• Clinical imaging · May 2019

    Case Reports

    Cough-induced costal cartilage fracture.

    • Steven P Daniels, J Jacob Kazam, Katherine V Yao, Helen S Xu, and Daniel B Green.
    • Department of Radiology, New York Presbyterian Hospital-Weill Cornell Medical Center, 525 East 68th Street, Box 141, New York, NY 10065, United States of America. Electronic address: daniels.stevenp@gmail.com.
    • Clin Imaging. 2019 May 1; 55: 161-164.

    AbstractWe present two cases of atraumatic costal cartilage fracture secondary to violent coughing. Although costal cartilage fractures due to trauma and bony rib fractures due to violent coughing have been described, to our knowledge there have been no prior reported cases of cough-induced costal cartilage fracture. It is important for radiologists to consider costal cartilage fractures, which are often more subtle than osseous injuries, in patients with chest pain, and understand that they may not always be preceded by direct trauma. Identifying this injury is clinically important and will prevent patients from undergoing unnecessary examinations to rule out a cardiac cause of chest pain or a pulmonary embolism.Copyright © 2019 Elsevier Inc. All rights reserved.

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