hospital for special surgery: what’s the diagnosis - case 62
DESCRIPTION
What’s the Diagnosis? is a means for you to test your orthopaedic, rheumatologic and radiology/imaging knowledge. Monthly, new cases will be presented as unknowns. The answers will be available and indexed so that should you want to search on cases representative of a specific topic, you can do so. The cases are from the records of HSS and the teaching files of the Department of Radiology and Imaging. The cases are intended to be representative and informative demonstrating the comprehensive care of Orthopaedics, Rheumatology, Radiology and Imaging and related services at HSS. We know you like to be challenged and hope this section meets your expectations.TRANSCRIPT
What’s the Diagnosis – Case 62
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Findings
• Coronal images demonstrate disruption of the costal cartilage of the anterior
aspect of the seventh and eighth ribs with displacement seen on the axial
images. Additionally, there is impingement of the anterior branch of the
intercostal nerves at the sites of displacement of the costal cartilage.
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Diagnosis: Costal Cartilage Fracture
• A rare and not well known traumatic injury that can be seen in contact
athletes especially in rugby players or other athletes that sustain direct
blows to the chest wall and are without substantial padding. The
prevalence of this injury as well as the capability for healing of the cartilage
are not well known. By in large, athletes can return to sport with
symptomatic relief but problems such as chest wall instability and
subsequent respiratory issues may be more problematic.
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Resources
• Costal Cartilage Fractures and Disruptions in a Rugby Football Player.
Lopez V Jr, Ma R, Li X, Steele J, Allen AA. Clin J Sport Med. 2012 May 23.