Vol 76, No 1 (2017)
Case report
Published online: 2016-05-24
Isolated costal cartilage fractures: the radiographically overlooked injuries
Abstract
Isolated costal cartilage fractures are benign and rare. A 65-year-old man had a sustained chest pain after a fist punch in the past month. A 3-dimensional computed tomography revealed left 7th and 8th costal cartilage fractures with fracture dislocations. As he refused an open fracture reduction, he was advised to have a rest with subsequent follow-up. Ultrasound screening is recommended in patients with sustained posttraumatic chest pains in order to rule out possible costal cartilage fractures. The therapeutic regimen generally depends on the location and severity of the fracture.
Keywords: costal cartilage fracturediagnostic imagingthoracic injuries
References
- Bienvenot P, Phan C, Miquel A, et al. Les fractures du cartilage costal : un diagnostic souvent méconnu. Journal de Traumatologie du Sport. 2011; 28(2): 107–109.
- Cameron P, Dziukas L, Hadj A, et al. Rib fractures in major trauma. Aust N Z J Surg. 1996; 66(8): 530–534.
- Griffith JF, Rainer TH, Ching AS, et al. Sonography compared with radiography in revealing acute rib fracture. AJR Am J Roentgenol. 1999; 173(6): 1603–1609.
- Lee WS, Kim YH, Chee HK, et al. Ultrasonographic evaluation of costal cartilage fractures unnoticed by the conventional radiographic study and multidetector computed tomography. Eur J Trauma Emerg Surg. 2012; 38(1): 37–42.
- Lopez V, Ma R, Li X, et al. Costal cartilage fractures and disruptions in a rugby football player. Clin J Sport Med. 2013; 23(3): 232–234.
- Malghem J, Vande Berg B, Lecouvet F, et al. Costal cartilage fractures as revealed on CT and sonography. AJR Am J Roentgenol. 2001; 176(2): 429–432.
- Noreen K. Symptoms of damage to the costal cartilage. http://www.healthguideinfo.com/orthopedic/p67746/. Accessed on March. ; 22: 2016.
- Orth RC, Laor T. Isolated costal cartilage fracture: an unusual cause of an anterior chest mass in a toddler. Pediatr Radiol. 2009; 39(9): 985–987.
- Subhas N, Kline MJ, Moskal MJ, et al. MRI evaluation of costal cartilage injuries. AJR Am J Roentgenol. 2008; 191(1): 129–132.
- Tasdemir B, Unal K, Dostbil Z. 18-F FDG PET/CT diagnosed costal cartilage fracture which was missed by thorax CT: an incidental finding in a case. Int J Basic Clin Studies. 2014; 3: 83–86.
- Torreggiani WC, Lyburn ID, Thornton F, et al. Fracture of the costal cartilage: computed tomography assists diagnosis. J HK Coll Radiol. 2001; 4: 274–276.
- Wang YQ, Geng Y, Bai S, et al. novel sternal-costal memory alloy embracing fixator for the treatment of traumatic costal cartilage fracture in 24 patients. Shaanxi Med J. 2013; 42: 1525–1526.