sterno-costal junction injury

The modified

Ravitch approach for the management of severe anterior flail chest with bilateral sternochondral dislocations: a case report. Initial chest CT (Lung Windows) axial cuts, showing extensive subcutaneous emphysema, with associated bilateral pneumothoraces, small residual bilateral hemothoraces and associated pulmonary contusions. The right panel shows a displaced 3rd rib sternochondral dislocation (solid white arrow), providing a clear path for a possible pulmonary hernia. The left panel shows displaced rib fractures just inferior to the right sternochondral dislocation, creating an anterior flail segment

The modified

Ravitch approach for the management of severe anterior flail chest with bilateral sternochondral dislocations: a case report. 3D reconstruction of the anterior chest wall (rotational views) showing on the AP panel displaced sternal fracture, disruption of the sternochondral junctions in both the right and the left, on the oblique panel significant diastasis of the sternochondral junctions on the right side and multiple fractures of the second though sixth rib on the right side are demonstrated. Finally on the lateral panel showing a flail segment (two fractures on three consecutive ribs) between the third and the sixth rib