• Arch Phys Med Rehabil · Mar 1994

    Case Reports

    Occult radiographic fractures of the chest wall identified by nuclear scan imaging: report of seven cases.

    • M M LaBan, C B Siegel, L K Schutz, and R S Taylor.
    • Department of Physical Medicine and Rehabilitation, William Beaumont Hospital, Royal Oak, MI 48073.
    • Arch Phys Med Rehabil. 1994 Mar 1;75(3):353-4.

    AbstractBetween 1985 and 1990 the enactment of state mandatory seat belt laws has reduced the risk of death from auto accident by at least 40% and the risk of moderate to severe injury by 45%. Although head and facial trauma has also been significantly reduced, there has not been a decrease in injuries to other parts of the body. We evaluated seven restrained drivers who complained of persistent anterior and/or lateral chest wall pain after being in motor vehicle accidents. All had normal x-rays of the osseous thorax. Nuclear scan imaging subsequently revealed that all seven had a healing fracture of either the sternum or ribs. In each instance, direct trauma to the sternum and ribs anteriorly by the chest strap itself and/or laterally displaced bending forces transmitted to the postero lateral rib margins was sufficient to produce x-ray occult fractures.

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