{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T06:43:15Z","timestamp":1788072195939,"version":"build-2784847793"},"reference-count":8,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T00:00:00Z","timestamp":1547510400000},"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":[[2019,2]]},"abstract":"\n Background<\/jats:title>\n Rupture of the costal margin is uncommon. Whilst most often seen after major trauma, we describe its occurrence in patients with no direct chest trauma.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A search was performed in our thoracic surgery database for all patients with rupture of the costal margin. Patients were excluded if the injury was a result of trauma. Data were collected on sex, age, body mass index, profession, past medical history, smoking status, presenting complaint, mechanism of injury, and management.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n There were 9 patients with rupture of the costal margin that was caused in all cases by a severe coughing fit. All patients were male and the mean age was 62.5 years (range 47\u201376 years). Chronic obstructive pulmonary disease was present in 6 cases. Presentations included a palpable defect (5 cases), cough (9 cases), and chest pain (6 cases). On radiological examination, all patients had widening of the rib space, 4 had associated rib fractures, and 5 had lung herniation. Time from injury to presentation was 12 months (range 1\u201324 months). All patients underwent surgery and were followed-up for 59 months (range 8\u2013129 months). Two patients suffered major complications in the immediate postoperative period.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Rupture of the costal margin, in the absence of direct trauma, is characterized by pain, a palpable defect, and lung herniation. It is associated with widening of the rib space and rib fractures, and can be treated surgically with success but not without significant risks.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/0218492318823367","type":"journal-article","created":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T23:32:29Z","timestamp":1547595149000},"page":"105-109","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Nontraumatic rupture of the costal margin: a single-center experience"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3832-7431","authenticated-orcid":false,"given":"Ruth","family":"Mary Parks","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Nottingham University Hospitals, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmood","family":"Jadoon","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Nottingham University Hospitals, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Duffy","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Nottingham University Hospitals, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,1,15]]},"reference":[{"key":"bibr1-0218492318823367","doi-asserted-by":"crossref","first-page":"16","DOI":"10.3941\/jrcr.v8i4.1606","volume":"8","author":"Detorakis EE","year":"2014","journal-title":"J Radiol Case Rep"},{"key":"bibr2-0218492318823367","doi-asserted-by":"publisher","DOI":"10.1177\/0218492315586485"},{"key":"bibr3-0218492318823367","doi-asserted-by":"publisher","DOI":"10.11005\/jbm.2014.21.4.277"},{"key":"bibr4-0218492318823367","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-013029"},{"key":"bibr5-0218492318823367","doi-asserted-by":"publisher","DOI":"10.1177\/000313480807400416"},{"key":"bibr6-0218492318823367","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2012.11.024"},{"key":"bibr7-0218492318823367","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1136\/jrnms-88-55","volume":"88","author":"Ayers DE","year":"2002","journal-title":"J R Nav Med Serv"},{"key":"bibr8-0218492318823367","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2014.01.085"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492318823367","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0218492318823367","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492318823367","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:54:03Z","timestamp":1777398843000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0218492318823367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,15]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1177\/0218492318823367"],"URL":"https:\/\/doi.org\/10.1177\/0218492318823367","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,15]]}}}