):1965–1970. https://doi.org/10.1007/s00068-020-01353-w
doi: 10.1007/s00068-020-01353-w
pubmed: 32219487
CWIS-SSRF-Guideline-01102020.pdf. cwisociety.org
Marigi EM, Dugarte AJ, Cole PA (2020) Operative management of rib synostosis and malunion: a case report. JBJS Case Connect 10(3):e19.00368. https://doi.org/10.2106/JBJS.CC.19.00368
doi: 10.2106/JBJS.CC.19.00368
pubmed: 32668135
Cole PA, Freeman G, Dubin JR (2013) Scapula fractures. Curr Rev Musculoskelet Med 6(1):79–87. https://doi.org/10.1007/s12178-012-9151-x
doi: 10.1007/s12178-012-9151-x
pubmed: 23341034
pmcid: 3702760
Weigeldt M, Paul M, Schulz-Drost S, Schmittner MD (2018) Narkose, Beatmung und Schmerztherapie beim Thoraxtrauma. Unfallchirurg 121(8):634–641. https://doi.org/10.1007/s00113-018-0523-6
doi: 10.1007/s00113-018-0523-6
pubmed: 29907900
Becker L, Schulz-Drost S, Spering C, Franke A, Dudda M, Kamp O, Lefering R, Matthes G, Bieler D, Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society (DGU) (2022) Impact of time of surgery on the outcome after surgical stabilization of rib fractures in severely injured patients with severe chest trauma—a matched-pairs analysis of the German trauma registry. Front Surg 11(9):852097. https://doi.org/10.3389/fsurg.2022.852097
doi: 10.3389/fsurg.2022.852097
Wang Z, Wang G, Jing B, Feng S, Zhang S, Wu D, Song Z, Niu L, Qi B (2023) Does the timing of surgery affect outcomes in young and middle-aged patients undergoing surgical stabilization of rib fractures? Feedback was based on real data from physicians, patients, and family caregivers. Eur J Trauma Emerg Surg. https://doi.org/10.1007/s00068-023-02321-w
doi: 10.1007/s00068-023-02321-w
pubmed: 38151578
pmcid: 10229738
Prins JTH, Wijffels MME, Pieracci FM (2021) What is the optimal timing to perform surgical stabilization of rib fractures? J Thorac Dis 13(1):S13–S25. https://doi.org/10.21037/jtd-21-649
doi: 10.21037/jtd-21-649
pubmed: 34447588
pmcid: 8371546
Langenbach A, Pinther M, Krinner S, Grupp S, Ekkernkamp A, Hennig FF, Schulz-Drost S (2017) Surgical stabilization of costoclavicular injuries—a combination of flail chest injuries and a clavicula fracture. Chirurgia 112(5):595–606. https://doi.org/10.21614/chirurgia.112.5.595
doi: 10.21614/chirurgia.112.5.595
pubmed: 29088559
Langenbach A, Oppel P, Grupp S, Krinner S, Pachowsky M, Buder T, Schulz-Drost M, Hennig FF, Schulz-Drost S (2018) Reduced invasive and muscle-sparing operative approaches to the posterolateral chest wall provide an excellent accessibility for the operative stabilization! : Minimized approaches to the posterolateral chest wall. Eur J Trauma Emerg Surg 44(3):471–481. https://doi.org/10.1007/s00068-017-0877-4
doi: 10.1007/s00068-017-0877-4
pubmed: 29124273
Schulz-Drost S, Grupp S, Pachowsky M, Oppel P, Krinner S, Mauerer A, Hennig FF, Langenbach A (2017) Stabilization of flail chest injuries: minimized approach techniques to treat the core of instability. Eur J Trauma Emerg Surg 43(2):169–178. https://doi.org/10.1007/s00068-016-0664-7
doi: 10.1007/s00068-016-0664-7
pubmed: 27084543
Spering C, von Hammerstein-Equord A, Lehmann W, Dresing K (2021) Osteosyntheseverfahren bei Thoraxwandinstabilität. Oper Orthop Traumatol 33(3):262–284. https://doi.org/10.1007/s00064-020-00688-2
doi: 10.1007/s00064-020-00688-2
pubmed: 33289872
Michelitsch C, Beeres F, Burkhard MD, Stillhard PF, Babst R, Sommer C (2023) Minimally invasive plate osteosynthesis for clavicle fractures. Oper Orthop Traumatol 35(2):92–99. https://doi.org/10.1007/s00064-023-00798-7
doi: 10.1007/s00064-023-00798-7
pubmed: 36723629
Gauger EM, Cole PA (2011) Surgical technique: a minimally invasive approach to scapula neck and body fractures. Clin Orthop Relat Res 469(12):3390–3399. https://doi.org/10.1007/s11999-011-1970-3
doi: 10.1007/s11999-011-1970-3
pubmed: 21761253
pmcid: 3210267
van de Wall BJM, Hoepelman RJ, Michelitsch C, Diwersi N, Sommer C, Babst R, Beeres FJP (2023) Minimally invasive plate osteosynthesis (MIPO) for scapular fractures. Oper Orthop Traumatol. https://doi.org/10.1007/s00064-023-00819-5
doi: 10.1007/s00064-023-00819-5
pubmed: 37943321
pmcid: 10697868