Do we have to redefine type B-fractures of the rib cartilage?

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-08-27 DOI:10.1007/s00068-024-02631-7

Johannes Groh, Florian Kern, Mario Perl, Stefan Schulz-Drost

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Abstract

Objectives: Aim of this work was the evaluation and validation of the AO/OTA classification of the anterior chest wall, here especially for the rib cartilage.

Methods: Study design was a retrospective analysis of patients who were hospitalized with fractures of the thoracic wall in the years 2010-2016. This resulted in a collective of n = 124 patients. All fractures of the anterior chest wall were classified according to their location, dislocation and fracture type according to the AO classification. An analysis of possible subtypes was carried out.

Results: 29.0% (36) of the patients had fractures of the rib cartilage. 23 of the 36 (64%) patients had multiple fractures, the total number of single fractures amounted to 94. 53.2% (50) of these fractures were in the right hemithorax, 46.8% (44) in the left hemithorax. 95.7% (90) of the fractures were A-fractures, 4.3% (4) were C-fractures. There were no B fractures. The C fractures also consisted exclusively of A fractures (AA fractures). 59.6% (56) of the fractures showed a dislocation. 30.9% (29) were avulsion fractures of either the osteochondral (22.3% (21)) or the sternocostal junction (8.5% (8)).

Discussion and conclusion: The costal cartilage obviously does not show typical B fractures as we know them from shaft fractures of long bones. We have compiled a structured analysis in the attached manuscript and validated the classification proposal. In conclusion, we propose an adaptation of the classification proposal based on our data with redefining type B fractures as fractures of the osteochondral joints.

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我们是否需要重新定义肋软骨 B 型骨折？

目的：这项工作的目的是评估和验证前胸壁的 AO/OTA 分类，尤其是肋软骨：这项工作的目的是评估和验证前胸壁的 AO/OTA 分类，尤其是肋软骨的 AO/OTA 分类：研究设计是对 2010-2016 年期间因胸壁骨折住院的患者进行回顾性分析。共有 124 名患者。所有前胸壁骨折均按照 AO 分类法，根据骨折位置、脱位和骨折类型进行分类。结果：29.0%（36 例）的患者肋软骨骨折。这些骨折中有 53.2%（50 例）发生在右半胸，46.8%（44 例）发生在左半胸。95.7%（90 例）的骨折为 A 型骨折，4.3%（4 例）为 C 型骨折。没有 B 型骨折。C型骨折中也只有A型骨折（AA型骨折）。59.6%（56 例）的骨折出现脱位。30.9%（29例）为骨软骨（22.3%（21例））或胸骨骨膜交界处（8.5%（8例））的撕脱性骨折：讨论与结论：肋软骨显然不属于我们所熟知的长骨轴突骨折中典型的B型骨折。我们在所附手稿中进行了结构分析，并验证了分类建议。总之，我们建议根据我们的数据对分类建议进行调整，将 B 型骨折重新定义为骨软骨关节骨折。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.