Haemothorax and Thoracic Spine Fractures in the Elderly
Identifieur interne : 004283 ( Main/Merge ); précédent : 004282; suivant : 004284Haemothorax and Thoracic Spine Fractures in the Elderly
Auteurs : Michael A. Masteller [États-Unis] ; Aakash Chauhan [États-Unis] ; Harsha Musunuru [États-Unis] ; Mark M. Walsh [États-Unis] ; Bryan Boyer [États-Unis] ; Joseph A. Prahlow [États-Unis]Source :
- Case Reports in Radiology [ 2090-6862 ] ; 2012.
Abstract
Both osteoporotic fractures and pleural effusions are frequently observed in medicine. However, rarely does one associate a hemorrhagic pleural effusion with a thoracic spinal fracture when the patient has not sustained massive trauma. In this paper, we discuss two cases where seemingly insignificant low-energy trauma precipitated massive haemothoraces in elderly patients with underlying osteoporosis, ultimately resulting in their immediate causes of death. This paper serves to remind health care professionals of the importance of using caution when moving elderly patients as well as to consider thoracic spinal fracture as a potential explanation for a hemorrhagic pleural effusion of undetermined etiology.
Url:
DOI: 10.1155/2012/162064
PubMed: 22973528
PubMed Central: 3437616
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Masteller</name><affiliation wicri:level="1"><nlm:aff id="I1">Indiana University School of Medicine, South Bend Campus, South Bend, IN 46556, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Indiana University School of Medicine, South Bend Campus, South Bend, IN 46556</wicri:regionArea><wicri:noRegion>IN 46556</wicri:noRegion></affiliation></author><author><name sortKey="Chauhan, Aakash" sort="Chauhan, Aakash" uniqKey="Chauhan A" first="Aakash" last="Chauhan">Aakash Chauhan</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA 15212, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA 15212</wicri:regionArea><wicri:noRegion>PA 15212</wicri:noRegion></affiliation></author><author><name sortKey="Musunuru, Harsha" sort="Musunuru, Harsha" uniqKey="Musunuru H" first="Harsha" last="Musunuru">Harsha Musunuru</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Emergency Medicine, Memorial Hospital of South Bend, South Bend, IN 46601, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Emergency Medicine, Memorial Hospital of South Bend, South Bend, IN 46601</wicri:regionArea><wicri:noRegion>IN 46601</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Memorial Hospital of South Bend, South Bend, IN 46601, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Memorial Hospital of South Bend, South Bend, IN 46601</wicri:regionArea><wicri:noRegion>IN 46601</wicri:noRegion></affiliation></author><author><name sortKey="Walsh, Mark M" sort="Walsh, Mark M" uniqKey="Walsh M" first="Mark M." last="Walsh">Mark M. 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Prahlow</name><affiliation wicri:level="1"><nlm:aff id="I1">Indiana University School of Medicine, South Bend Campus, South Bend, IN 46556, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Indiana University School of Medicine, South Bend Campus, South Bend, IN 46556</wicri:regionArea><wicri:noRegion>IN 46556</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">South Bend Medical Foundation, South Bend, IN 46601, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>South Bend Medical Foundation, South Bend, IN 46601</wicri:regionArea><wicri:noRegion>IN 46601</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Radiology</title><idno type="ISSN">2090-6862</idno><idno type="eISSN">2090-6870</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Both osteoporotic fractures and pleural effusions are frequently observed in medicine. However, rarely does one associate a hemorrhagic pleural effusion with a thoracic spinal fracture when the patient has not sustained massive trauma. In this paper, we discuss two cases where seemingly insignificant low-energy trauma precipitated massive haemothoraces in elderly patients with underlying osteoporosis, ultimately resulting in their immediate causes of death. This paper serves to remind health care professionals of the importance of using caution when moving elderly patients as well as to consider thoracic spinal fracture as a potential explanation for a hemorrhagic pleural effusion of undetermined etiology.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Riggs, Bl" uniqKey="Riggs B">BL Riggs</name></author><author><name sortKey="Melton, Lj" uniqKey="Melton L">LJ Melton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lu, Ms" uniqKey="Lu M">MS Lu</name></author><author><name sortKey="Li, Yy" uniqKey="Li Y">YY Li</name></author><author><name sortKey="Huang, Yk" uniqKey="Huang Y">YK Huang</name></author><author><name sortKey="Kao, Cl" uniqKey="Kao C">CL Kao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dalvie, Ss" uniqKey="Dalvie S">SS Dalvie</name></author><author><name sortKey="Burwell, M" 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