A technique for the identification of anatomical rib number is presented here. Preliminary tests indicate that with experience, percent accuracy for identification may approach 100%. This technique was then applied to a skeletal collection where rib number was not documented in order to determine the effects of intercostal variation on the application of rib four age-at-death estimation standards to other ribs. Spearman rank correlations between rib four and ribs three through nine range from 0.89 to 0.91. No significant differences were found between ribs conforming to or deviating from the phase observed on rib four. There is a significant proportion of deviations falling below the phase set by rib four, however these deviations are not statistically associated with rib number and are usually within one phase. These results indicate that rib four standards can be cautiously applied to other sternal ends when rib four is not preserved.
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J Orthop Trauma
December 2024
Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN; and.
Although nonoperative management is the mainstay for rib fracture treatment, surgical stabilization of rib fractures is becoming more common. Recently, the number of high-quality studies on management of rib fractures has also increased. The primary purpose of this review is to analyze the currently available prospective randomized studies on the management of rib fractures.
View Article and Find Full Text PDFSpine Deform
January 2025
Pediatrics and Neurosurgery, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Introduction: Congenital lumbar kyphosis is present in about 15% of patients with myelomeningocele. Worsening of deformity with complications such as chronic skin ulcers and bone exposure is common. In patients under 8 years of age, treatment becomes even more challenging: in addition to resecting the apex of the kyphotic deformity, we should ideally stabilize the spine with fixation methods that do not interrupt the growth of the rib cage, associated with the challenging pelvic fixation in this population.
View Article and Find Full Text PDFAnn Thorac Surg Short Rep
December 2024
Thoracic Surgery Department, Nottingham University Hospitals NHS Trust, UK.
Gorham-Scout disease (GSD) is a rare skeletal disorder of unknown etiology characterized by progressive osteolysis and excessive lymphovascular proliferation. Chylothorax is a life-threatening complication. A teenager presented with a left pleural effusion on a background of chronic flank collection secondary to lymphovascular malformation.
View Article and Find Full Text PDFJTCVS Open
December 2024
Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WVa.
Objective: To evaluate the healthcare costs associated with unresolved slipping rib syndrome (SRS).
Methods: Data pertaining to patients who underwent operative repair for SRS at our academic institution were analyzed retrospectively. Duration of symptoms, previous management efforts, number of healthcare provider consultations, imaging studies, adjunctive surgical and pain management procedures performed to treat the symptoms, and prior unsuccessful SRS operations were catalogued.
Materials (Basel)
December 2024
School of Aerospace Engineering and Applied Mechanics, Tongji University, Shanghai 200092, China.
Buckling is a significant concern for cable-stayed bridges that incorporate a large number of steel components, particularly those featuring unique-shaped towers that require further examination due to the intricate internal force and stress distribution. This paper investigates the buckling behavior of a cable-stayed bridge with inverted V-shaped towers. The cable tower is characterized by its unique design that consists of diagonal bracings and columns in a compression-bending state.
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