Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

543
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:
543
Fractures: Bone Repair01:27

Fractures: Bone Repair

5.1K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
5.1K
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

467
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
467
Flail Chest-I01:24

Flail Chest-I

628
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...
628
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

329
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
329
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

369
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
369

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Trends in Pediatric Opioid Ingestion and Associated Factors in Washington State, 2014-2023.

Public health reports (Washington, D.C. : 1974)·2026
Same author

Implementation and Effectiveness of an Enhanced Recovery Protocol for Children Undergoing Surgery: The ENRICH-US Stepped-Wedge Cluster-Randomized Trial.

JAMA surgery·2026
Same author

Developing a New Health-Related Quality of Life Survey for Patients with Short Bowel Syndrome and Intestinal Failure: Evaluating Multiple Factors and GLP-2, Too.

Digestive diseases and sciences·2026
Same author

Intermediate Risk Rhabdomyosarcoma in Very Young Children (Less Than or Equal to 24 Months) Treated on the Prior Children's Oncology Group Protocol ARST1431.

Pediatric blood & cancer·2026
Same author

Outcomes and Surgical Management of Malignant Rhabdoid Tumor of the Kidney: A Report From the Pediatric Surgical Oncology Research Collaborative.

Pediatric blood & cancer·2026
Same author

A comparison between sodium bicarbonate and ethanol for central line locks in pediatric patients with intestinal failure.

Journal of pediatric gastroenterology and nutrition·2026

Related Experiment Video

Updated: Jan 18, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
06:57

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

3.9K

Refining Management of Pediatric First Rib Fractures Without Major Trauma.

Nzuekoh N Nchinda1, Deepika P Kamineni2, Jeffrey P Otjen3

  • 1Division of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, 4800 Sand Point Way NE, Ocean 9.A.220, Seattle, WA 98105, USA; Department of Surgery, University of Washington, 1959 Pacific Street, Box 356410, Seattle, WA 98195, USA.

Journal of Pediatric Surgery
|September 7, 2025
PubMed
Summary
This summary is machine-generated.

Pediatric first rib fractures can occur without major trauma, often due to exercise or stretching. Extensive imaging is usually unnecessary, as chest X-rays are sufficient for diagnosis and management.

Keywords:
First ribPediatric surgeryRib fracture

More Related Videos

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

65.0K
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

1.2K

Related Experiment Videos

Last Updated: Jan 18, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
06:57

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

3.9K
Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

65.0K
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

1.2K

Area of Science:

  • Pediatric Orthopedics
  • Pediatric Traumatology
  • Pediatric Radiology

Background:

  • First rib fractures in children are typically linked to high-impact trauma.
  • Atraumatic causes of pediatric first rib fractures are understudied.
  • Understanding non-traumatic etiologies is crucial for appropriate diagnosis and management.

Purpose of the Study:

  • To evaluate the presentation of pediatric first rib fractures.
  • To assess the management of pediatric first rib fractures.
  • To investigate cases occurring in the absence of major trauma.

Main Methods:

  • Retrospective study of pediatric patients diagnosed with first rib fractures (2000-2023).
  • Exclusion of patients with major trauma and baseline bone disease.
  • Analysis of clinical presentation, diagnostic modalities, and management outcomes.

Main Results:

  • Identified 24 pediatric patients with atraumatic first rib fractures.
  • Common causes included exercise (33%), stretching (21%), and idiopathic (21%).
  • Shoulder pain was the most common symptom; chest X-ray was the primary diagnostic tool. CT scans revealed no additional significant pathology.

Conclusions:

  • Pediatric first rib fractures can occur without significant trauma.
  • Extensive workup beyond initial imaging is often not required.
  • Diagnostic chest CT did not provide clinically significant findings beyond those seen on X-ray.