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Spontaneous rib fractures

Yucel Akkas, Ozgul Katrançioglu, Sulhattin Arslan, Ekber Sahin
European Respiratory Journal 2012 40: P2419; DOI:
Yucel Akkas
1Chest Surgery, State Hospital, Sivas, Turkey
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Ozgul Katrançioglu
1Chest Surgery, State Hospital, Sivas, Turkey
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Sulhattin Arslan
2Chest Diseases, Medical Faculty, Cumhuriyet University, Sivas, Turkey
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Ekber Sahin
3Chest Surgery, Medical Faculty, Cumhuriyet University, Sivas, Turkey
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Abstract

INTRODUCTION: Other than trauma, rib fracture can occur in patients spontaneously due to a severe cough or sneeze. In this study, patients with spontaneous rib fracture were analyzed according to age, sex, underlying pathology, treatment and complications.

MATERIALS AND METHODS: 12 patients who presented between February 2009 and February 2011 with spontaneous rib fracture were analyzed retrospectively. The patients were evaluated according to anamnesis, physical examination and chest X-rays.

RESULTS: 7 patients (58.4%) were male. The age of the patients ranged from 34 to 77 years (mean ± SD, 55.91 ± 12.20). All patients had severe cough and chest pain. Multiple rib fractures were detected in five patients (41.7%). The fracture were detected most frequently between 4th and 9th ribs. 8 (66.66%) patients had COPD, 2 (16.66%) patients had bronchial asthma and 2(16.66%) patients had osteoporosis as well. The patients with COPD and bronchial asthma were treated with high dose steroids for over a year. Bone densitometry revealed high risk of bone fracture in all patients.

CONCLUSION: Spontaneous rib fracture due to severe cough may occur in patients with osteoporosis or with COPD and bronchial asthma receiving long-term steroid therapy. If these patients have severe chest pain, chest radiography should be evaluated for bone lesions particularly.

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Spontaneous rib fractures
Yucel Akkas, Ozgul Katrançioglu, Sulhattin Arslan, Ekber Sahin
European Respiratory Journal Sep 2012, 40 (Suppl 56) P2419;

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Spontaneous rib fractures
Yucel Akkas, Ozgul Katrançioglu, Sulhattin Arslan, Ekber Sahin
European Respiratory Journal Sep 2012, 40 (Suppl 56) P2419;
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