Multiple Fractures Upper Body Fracturesassociated with Extradural Hematomas

All patients with deceleration or crushing injuries involving clavicular and upper-rib fractures must be suspected of having significant multiple organ system trauma, including intracranial trauma, and evaluated accordingly. This case illustrates the importance of careful examination in an individual with a history of being hit by multiple objects, and thus having a possibility of multiple injuries. Figure 1: Photograph showing multiple abrasions on scalp and shoulder, and over the right clavicle. Figure 2: X-ray chest showing fractured right clavicle, and first and second rib (arrows). Pak J Neurol Sci 2007; 2(1):11-13

[1]  M. Jakubietz,et al.  Bilateral non-traumatic second rib fracture after bilateral first rib resection for TOS , 2005, Thorax.

[2]  V. Singh,et al.  Double extradural hematoma: an analysis of 46 cases. , 2004, Neurology India.

[3]  A. Wani,et al.  Acute bilateral extradural hematomas. , 2002, Neurology India.

[4]  S. Uchiyama,et al.  Nontraumatic bilateral first rib fractures. , 1998, Acta orthopaedica Belgica.

[5]  S. Howng,et al.  Bilateral epidural hematoma in a neonate. , 1996, The Kaohsiung journal of medical sciences.

[6]  G. Rasmussen,et al.  [Bilateral epidural hematomas]. , 1992, Ugeskrift for laeger.

[7]  R. Sarabia,et al.  Extradural hematoma: analysis of factors influencing the courses of 161 patients. , 1988, Neurosurgery.

[8]  D. Sc,et al.  Bilateral fracture of the first ribs. , 1983 .

[9]  J. E. Albers,et al.  Severity of intrathoracic injuries associated with first rib fractures. , 1982, The Annals of thoracic surgery.

[10]  G. V. Poole,et al.  Morbidity and mortality rates in major blunt trauma to the upper chest. , 1981, Annals of surgery.

[11]  M. Movin,et al.  Fracture of the first rib. , 1976, Acta orthopaedica Scandinavica.

[12]  J. Richardson,et al.  First Rib Fracture: A Hallmark of Severe Trauma , 1975, Annals of surgery.

[13]  E. S. Gurdjian,et al.  Recent advances in the study of the mechanism of impact injury of the head--a summary. , 1972, Clinical neurosurgery.