{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T16:43:09Z","timestamp":1791045789674,"version":"4.1.0"},"reference-count":34,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T00:00:00Z","timestamp":1728864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Peking University People\u2019s Hospital Research and Development Funds","award":["RS2023-03"],"award-info":[{"award-number":["RS2023-03"]}]},{"name":"Peking University People\u2019s Hospital Research and Development Funds","award":["2021-1G-3031"],"award-info":[{"award-number":["2021-1G-3031"]}]},{"name":"Capital Health Research and Development of Special Fund, China","award":["RS2023-03"],"award-info":[{"award-number":["RS2023-03"]}]},{"name":"Capital Health Research and Development of Special Fund, China","award":["2021-1G-3031"],"award-info":[{"award-number":["2021-1G-3031"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: High-energy chest trauma often results in rib fractures and associated chest injuries. This study explored fracture distribution patterns in high-energy chest trauma, using three-dimensional (3D) fracture mapping technology. Methods: This retrospective study analyzed cases of high-energy chest trauma with rib fractures treated at a Level 1 Trauma Center, from February 2012 to January 2023. Specifically, 3D computed tomography (CT) was used to reconstruct rib fractures and create fracture-frequency heat maps, analyzing the influence of other thoracic fractures on rib fracture distribution. Results: Rib fractures were frequently found in the anterior and posterior thoracic areas. On average, patients sustained 7 \u00b1 3.87 rib fractures, with clavicle fractures in 25.5% and scapular fractures in 19.6% of cases. Scapular fractures led to more posterior rib fractures, while sternal fractures were associated with more anterior rib fractures. Clavicle fractures were linked to fractures of the first to third ribs. Conclusions: Rib fractures in high-energy chest trauma occurred most often in the anterior and posterior regions. Fractures of the scapula and sternum influence the positioning of the fracture lines. Clavicular fractures are associated with a higher incidence of upper rib fractures. These findings can help inform surgical decisions and complication management.<\/jats:p>","DOI":"10.3390\/jcm13206127","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T07:28:35Z","timestamp":1729495715000},"page":"6127","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Fracture Mapping in High-Energy Chest Trauma"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1617-3825","authenticated-orcid":false,"given":"Shuhuan","family":"Li","sequence":"first","affiliation":[{"name":"Trauma Treatment Center, Peking University People\u2019s Hospital, Beijing 100044, China"},{"name":"Key Laboratory of Trauma Treatment and Neural Regeneration, National Center for Trauma Medicine, Ministry of Education, Peking University, Beijing 100044, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duo","family":"Sun","sequence":"additional","affiliation":[{"name":"Trauma Treatment Center, Peking University People\u2019s Hospital, Beijing 100044, China"},{"name":"Key Laboratory of Trauma Treatment and Neural Regeneration, National Center for Trauma Medicine, Ministry of Education, Peking University, Beijing 100044, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chu","family":"Wang","sequence":"additional","affiliation":[{"name":"Trauma Treatment Center, Peking University People\u2019s Hospital, Beijing 100044, China"},{"name":"Key Laboratory of Trauma Treatment and Neural Regeneration, National Center for Trauma Medicine, Ministry of Education, Peking University, Beijing 100044, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pan","family":"Hu","sequence":"additional","affiliation":[{"name":"Trauma Treatment Center, Peking University People\u2019s Hospital, Beijing 100044, China"},{"name":"Key Laboratory of Trauma Treatment and Neural Regeneration, National Center for Trauma Medicine, Ministry of Education, Peking University, Beijing 100044, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feifei","family":"Jin","sequence":"additional","affiliation":[{"name":"Trauma Treatment Center, Peking University People\u2019s Hospital, Beijing 100044, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Trauma Treatment Center, Peking University People\u2019s Hospital, Beijing 100044, China"},{"name":"Key Laboratory of Trauma Treatment and Neural Regeneration, National Center for Trauma Medicine, Ministry of Education, Peking University, Beijing 100044, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/S1010-7940(03)00256-2","article-title":"A comprehensive analysis of traumatic rib fractures: Morbidity, mortality and management","volume":"24","author":"Sirmali","year":"2003","journal-title":"Eur. 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