Rib Fractures in Infants Due to Cardiopulmonary Resuscitation Efforts

@article{Dolinak2007RibFI,
  title={Rib Fractures in Infants Due to Cardiopulmonary Resuscitation Efforts},
  author={D. Dolinak},
  journal={The American Journal of Forensic Medicine and Pathology},
  year={2007},
  volume={28},
  pages={107-110}
}
  • D. Dolinak
  • Published 2007
  • Medicine
  • The American Journal of Forensic Medicine and Pathology
Although it is widely known that adults may sustain fractures of the anterior and/or lateral aspects of the ribs due to cardiopulmonary resuscitation (CPR) efforts, relatively little is written about the generation of CPR-related rib fractures in the infant age range. In a series of 70 consecutive autopsies in infants ranging in age from 2 weeks to 8 months, with no history or indications of injury, the parietal pleura of the thoracic cage was stripped and the ribs carefully examined for… Expand
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References

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TLDR
It was observed that relevant injuries due to resuscitation are caused much more frequently or almost exclusively by physicians than by non-medical persons and refutes any possible claims that rib fractures were caused by inexpert resuscitation in a panic-like reaction. Expand
Fractures of the rib head in abused infants.
TLDR
The morphologic features of these fractures further support the concept that most fractures in abused infants occur by means of indirect forces and are consistent with anteroposterior manual thoracic compression during assaults. Expand
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TLDR
In spite of prolonged resuscitation performed with variable degrees of skill, no fractures could be attributed to CPR; on the other hand, rib fractures occurred frequently in abused children. Expand
Cause and Clinical Characteristics of Rib Fractures in Infants
TLDR
Most rib fractures in infants are caused by child abuse, although much less common, rib fractures can also occur after serious accidental injuries, birth trauma, or secondary to bone fragility. Expand
Frequency of rib and sternum fractures associated with out-of-hospital cardiopulmonary resuscitation is underestimated by conventional chest X-ray.
TLDR
The findings of this study indicate that fractures associated with CPR are underreported in conventional radiographic investigations. Expand
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TLDR
Acute and healing rib fractures are common in infants who died with inflicted injury; detection is technique-dependent and use of high-detail skeletal radiography to identify these injuries in live and deceased infants appears justified. Expand
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TLDR
Cardiopulmonary resuscitation is unlikely to cause rib fractures in infants and rib fractures visible at autopsy or with postmortem radiographs after cardiopul pulmonary resuscitation are unlikely. Expand
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TLDR
The mechanical factors associated with posterior rib fractures were explored to explore when these fractures occur in accidental situations, they require massive forces that entail similar mechanics to those occurring in abusive settings. Expand
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TLDR
Their clinical history, the radiographic appearance, and laboratory data suggest that most of the infants may have suffered from bone loss associated with low intake of calcium and phosphorus, and improving the metabolic status and removing the risk factors prevented further fractures and led to good healing. Expand
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TLDR
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