{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:08Z","timestamp":1787755208128,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report on a 35-year-old man presenting with disabling pain secondary to multiple rib nonunions and a costochondral dislocation 5 months after sustaining a chest wall crush injury. He underwent surgical reconstruction of the chest and was followed for 2 years. Surgical exposure to the heart was necessary during open reduction of the flail segment, followed by costochondral joint fixation with plates and screws. Although he was a workers\u2019 compensation patient, he returned to full gainful employment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Open reduction and internal fixation of a symptomatic, chronically displaced, precordial, flail segment can relieve pain and promote return to baseline function.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00714","type":"journal-article","created":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T14:05:11Z","timestamp":1691676311000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Open Reduction and Internal Fixation of a Chronic Precordial Flail Chest Segment"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0308-5113","authenticated-orcid":false,"given":"Indraneel S.","family":"Brahme","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota"},{"name":"Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4159-0233","authenticated-orcid":false,"given":"Michael C.","family":"LaRoque","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota"},{"name":"Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2654-8992","authenticated-orcid":false,"given":"Ilexa R.","family":"Flagstad","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota"},{"name":"Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6217-5103","authenticated-orcid":false,"given":"Peter A.","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota"},{"name":"Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota"},{"name":"HealthPartners Orthopaedics & Sports Medicine, Bloomington, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7]]},"reference":[{"issue":"3","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.cjtee.2020.04.003","article-title":"Blunt trauma related chest wall and pulmonary injuries: an overview","volume":"23","author":"Dogrul","year":"2020","journal-title":"Chin J Traumatol."},{"issue":"1","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.ccc.2016.08.009","article-title":"Rib fracture fixation: indications and outcomes","volume":"33","author":"Senekjian","year":"2017","journal-title":"Crit Care Clin."},{"issue":"1","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1186\/s13019-022-01801-1","article-title":"Surgical treatment of costal cartilage fractures with titanium plate internal fixation","volume":"17","author":"Li","year":"2022","journal-title":"J Cardiothorac Surg."},{"issue":"1","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1007\/s00268-008-9770-y","article-title":"Rib fracture repair: indications, technical issues, and future directions","volume":"33","author":"Nirula","year":"2009","journal-title":"World J Surg."},{"issue":"2","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"e119","DOI":"10.1016\/j.athoracsur.2018.06.044","article-title":"Simultaneous surgical treatment of sternum and costal cartilage fractures","volume":"107","author":"Gao","year":"2019","journal-title":"Ann Thorac Surg."},{"issue":"8","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/S0020-1383(01)00017-1","article-title":"Operative stabilisation of painful non-united multiple rib fractures","volume":"32","author":"Ng","year":"2001","journal-title":"Injury."},{"issue":"2","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1097\/TA.0000000000002559","article-title":"A multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, nonflail fracture patterns (Chest Wall Injury Society NONFLAIL)","volume":"88","author":"Pieracci","year":"2020","journal-title":"J Trauma Acute Care Surg."},{"issue":"2","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/S0003-4975(00)02262-1","article-title":"Operative stabilization of a flail chest six years after injury","volume":"72","author":"Slater","year":"2001","journal-title":"Ann Thorac Surg."},{"issue":"1","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.injury.2014.06.014","article-title":"Quality of life after major trauma with multiple rib fractures","volume":"46","author":"Marasco","year":"2015","journal-title":"Injury."},{"issue":"2","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"e40","DOI":"10.1097\/TA.0000000000002282","article-title":"Taxonomy of multiple rib fractures: results of the chest wall injury society international consensus survey","volume":"88","author":"Edwards","year":"2020","journal-title":"J Trauma Acute Care Surg."},{"issue":"5","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1007\/s10140-022-02066-w","article-title":"Costal cartilage fractures in blunt polytrauma patients\u2014a prospective clinical and radiological follow-up study","volume":"29","author":"Nummela","year":"2022","journal-title":"Emerg Radiol."},{"issue":"9","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"2560","DOI":"10.1016\/j.injury.2021.06.004","article-title":"Cartilage plating in flail chest fixation","volume":"52","author":"Schuette","year":"2021","journal-title":"Injury."},{"issue":"3","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"e239511","DOI":"10.1136\/bcr-2020-239511","article-title":"Operative treatment of multiple costochondral dislocations in a patient with severe rib fractures and a flail chest following trauma","volume":"14","author":"Prins","year":"2021","journal-title":"BMJ Case Rep."},{"issue":"4","key":"bib14-20240805","doi-asserted-by":"crossref","first-page":"e267","DOI":"10.1016\/j.athoracsur.2018.08.076","article-title":"Fracture of the costal cartilage: presentation, diagnosis, and management","volume":"107","author":"Sollender","year":"2019","journal-title":"Ann Thorac Surg."},{"issue":"2","key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1148\/radiol.2017162429","article-title":"Incidence and imaging findings of costal cartilage fractures in patients with blunt chest trauma: a retrospective review of 1461 consecutive whole-body CT examinations for trauma","volume":"286","author":"Nummela","year":"2018","journal-title":"Radiology."},{"issue":"3","key":"bib16-20240805","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1097\/01.prs.0000240817.11002.3e","article-title":"The response of costal cartilage to mechanical injury in mice","volume":"119","author":"Piao","year":"2007","journal-title":"Plast Reconstr Surg."},{"key":"bib17-20240805","first-page":"100840","article-title":"Cardiac injury due to the rapid progress of the dislocation of rib fractures: a rare case that required urgent open reduction and internal rib fixation","volume":"27","author":"Okamoto","year":"2019","journal-title":"Respir Med Case Rep."},{"issue":"7-8","key":"bib18-20240805","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1111\/ans.12215","article-title":"An approach to surgical fixation of traumatic costosternal diastasis","volume":"84","author":"George","year":"2014","journal-title":"ANZ J Surg."},{"issue":"4","key":"bib19-20240805","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1007\/s00068-013-0344-9","article-title":"Surgical stabilization of flail chest: the impact on postoperative pulmonary function","volume":"40","author":"Said","year":"2014","journal-title":"Eur J Trauma Emerg Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00714","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:39:13Z","timestamp":1787751553000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00714"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":19,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00714","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}