{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:30:33Z","timestamp":1792096233104,"version":"4.4.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,5,8]],"date-time":"2015-05-08T00:00:00Z","timestamp":1431043200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Other than trauma, rib fracture can occur spontaneously due to a severe cough or sneeze. In this study, patients with spontaneous rib fractures were analyzed according to age, sex, underlying pathology, treatment, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve patients who presented between February 2009 and February 2011 with spontaneous rib fracture were reviewed retrospectively. The patients\u2019 data were evaluated according to anamnesis, physical examination, and chest radiographs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The ages of the patients ranged from 34 to 77 years (mean 55.91\u2009\u00b1\u200912.20 years), and 7 (58.4%) were male. All patients had severe cough and chest pain. The fractures were most frequently between 4th and 9th ribs; multiple rib fractures were detected in 5 (41.7%) patients. Eight (66.7%) patients had chronic obstructive pulmonary disease, 2 (16.7%) had bronchial asthma, and 2 (16.7%) had osteoporosis. Bone densitometry revealed a high risk of bone fracture in all patients. Patients with chronic obstructive pulmonary disease or bronchial asthma had been treated with high-dose steroids for over a year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Spontaneous rib fracture due to severe cough may occur in patients with osteoporosis, chronic obstructive pulmonary disease, or bronchial asthma, receiving long-term steroid therapy. If these patients have severe chest pain, chest radiography should be performed to check for bone lesions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492315586485","type":"journal-article","created":{"date-parts":[[2015,5,8]],"date-time":"2015-05-08T22:11:24Z","timestamp":1431123084000},"page":"701-703","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Spontaneous rib fractures"],"prefix":"10.1177","volume":"23","author":[{"given":"Ozgur","family":"Katrancioglu","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Cumhuriyet University School of Medicine, Sivas, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yucel","family":"Akkas","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Ankara Numune Research and Training Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulhattin","family":"Arslan","sequence":"additional","affiliation":[{"name":"Department of Chest Diseases, Cumhuriyet University School of Medicine, Sivas, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekber","family":"Sahin","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Cumhuriyet University School of Medicine, Sivas, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,5,8]]},"reference":[{"key":"bibr1-0218492315586485","first-page":"447","volume-title":"G\u00f6\u011f\u00fcs Cerrahisi","author":"Soysal \u00d6","year":"2001"},{"key":"bibr2-0218492315586485","unstructured":"K\u0131l\u0131\u00e7 Dalokay, F\u0131nd\u0131ko\u011flu A, Hatipo\u011flu A. Spontaneous rib fracture caused by coughing: report of two cases. Turkiye Klinikleri J Med Sci 2007;27:468\u201370. Available at: http:\/\/www.turkiyeklinikleri.com\/article\/en-spontaneous-rib-fracture-caused-by-coughing-report-of-two-cases-47694.html. 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