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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

786
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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Muscles of the Shoulder01:23

Muscles of the Shoulder

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
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Related Experiment Video

Updated: Feb 16, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

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A Compound Pectoral Flap.

J T Hueston1, I H McConchte1

  • 1Department of Plastic Surgery and Department of Thoracic Surgery, Royal Melbourne Hospital.

The Australian and New Zealand Journal of Surgery
|December 22, 2017
PubMed
Summary
This summary is machine-generated.

This study details a novel chest wall reconstruction technique using a pectoralis major muscle flap for extensive defects. This method enhances blood supply for safer, more effective tissue transfer in complex anterior chest wall repairs.

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Area of Science:

  • Reconstructive surgery
  • Thoracic surgery
  • Plastic surgery

Background:

  • Large anterior chest wall defects pose significant reconstructive challenges.
  • Ensuring adequate blood supply is critical for successful skin flap viability in complex reconstructions.

Purpose of the Study:

  • To describe the application of the skeletal muscle inclusion principle in designing chest flaps.
  • To evaluate the use of a pectoralis major muscle flap for anterior chest wall defect repair.

Main Methods:

  • Incorporation of the pectoralis major muscle within a skin flap for chest wall reconstruction.
  • Surgical repair of defects involving the clavicles, upper ribs, and sternum.

Main Results:

  • Successful application of the pectoralis major flap for anterior chest wall reconstruction.
  • Demonstrated a viable blood supply for the transferred tissue.

Conclusions:

  • Including skeletal muscle, like the pectoralis major, in chest flaps ensures a robust blood supply.
  • This technique is effective for repairing large, full-thickness anterior chest wall defects.