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Master Thesis

Discussion de la pertinence des grils costaux aux urgences devant un traumatisme thoracique non compliqué

Abstract : Introduction: Ribs radiography remains systematic in the case of suspected benign thorax traumas (BTT). Based on a sample population of potential rib fractures, this study aims at determining the value-add of Ribs radiography to simpler chest film. Materials and methods: it is an observational, descriptive and retrospective study conducted in the ER service of Grenoble’s University Hospital from July 1st 2015 to December 31st 2015. For each BTT imaged through both a ribs radiography and chest film, images were anonymized and randomized, then analysed in a double-blind study by two traumatology specialists. Conclusions for both radiography were then compared. We then focused on patients for which the ribs radiography revealed additional details (such as further broken ribs and or complications). Results: Sample included 203 patients, of which 188 were reviewed. In 33 cases (N = 17%), the ribs radiography added some material information. Furthermore, in 5 of these 33 cases (16%), ribs radiography revealed very serious situations by showing additional information that had gone unnoticed through traditional chest film. However, other factors such as the age, background, kinetics and perturbated vitals had already been taken into account by the staff and patients had been receiving the appropriate level of attention prior to the CT scan being completed. Only one Ultrasound was performed.Conclusion: Ribs radiography appear to have a limited diagnostic performance. It is important to remain cautious of other relevant factors. If Ribs Ultrasound seem promising, the lack of sample and perspective does not allow yet to decide of its diagnostic performance.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01849192
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Submitted on : Wednesday, July 25, 2018 - 4:31:18 PM
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  • HAL Id : dumas-01849192, version 1

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Anne Langevin. Discussion de la pertinence des grils costaux aux urgences devant un traumatisme thoracique non compliqué. Médecine humaine et pathologie. 2018. ⟨dumas-01849192⟩

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