Skip to main content

Thoracic

  • Chapter
  • First Online:
The Sports Medicine Physician

Abstract

Traumatic injuries related to athletic activities in general are closed traumas and usually affect the bony parts, ribs, clavicles, and less frequently the sternum, spine, and scapula, and consequently are of less seriousness for the athlete. These individuals may have isolated or simultaneously other major risk factors such as pneumothorax, hemothorax, and pulmonary or myocardial contusion or situations involving life-threatening conditions, including tension pneumothorax, massive hemothorax, cardiac tamponade, or commotio cordis. Therefore, a careful and systematic initial evaluation by the professional at the event site is necessary for stratification of the potential severities and initial measures to stabilize the airway, ventilation, circulatory, and hemodynamic status. After adequate initial stabilization, the athlete should be referred as soon as possible to a trauma referral hospital for further detailed evaluation and definitive therapeutic procedures. This chapter aims to present an overview of the individualized main diagnoses in chest trauma and to allow the reader to acquire the most relevant information for the initial care and definitive treatment of these patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Al-Koudmani I, Darwish B, Al-Kateb K, Taifour Y. Chest trauma experience over eleven-year period at al-mouassat university teaching hospital-Damascus: a retrospective review of 888 cases. J Cardiothorac Surg. 2012;7:35.

    Article  Google Scholar 

  2. Asensio JA, Petrone P, Toro IFC. Trauma cardiaco penetrante, Trauma edit Atheneu. p. 305–26. ISBN 978-85-388-0082-8.

    Google Scholar 

  3. de Moya M, Nirula R, Biffl W. Rib fixation: who, what, when? Trauma Surg Acute Care Open. 2017;2(1):e000059.

    Article  Google Scholar 

  4. Doerer JJ, Haas TS, Estes NA, Link MS, Maron BJ. Evaluation of chest barriers for protection against sudden death due to commotio cordis. Am J Cardiol. 2007;99(6):857–9.

    Article  Google Scholar 

  5. Fabian RL. Sports injury to the larynx and trachea. Phys Sportsmed. 1989;17(2):111–8.

    Article  CAS  Google Scholar 

  6. Fanter NJ, Kenny RM, Baker CL. Surgical treatment of clavicle fractures in the adolescent athlete. Sports Health. 2015;7(2):137–41.

    Article  Google Scholar 

  7. Feden JP. Closed lung trauma. Clin Sports Med. 2013;32(2):255–65.

    Article  Google Scholar 

  8. Harris JH, et al. To reduce routine computed tomographic angiography for thoracic aortic injury assessment in level II blunt trauma patients using three mediastinal signs on the initial chest radiograph: a preliminary report. Emerg Radiol. 2018;25:387–91.

    Article  Google Scholar 

  9. Huis In ‘t Veld MA, Craft CA, Hood RE. Blunt cardiac trauma review. Cardiol Clin. 2018;36(1):183–91.

    Article  Google Scholar 

  10. Keenan RJ, Van Deusen MA, Alegre RA, Normando Jr GR. Trauma Torácico, Trauma edit Atheneu. p. 245–56. ISBN 978-85-388-0082-8.

    Google Scholar 

  11. Kizer KW, MacQuarrie MB. Pulmonary air leaks resulting from outdoor sports. A clinical series and literature review. Am J Sports Med. 1999;27(4):517–20.

    Article  CAS  Google Scholar 

  12. Link MS. Pathophysiology, prevention, and treatment of commotio cordis. Curr Cardiol Rep. 2014;16(6):495.

    Article  Google Scholar 

  13. Menezes RG, Fatima H, Hussain SA, Ahmed S, Singh PK, Kharoshah MA, et al. Commotio cordis: a review. Med Sci Law. 2017;57(3):146–51.

    Article  Google Scholar 

  14. Naidoo K, Hanbali L, Bates P. The natural history of flail chest injuries. Chin J Traumatol. 2017;20(5):293–6.

    Article  Google Scholar 

  15. Noh D, Lee CK, Hwang JJ, Cho HM. Concomitant avulsion injury of the subclavian vessels and the main bronchus caused by blunt trauma. Korean J Thorac Cardiovasc Surg. 2018;51(2):153–5.

    Article  Google Scholar 

  16. Patel N, Mansouri M, Shankar S, Singh A. Imaging of acute thoracic trauma. In: Emergency radiology: imaging of acute pathologies. 2nd ed. Springer International Publishing; 2017. p. 403–18. https://doi.org/10.1007/978-3-319-65397-6_24.

    Google Scholar 

  17. Prokakis C, Koletsis EN, Dedeilias P, Fligou F, Filos K, Dougenis D. Airway trauma: a review on epidemiology, mechanisms of injury, diagnosis and treatment. J Cardiothorac Surg. 2014;9:117.

    Article  Google Scholar 

  18. Robertson GA, Wood AM, Oliver CW. Displaced middle-third clavicle fracture management in sport: still a challenge in 2018. Should you call the surgeon to speed return to play? Br J Sports Med. 2018;52(6):348–9.

    PubMed  Google Scholar 

  19. Singhal P, Kejriwal N. Ascending aortic tear with severe aortic regurgitation following rugby injury. Heart Lung Circ. 2009;18(2):150–1.

    Article  CAS  Google Scholar 

  20. Shorr RM, Crittenden M, Indeck M, Hartunian SL, Rodriguez A. Blunt thoracic trauma. Analysis of 515 patients. Ann Surg. 1987;206(2):200–5.

    Article  CAS  Google Scholar 

  21. Symbas PN, Justicz AG, Ricketts RR. Rupture of the airways from blunt trauma: treatment of complex injuries. Ann Thorac Surg. 1992;54(1):177–83.

    Article  CAS  Google Scholar 

  22. Wilkerson RG, Stone MB. Sensitivity of bedside ultrasound and supine anteroposterior chest radiographs for the identification of pneumothorax after blunt trauma. Acad Emerg Med. 2010;17(1):11–7.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ricardo Kalaf Mussi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 ISAKOS

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Toro, I.F.C., Kalaf Mussi, R. (2019). Thoracic. In: Rocha Piedade, S., Imhoff, A., Clatworthy, M., Cohen, M., Espregueira-Mendes, J. (eds) The Sports Medicine Physician. Springer, Cham. https://doi.org/10.1007/978-3-030-10433-7_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-10433-7_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10432-0

  • Online ISBN: 978-3-030-10433-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics