Volume rendering Chest CT-scan to diagnose post-traumatic rib pseudoarthrosis

 

 

1) Hany  Elsayed. FRCS Cth. Cardiothoracic department - Liverpool Heart and Chest Hospital- Liverpool- UK

2) Debamalya Ray. MRCS   Cardiothoracic department - Liverpool Heart and Chest Hospital- Liverpool- UK

3) Klaus Irion. FRCR.  Radiology department. Liverpool Heart and Chest Hospital- Liverpool- UK

 

Key words: pseudo arthrosis, rib, reconstructed CT-scan

 

A 45 year old fit man presented 8 month after an assault with sharp localised right lumbar pain. Chest X-ray (Fig.1) and CT showed no obvious cause. A volume rendering CT scan (Fig.2); which we recommend; showed pseudoarthrosis of the right 11th rib which was successfully partially resected with an excellent result.

Figure (1) Chest X-ray showing no obvious abnormalities apart from evidence of healed 8-11th right ribs posteriorly.

Figure (2) Volume Rendering Chest CT-scan performed after ordinary CT showed no abnormalities. This clearly shows the defect in the Right 11th rib posteriorly with a picture of pseudoarthrosis.

Chest X Ray

 

Figure (1) Chest X-ray showing no obvious abnormalities apart from evidence of healed 8-11th right ribs posteriorly.

 

pseudoarthrosis

 

Figure (2) Volume Rendering Chest CT-scan performed after ordinary CT showed no abnormalities (a) Posterior view (b) Anterior view. This clearly shows the defect in the Right 11th rib posteriorly with a picture of pseudoarthrosis

 

 

 

First Published March 2011

Copyright Priory Lodge Education Lid. 2004 - present date

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