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. 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